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Fincar (Finasteride) Buyer and Patient Handbook in South Africa

What is Fincar?

Fincar is a 5 mg tablet containing the active ingredient finasteride, a drug classed as a 5-alpha-reductase inhibitor. It is approved for the treatment of male-pattern hair loss (Androgenetic Alopecia) in adult men. The South African Health Products Regulatory Authority (SAHPRA) has granted registration for this formulation, and it is supplied as oral tablets.

Who Should Use Fincar?

• Adult males (≥ 18 years) experiencing thinning of the crown and frontal scalp.
• Patients with a confirmed diagnosis of androgenetic Alopecia by a qualified health professional.
• Individuals without a history of Prostate Cancer or severe liver disease.

How Does It Work?

Finasteride blocks the enzyme 5-alpha-reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is the hormone responsible for miniaturising hair follicles in androgen-sensitive scalp areas. By lowering DHT levels within the scalp, Fincar allows existing follicles to remain in the growth phase longer, resulting in thicker, denser hair over time.

Safety note: Finasteride is not associated with abuse potential, but it should be avoided by women and children, as it can affect fetal development.

Why Choose Fincar?

• Proven efficacy: Clinical trials show a significant reduction in hair loss and an increase in new hair growth after 12 months of use.
• Convenient dosing: One tablet daily, no need for topical applications.
• Cost-effective: Provides the same therapeutic benefit as other brand-name finasteride products at a lower price point.

Off-label uses, such as treatment of benign prostatic hyper-plasia, should only be considered after discussion with a qualified health professional.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

• 5 mg taken once daily, preferably at the same time each day.

How to Take

• Swallow the tablet whole with a glass of water.
• It may be taken with or without food; consistency is more important than timing with meals.

Missed Dose

• If you remember the missed dose within 12 hours, take it now.
• If more than 12 hours have passed, skip the missed dose and continue with the regular schedule. Do not double-dose.

Overdose

• In the unlikely event of an overdose, seek urgent medical attention or contact the local poison information centre (SA National Poisons Information Service - 080 123 456).

Special Populations

• Elderly: No dose adjustment needed, but monitor liver function.
• Renal or hepatic impairment: No specific dose change, but regular laboratory review is advisable.
• Children & women: Contra-indicated due to risk of birth defects.

Lifestyle & Diet

• Alcohol: Moderate consumption does not affect efficacy.
• Grapefruit juice: No known interaction with finasteride.
• Smoking: No direct effect, but smoking may worsen hair loss independently.

Precautions and Warnings

• Do not handle crushed or broken tablets; avoid skin contact with the medication.
• Report any persistent sexual dysfunction, breast tenderness or enlargement, or signs of Depression to a health professional promptly.
• Women who are pregnant or may become pregnant must avoid contact with broken tablets or spilled material.

Drug Interactions

Potential Side Effects

Common Side Effects

• Decreased libido
• Reduced ejaculate volume
• Mild skin rash

Less Common Side Effects

• Dizziness
• Nausea
• Breast tenderness

Serious Side Effects

• Persistent erection lasting > 4 hours (priapism) - seek emergency care.
• Allergic reaction (swelling, breathlessness) - seek immediate medical help.
• New-onset depression or mood changes - consult a health professional.

Who Should Avoid This Medication?

• Women of any age, especially during pregnancy or breastfeeding.
• Children and adolescents.
• Men with a known hypersensitivity to finasteride or any tablet excipients.
• Patients with liver failure (Child-Pugh C) without specialist supervision.

Storage Instructions

• Keep the tablets in the original blister pack until use.
• Store at 15 °C to 30 °C (room temperature), away from excess heat and moisture.
• Keep out of reach of children and pets.

Fincar Alternatives

Frequently Asked Questions

How long before I see results?

Most men notice a reduction in hair shedding after 3 months, with visible regrowth becoming apparent at 12 months of continuous use.

Can I take Fincar with other hair-loss products?

Yes, it can be combined with topical Minoxidil, but avoid using other oral 5-alpha-reductase inhibitors without medical advice.

Will Fincar affect my sex drive permanently?

In a small proportion of users, sexual side-effects may persist after stopping the drug, but most resolve within weeks to months.

Is it safe to use Fincar if I have a mild liver condition?

Finasteride is metabolised by the liver, but no dose adjustment is required for mild impairment; however, periodic liver function tests are recommended.

Does Fincar protect my existing hair?

Yes, it stabilises thinning areas by preventing further miniaturisation of follicles.

Can I stop treatment once I have achieved desired hair density?

Discontinuation typically leads to a gradual return of hair loss within 6-12 months; continued therapy is needed to maintain results.

Is there any need for blood monitoring?

Routine blood tests are not required for healthy adults, but liver function tests are advisable for those with pre-existing liver disease.

Does alcohol interact with Fincar?

No clinically significant interaction has been identified.

Glossary

• 5-alpha-reductase: Enzyme that converts testosterone into dihydrotestosterone (DHT), the hormone chiefly responsible for male-pattern hair loss.
• DHT: Dihydrotestosterone, a potent androgen that shrinks hair follicles in genetically susceptible scalp areas.
• Androgenetic alopecia: The medical term for male-pattern baldness, characterised by progressive thinning at the crown and frontal scalp.
• Contra-indication: A specific situation where a drug should not be used because it may cause harm.

Disclaimer

The information provided herein is for general educational purposes only and does not replace professional medical advice. Off-label uses should be discussed with a qualified health professional. Readers are responsible for verifying the suitability of this medication for their individual health circumstances. Our online pharmacy platform offers convenient access to approved medicines in South Africa; however, all purchases are subject to verification of eligibility and compliance with local regulations. Always consult a qualified health professional before starting, stopping, or altering any medication regimen.