Susan's Place Transgender Resources

Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: Amber42 on July 01, 2016, 08:36:19 AM

Title: Finasteride side effects
Post by: Amber42 on July 01, 2016, 08:36:19 AM
I started standard dose Finasteride less than a month ago.  This was a big step for me and made me happy, even though I found out that my health insurance did not cover it...I was ok paying for it :-)

I also started taking a multivitamin around the same time. 

I noticed I started getting a 'dry mouth' and lips about a week ago.  It's subtle, but there. 

I stopped taking the vitamin yesterday to try and isolate it.  Will wait a few days to see if it gets better.  If it does, I may try another vitamin.   If it doesn't go away, it's probably the Fin.   :-(.
I've never really taken much medication in my life, so I am hoping that this may just go away.  I'd hate to have to stop taking it.

Just wondering if anyone experienced anything similar.




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Title: Re: Finasteride side effects
Post by: Megan. on July 01, 2016, 08:43:20 AM
I've been using it for more than a year and a half at hair-loss dosage. I've not noticed any side effects myself.
Title: Re: Finasteride side effects
Post by: V on July 01, 2016, 09:00:19 AM
I have been self-medicating with Finasteride for 12 years. I basically started on it after my op.
Whether I should still be on it after all these years I have no idea, but I'm so paranoid that the effects of stopping hair loss, and actually helping with regrowth of lost hair might reverse if I stop. So I don't risk it.
Living in 'stealth' I don't want to put anything at risk.
I have not noticed any side-effects at all. Although I do wonder if my very low or non-existent libido might be a side effect?
Title: Re: Finasteride side effects
Post by: Amber42 on July 01, 2016, 09:31:03 AM
Can't say yet that I'm having a side effect, and it's not necessarily bad but something weird is still going on.

I really hope that it doesn't get any worse.  Optimally, it's just my body getting used to it and then it will go away. Trying to stay optimistic.
:-)



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Title: Re: Finasteride side effects
Post by: Shady on July 02, 2016, 02:42:30 AM
Hi,

Pharmacist here  ;)

Finasteride is not known to cause xerostomia. It was not reported in any of the literature I have consulted. Although, xerostomia can be caused by a multitude of meds. Make sure you stay hydrated as it can induce diarrhea. If that doesn't work, saliva replacement therapies are available at the pharmacy and should be enough to relieve the dryness in your case.

Don't give up!
Cheers!
Title: Re: Finasteride side effects
Post by: Shady on July 02, 2016, 02:47:15 AM
Quote from: V on July 01, 2016, 09:00:19 AM
I have been self-medicating with Finasteride for 12 years. I basically started on it after my op.
Whether I should still be on it after all these years I have no idea, but I'm so paranoid that the effects of stopping hair loss, and actually helping with regrowth of lost hair might reverse if I stop. So I don't risk it.
Living in 'stealth' I don't want to put anything at risk.
I have not noticed any side-effects at all. Although I do wonder if my very low or non-existent libido might be a side effect?

Yes, reduced libido has been reported in 2 to 10% of the patients taking finasteride. I always recommend telling your healthcare provider the meds you're taking, as it can lead to severe consequences if they're not aware of it. Nobody's going to force you to do anything! Also, finasteride has been associated with certain risks when taken over many years, so it's all about balancing the risks versus the benefits. I strongly suggest to discuss that matter with your doctor.

Cheers!
Title: Re: Finasteride side effects
Post by: SueNZ on July 02, 2016, 05:22:07 AM
My younger brother takes finasteride due to prostrate issues. He is 48 and has found his PSA count is around 1. I am going to ask about side effects that he may have experienced. So far in our discussions nothing extraordinary has come forward.


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Title: Re: Finasteride side effects
Post by: V on July 02, 2016, 06:21:26 AM
Quote from: Shady on July 02, 2016, 02:47:15 AM
Yes, reduced libido has been reported in 2 to 10% of the patients taking finasteride. I always recommend telling your healthcare provider the meds you're taking, as it can lead to severe consequences if they're not aware of it. Nobody's going to force you to do anything! Also, finasteride has been associated with certain risks when taken over many years, so it's all about balancing the risks versus the benefits. I strongly suggest to discuss that matter with your doctor.

Cheers!

Hi Shady, and thank you for your input.
I did wonder if my lack of libido had something to do with finasteride.
But, (and I know I'm going to sound like a fool here) if I told my GP, who by the way is happy to prescribe me my post-op HRT, he would be pretty peeved with me. And the long term risks of increased cancer is something I'm happy to accept. If my GP insisted I stopped taking Finasteride, and then my hair loss came back, that would pretty much destroy my life as it is now. So rock and hard place, huh?
Title: Re: Finasteride side effects
Post by: hibiki on July 02, 2016, 08:21:29 AM
I do feel lower libido after taking finasteride, something I am perfectly alright with. Other than that, I dont really notice any other changes.
Title: Re: Finasteride side effects
Post by: Rachel on July 02, 2016, 08:40:09 AM
I was taking Finasteride for 3 years at a high dose. My T is below 3 ng/dl so I stopped taking it. I have not noticed any adverse hair issues. I have issues with suicidal ideation and attempts so I was really interested in doing what I can to remove any potential dangers. I am on a SSRI depression medication too, which helps a lot. Oh, due to lack of T my sex drive is very low.

When I started fin I noticed a dull ach in my gonads for a week but no dry mouth. I went off fin at the same time I fully came out and started expressing so the huge reduction of suicidal ideation and feeling of well being and happiness is most likely due to being me :)
Title: Re: Finasteride side effects
Post by: Amber42 on July 02, 2016, 03:09:56 PM
Quote from: Shady on July 02, 2016, 02:42:30 AM
Hi,

Pharmacist here  ;)

Finasteride is not known to cause xerostomia. It was not reported in any of the literature I have consulted. Although, xerostomia can be caused by a multitude of meds. Make sure you stay hydrated as it can induce diarrhea. If that doesn't work, saliva replacement therapies are available at the pharmacy and should be enough to relieve the dryness in your case.

Don't give up!
Cheers!

Thanks :-). Funny thing.  I've never had dry mouth before, in fact, my saliva production has always been on the high side.  I drink a lot of water.  The sensation I have is I think dry mouth, but my lips have a very slight tingling or numbness.  It sounds worse than it is, but something is a bit weird.  Since I stopped my multivitamin, it has been a bit better, but still there - very lightly however.

I will mention it to my GP at my next appointment.

My libido is a little lower but I have always had pretty high level so there's lots left over :-).   I had a dull ache in my boys down there today...hmmm

Again none of these I can't handle, but hope it doesn't get worse.


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Title: Re: Finasteride side effects
Post by: karmatic1110 on July 02, 2016, 04:16:11 PM
The dull ache is normal. Sometimes the most unpleasant side effects (if that is indeed what it is) can be the most subtle. I hope you figure it out :)
Title: Re: Finasteride side effects
Post by: mac1 on July 02, 2016, 08:26:04 PM
I have been on finasteride for about 4 months now and have not noticed any of the possible side effects.  I had been hoping for a couple of the possibilities.
Title: Finasteride side effects
Post by: Amber42 on July 22, 2016, 07:21:13 PM
The weird sensation has persisted and I told my doctor today.  He told me to get off the Fin for a week to see if there is an improvement.  :-(

I really don't want to get off it.  I went through a shed and I finally just started seeing some new hair growing this week....

It sucks.  Does anyone know if I stop for a week and restart, if progress is stunted or a reshed happens(?)



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Title: Re: Finasteride side effects
Post by: Seshatneferw on July 23, 2016, 08:33:30 AM
Quote from: Amber42 on July 22, 2016, 07:21:13 PM
It sucks.  Does anyone know if I stop for a week and restart, if progress is stunted or a reshed happens(?)

There might be some reversal, but in the long term an extra week off the DHT blockers shouldn't make a difference. At worst, it'd be like you started on Finasteride a week from now instead of a month ago.
Title: Re: Finasteride side effects
Post by: barbie on July 23, 2016, 09:11:24 AM
I have taken finasteride during the past 3 years to prevent my hair loss.
Yes. In summer, I am frequently thirsty and drink at least 2 liter (68 ounce) water everyday.
My libido was too much strong, and I wished to decrease it. I guess finasteride did it for me, but I can not confirm it. It can be related with my aging and smoking, and other factors.

barbie~~
Title: Re: Finasteride side effects
Post by: Amber42 on July 23, 2016, 10:12:04 AM
I guess I'm bummed that I'd see any regression.  I've been growing my curly hair out and that's frustrating enough...as its growing, I'm going through a frizzy Afro phase and the thinning is causing some dysphoria.   I finally started seeing some hair coming so I was excited.

The real worry is if the doctor advises that I stop the fin completely!  That would really suck.  I asked about dutrasteride and he asked that we try going off the Fin first to see the results. 


Quote from: barbie on July 23, 2016, 09:11:24 AM
I have taken finasteride during the past 3 years to prevent my hair loss.
Yes. In summer, I am frequently thirsty and drink at least 2 liter (68 ounce) water everyday.

Did you start getting thirsty in the summer after starting the Finasteride?

I drink a lot of water usually and I know the summer diet is a bit saltier (BBQs, etc) but the sensation in my lips doesn't get any better after drinking tons.


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Title: Re: Finasteride side effects
Post by: barbie on July 24, 2016, 11:17:42 AM
Quote from: Amber42 on July 23, 2016, 10:12:04 AM
Did you start getting thirsty in the summer after starting the Finasteride?

I drink a lot of water usually and I know the summer diet is a bit saltier (BBQs, etc) but the sensation in my lips doesn't get any better after drinking tons.

It's summer and I now think it is normal to feel thirsty. Although I started Finasteride more than 3 years ago, I first realized I am very thirsty this summer. I drink at least 2 liter water everyday.

barbie~~
Title: Re: Finasteride side effects
Post by: yolo123 on May 29, 2017, 02:19:53 PM
Quote from: Amber42 on July 23, 2016, 10:12:04 AM
I guess I'm bummed that I'd see any regression.  I've been growing my curly hair out and that's frustrating enough...as its growing, I'm going through a frizzy Afro phase and the thinning is causing some dysphoria.   I finally started seeing some hair coming so I was excited.

The real worry is if the doctor advises that I stop the fin completely!  That would really suck.  I asked about dutrasteride and he asked that we try going off the Fin first to see the results. 


Did you start getting thirsty in the summer after starting the Finasteride?




I drink a lot of water usually and I know the summer diet is a bit saltier (BBQs, etc) but the sensation in my lips doesn't get any better after drinking tons.


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Hey Amber42,

I got dry eyes and dry mouth from Finasteride after a week of taking it. Did you manage to keep taking it? I am contemplating lowering the dosage to see if the side goes away.

Title: Re: Finasteride side effects
Post by: Amber42 on May 31, 2017, 03:02:28 PM
It's been a year since that post and I can say that the dry mouth did eventually go away.  I can't say that I'm super happy with my results on Fin...but it hasn't been terrible.  I have been growing my hair since Feb 2016...so it is quite long...and crazy curly LOL

I also started Spiro a couple of months ago. 

I won't get into dosages but I am taking more Fin than when I originally started, based on the Endo recommendation.

I had stopped the Fin back then for a week to try and isolate the dry mouth.  I've been on it since...but it eventually went away...your mileage may vary, but  talk to your doctor...they may have a different course of action for you.


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Title: Re: Finasteride side effects
Post by: mac1 on November 14, 2017, 08:22:19 PM
Have been on finasteride for over 2 years now.  Have noticed slower growth of leg and body hair.  Have not had any noticeable regrowth of head hair or noticeable breast growth.
Title: Re: Finasteride side effects
Post by: Larisa on November 14, 2017, 08:39:57 PM
Was just on this 3 weeks ago and it caused me crazy problems. Lucky I didn't get post finasteride syndrome. I had to get off it right away! Im working on others ways to block the dht and reverse any bits of thinning. It was not working much for me anyways.
Title: Re: Finasteride side effects
Post by: josie76 on November 15, 2017, 04:39:18 AM
That's sucks Larrisa. I've been on it for my entire time on HRT. I have not had any issues. It really did seem to help the back of my head thicken up. My peaks on each side of the front have new short hairs growing at the hairline. I also can see the thin colorless peach fuzz growing in those areas. It gives me hope that maybe one day those thin hairs will get heavier and turn dark.

There's been a lot of talk about how finasteride and duteraside work and the reason for the side effects. Most people seem to believe the depression is caused by a drop in the brain chemical allopregnalone. A couple of other things might effect how much finasteride might affect someone. One being the presence of bioidenticle progesterone. If you are not taking this then your brain must produce enough for the base chemical to make allopregnalone out of. If you are taking it your bloodstream may have enough to prevent negative finasteride symptoms. Another factor is the brains signaling for the chemical precursors for it. One of those signals is Sertraline. Again it might be in my case being on Sertraline (Zoloft) may help prevent the negative side effects of finasteride.
I'd stay far away from duteraside as it blocks all a5-reductase production not just some like finasteride does.
Title: Re: Finasteride side effects
Post by: xAmyX on November 15, 2017, 05:46:49 PM
This could be a result of estrogen dominance. I would talk to your doctor about adding micronized progesterone. Whether cycled or every day use. It will balance out the E dominance and will possibly help with the dry skin quite a bit if that is indeed the culprit of the problem. Lip Balm & Petroleum Jelly are great for moisturizing our lips. It's always a good idea to take care of our skin.
Title: Re: Finasteride side effects
Post by: KayXo on November 16, 2017, 08:54:50 AM
In my experience, a little testosterone was much more effective than progesterone to counter dry skin experienced with estrogen.
Title: Re: Finasteride side effects
Post by: xAmyX on November 16, 2017, 07:23:11 PM
I can second that. I do notice progesterone helps though, but when I reduced my T Blockers I noticed my skin clear up as well, but then went back to my original dosages and started cycling P instead. It does help.