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The drug is a useful option for treatment failure cases. It should be prescribed with proper counseling to avoid pregnancy. Finasteride is a widely used drug in dermatology for the treatment of androgenetic alopecia. Current evidence on the safety of finasteride indicates that it is safe, but there is growing concern about its sexual side effects. Indian J Dermatol Venereol Leprol ; Abstract Background: Finasteride is a widely used drug in dermatology for the treatment of androgenetic alopecia.

The keywords finasteride, male pattern baldness and androgenetic alopecia were used for literature search. Similarly, a search was done for finasteride in female pattern hair loss with keywords female pattern baldness, finasteride and female pattern alopecia. Results: Two hundred sixty two studies were evaluated, twelve of which fulfilled the inclusion criteria. Conclusions and Recommendations: Current evidence on the safety of finasteride indicates that it is safe but there is growing concern about its sexual side effects.

Efficacy of the drug in androgenetic alopecia Several publications have established the usefulness of this drug in the management of androgenetic alopecia. Side effects The major drawback of finasteride has been side effects on sexual function. Table 1: Studies which found the side effects to be not significant. Table 2: Studies which found the side effects to be significant.

Psychological effect, pathophysiology, and management of androgenetic alopecia in men. Mayo Clin Proc ; Antiandrogens and androgen inhibitors.

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