The first release of finasteride in the U.S. was under the brand name of Proscar (Merck), which was approved by the FDA in 1992. It was specifically given approval for use by patients with benign prostate hyperplasia (prostate enlargement). In December 1997, the Food and Drug Administration again approved finasteride, this time for a different purpose, namely the treatment of male pattern hair loss. Merck released the drug under a different brand name for this purpose, Propecia, which contained only 1/5th of the Proscar dosage. Today, both Proscar and Propecia remain the dominant brands of finasteride on the global market.
How is Finasteride Supplied
Finasteride is most commonly supplied in tablets of 1 mg and 5 mg.
Structural Characteristics of Finasteride
Finasteride is a synthetic 4-azasteroid. It has the chemical designation 4-azaandrost-1-ene- 17-carboxamide,N-(1,1- dimethylethyl)-3-oxo-,(5·,17‚)-.
Finasteride Warnings (Pregnancy)
This drug must never be taken during pregnancy. Finasteride can be absorbed through the skin.Women who are, or might become pregnant, should never handle broken or uncoated finasteride tablets. The DHT blocking action of finasteride can cause severe developmental problems to an unborn male fetus, even in very small amounts. Unaltered finasteride can also be recovered in the semen.It is unknown if enough drug can be absorbed during sexual intercourse to harm a developing male fetus. The use of condoms or abstinence is recommended during therapy.
Finasteride Side Effects
Adverse reactions commonly associated with the short- term (1 year) use of finasteride include impotence (8.1%), decreased libido (6.4%), decreased ejaculate volume located. (3.7%), ejaculation disorder (.8%), gynecomastia (.5%), breast tenderness (.4%), and rash (.5%).
Finasteride Administration (General Considerations)
Reductase inhibitors cannot completely protect against androgenic side effects such as steroid-induced hair loss, oily skin, and acne. Reductase inhibitors lessen these side effects by reducing, not eliminating, the level of androgenic activity in the skin and scalp. Androgenic and anabolic effects are both mediated by the same receptor, and there is no way presently known to completely separate these two properties. Dihydrotestosterone is also not unique in its ability to facilitate androgenetic alopecia (male pattern hair loss). DHT inhibition, therefore, does not offer complete protection against this side effect.
Reductase inhibitors are only applicable with testosterone, methyltestosterone, and fluoxymesterone. These three drugs are converted to stronger “dihydro” derivatives by the reductase enzyme. Nandrolone and some of its derivatives become weaker upon interaction with this enzyme, as their “dihydro” metabolites bind the androgen receptor very poorly. Reductase inhibition may intensify their androgenic side effects. Methandrostenolone and boldenone undergo conversion to stronger 5-alpha reduced metabolites, but at such small levels that reductase inhibitors have little effect on their androgenicity. Most other synthetic anabolic steroids are unaffected by the reductase enzyme and reductase inhibitors.
When used medically for the treatment of male pattern hair loss (androgenetic alopecia) in men, the recommended dosage is 1mg per day. When used for the treatment of benign prostatic hyperplasia (BPH), 5 mg per day is usually administered.
When used by bodybuilders and athletes to reduce the androgenicity of testosterone, methyltestosterone, or fluoxymesterone, finasteride is commonly taken in a dosage of 1mg per day. The drug is typically administered for as long as the offending steroids are also taken. Since DHT inhibition can lessen strength and possibly muscle gains during testosterone, methyltestosterone, or fluoxymesterone therapy (given the positive actions of androgens on the neuromuscular system), a “use only when necessary” approach is usually taken with regard to this drug.
Finasteride is widely available in most regions of the world.The most prominent brand names in commerce are Proscar (5 mg) and Propecia (1mg), although a number of other brand and generic forms of the drug can also be located.
Proscar is a DHT inhibitor. An inhibitor usually prevents something from being manufactured or converted, rather than simply blocking its receptor-sites. In the case of Proscar, the drug inhibits 5-alfa reductase enzyme which is the enzyme responsible for testosterone (nortestosterone converts to NOR-DHT) conversion to DHT (dihydrotestosterone). As you know by now, DHT is one of the hormones associated with accelerated balding and prostate enlargement. It is also responsible for many of the virilizing effects from androgenic steroids. (Like it also hardens musculature).
Proscar is a prescription drug utilized for preventing hair loss. About 83% of users reported a halt to hair loss. Unfortunately, some also report a reduced libido too. (Most sport wooded if the wind blew during AAS cycles). Since Proscar inhibits, or atleast reduces, the conversion of testosterones to DHT, theoretically there would be a greater anabolic effect possible during AAS cycles. But there was an obvious loss of hardness to the physique reported as well.
*Bodybuilders who were chemically assisted did not have to be concerned with the libido issue.
Wlliam Llewellyn (2011) - Anabolics
L. Rea (2002) - Chemical Muscle Enhancement Bodybuilders Desk Reference