Mark A. Bishara, MD

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Finesteride, Propecia, Proscar Adverse event controversies

By http://www.markbisharamd.com/author/
September 17, 2011

For more information regarding this article please click:

www.ishrs.org/articles/finasteride-announcement.htm

Dear Friends of BCS & HR,

Finesteride has been used for years to treat benign prostatic hyperplasia (BPH).  One additional benefit has been the reactivation of dormant hair follicles and making miniaturized hair shafts more robust.

Merck has published side effect data that includes but is not limited to erectile dysfunction, persistent decreased libido, and mastodynia or breast pain.   Despite its protective effects against low grade prostate cancer, finesteride has been denied wider indications for its use at the government level.  More long term data will be necessary to determine whether the genetics of androgen receptors on the prostate are modified in prostate cancer in patients with high Gleason scores who previously took finesteride.

Recently an article was published regarding the side effect profile to finesteride.  Not only was it written poorly, it was a biased approach at collecting data from a questionnaire on a biased website.  The selection bias and study design was not only non scientific but they can be reduced to a collection of inflammatory statements that belongs in a magazine rack in the grocery store check out line.

Respectfully yours,

Mark A. Bishara, M.D., P.A., Medical Director

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This information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa in Mansfield and Southlake, TX

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