Drug Uses

Propecia is a pill used for the treatment of male pattern hair loss on the vertex (top of head) and anterior mid-scalp area (middle front of head). There is not sufficient evidence that Propecia works for receding hairlines at the temples. Propecia is for use by MEN ONLY and should NOT be used by women or children.

How Taken

Propecia comes as a tablet. Propecia usually is taken once a day. It may be taken with or without food. Take Propecia exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Continue to take Propecia even if you feel well. Do not stop taking Propecia without talking to your doctor.

Warnings/Precautions

Before taking this medication, tell your doctor if you have liver disease. You may not be able to take Propecia, or you may need a lower dose or special monitoring during treatment. Propecia is intended for men use only. Propecia is not indicated for women use. Do not take or handle this medication if you are pregnant or are could become pregnant during treatment. Propecia is in the FDA pregnancy category X. This means that it is known to cause birth defects in an unborn baby. Women who are or who may become pregnant must not handle crushed or broken Propecia tablets. The medication could be absorbed through the skin. Propecia is known to cause birth defects in a developing male baby. Exposure to whole tablets should be avoided whenever possible however exposure to whole tablets is not expected to be harmful as long as the tablets are not swallowed. It is not known whether Propecia passes into breast milk. Propecia is not intended for women use. Do not take this medication if you are breast-feeding a baby.

Missed Dose

If you miss a dose of Propecia and you remember the same day, take it as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Possible Side Effects

Stop taking Propecia and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
Other, less serious side effects have been reported but usually resolve with continued treatment. Continue to take Propecia and notify your doctor if you experience:
-decreased libido (sex drive);
-decreased volume of ejaculate;
-impotence (trouble getting or keeping an erection); or
-breast tenderness or enlargement.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Storage

Store Propecia at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tightly closed container, away from moisture.

Overdose

Seek emergency medical attention if an overdose is suspected. Symptoms of a Propecia overdose are not known.

More Information

DO NOT share Propecia with others for whom it was not prescribed. DO NOT use Propecia for other health conditions. Keep this product out of the reach of children. If using Propecia for an extended period of time, obtain refills before your supply runs out.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Prostate Problems
The prostate is a small organ about the size of a walnut. It lies below the bladder (where urine is stored) and surrounds the urethra (the tube that carries urine from the bladder). The prostate makes a fluid that becomes part of semen. Semen is the white fluid that contains sperm.
Prostate problems are common in men 50 and older. Most can be treated successfully without harming sexual function. A urologist (a specialist in diseases of the urinary system) is the kind of doctor most qualified to diagnose and treat many prostate problems.
Noncancerous Prostate Problems
Acute prostatitis is a bacterial infection of the prostate. It can occur in men at any age. Symptoms include fever, chills, and pain in the lower back and between the legs. This problem also can make it hard or painful to urinate. Doctors prescribe antibiotics for acute prostatitis and recommend that the patient drink more liquids. Treatment is usually successful.
Chronic prostatitis is a prostate infection that comes back again and again. The symptoms are similar to those of acute prostatitis except that there is usually no fever. Also, the symptoms are usually milder in chronic prostatitis. However, they can last a long time.
Chronic prostatitis is hard to treat. Antibiotics often work when the infection is caused by bacteria. But sometimes no disease causing bacteria can be found. In some cases, it helps to massage the prostate to release fluids. Warm baths also may bring relief. Chronic prostatitis clears up by itself in many cases.
Benign prostatic hypertrophy (BPH) is enlargement of the prostate. This condition is common in older men. More than half of men in their 60’s have BPH. Among men in their 70’s and 80’s, the figure may go as high as 90 percent.
An enlarged prostate may eventually block the urethra and make it hard to urinate. Other common symptoms are dribbling after urination and the urge to urinate often, especially at night. In rare cases, the patient is unable to urinate.
A doctor usually can detect an enlarged prostate by rectal exam. The doctor also may examine the urethra, prostate, and bladder using a cytoscope, an instrument that is inserted through the penis.
BPH Treatment Choices
There are several different ways to treat BPH:
Watchful Waiting is often chosen by men who are not bothered by symptoms of BPH. They have no treatment but get regular checkups and wait to see whether or not the condition gets worse.
Alpha blockers are drugs that help relax muscles near the prostate and may relieve symptoms. Side effects can include headaches. Also, these medicines sometimes make people feel dizzy, lightheaded, or tired. Alpha blockers are new drugs, so doctors do not know their long term effects. Some common alpha blockers are doxazosin (Cardura), prazosin (Minipress), and terazosin (Hytrin).
Finasteride (Proscar) is a drug that inhibits the action of the male hormone testosterone. It can shrink the prostate. Side effects of finasteride include declining interest in sex, problems getting an erection, and problems with ejaculation. Again, because it is new, doctors do not know its long-term effects.
Surgery is the treatment most likely to relieve BPH symptoms. However, it also has the most complications. Doctors use three kinds of surgery for BPH:
Transurethral resection of the prostate (TURP) is the most common. After the patient is given anesthesia, the doctor inserts a special instrument into the urethra through the penis. With the instrument, the doctor then removes part of the prostate to lessen its obstruction.
Transurethral incision of the prostate (TUIP) may be used when the prostate is not too enlarged. In this procedure, the doctor passes an instrument through the urethra to make one or two small cuts in the prostate.
Open surgery is used when the prostate is very enlarged. In open surgery, the surgeon makes an incision in the abdomen or between the scrotum and the anus to remove prostate tissue.
Men should carefully weigh the risks and benefits of each of these options. The Agency for Health Care Policy and Research has designed a booklet to help in choosing a treatment; call 800-358-9295 and ask for their free patient guide on prostate enlargement.
Prostate Cancer
Prostate cancer is one of the most common forms of cancer among American men. About 80 percent of all cases occur in men over 65. For unknown reasons, prostate cancer is more common among African American men than white men.
In the early stages of prostate cancer, the disease stays in the prostate and is not life threatening. But without treatment, cancer can spread to other parts of the body and eventually cause death. Some 40,000 men die every year from prostate cancer that has spread.
Diagnosis. To find the cause of prostate symptoms, the doctor takes a careful medical history and performs a physical exam. The physical includes a digital rectal exam, in which the doctor feels the prostate through the rectum. Hard or lumpy areas may mean that cancer is present.
Some doctors also recommend a blood test for a substance called prostate specific antigen (PSA). PSA levels may be high in men who have prostate cancer or BPH. However, the test is not always accurate. Researchers are studying changes in PSA levels over time to learn whether the test may someday be useful for early diagnosis of prostate cancer.
If a doctor suspects prostate cancer, he or she may recommend a biopsy. This is a simple surgical procedure in which a small piece of prostate tissue is removed with a needle and examined under a microscope. If the biopsy shows prostate cancer, other tests are done to determine the type of treatment needed.
Prostate Cancer Treatment. Doctors have several ways to treat prostate cancer. The choice depends on many factors, such as whether or not the cancer has spread beyond the prostate, the patient’s age and general health, and how the patient feels about the treatment options and their side effects. Approaches to treatment include:
Watchful waiting . Some men decide not to have treatment immediately if the cancer is growing slowly and not causing symptoms. Instead, they have regular checkups so they can be closely monitored by their doctor. Men who are older or have another serious illness may choose this option.
Surgery usually removes the entire prostate and surrounding tissues. This operation is called a radical prostatectomy. In the past, impotence was a side effect for nearly all men undergoing radical prostatectomy. But now, doctors can preserve the nerves going to the penis so that men can have erections after prostate removal.
Incontinence, the inability to hold urine, is common for a time after radical surgery for cancer. Most men regain urinary control within several weeks. A few continue to have problems that require them to wear a device to collect urine.
Another kind of surgery is a transurethral resection, which cuts cancer from the prostate but does not take out the entire prostate. This operation is sometimes done to relieve symptoms caused by the tumor before other treatment or in men who cannot have a radical prostatectomy.
Radiation therapy uses high energy rays to kill cancer cells and shrink tumors. It is often used when cancer cells are found in more than one area. Impotence may occur in men treated with radiation therapy.
Hormone therapy uses various hormones to stop cancer cells from growing. It is used for prostate cancer that has spread to distant parts of the body. Growth of breast tissue is a common side effect of hormone therapy.
More detailed information on the pros and cons of these treatment options is available from the Cancer Information Service at 800-422-6237; ask for the prostate cancer "PDQ for Patients."
Protecting Yourself
The best protection against prostate problems is to have regular medical checkups that include a careful prostate exam. See a doctor promptly if symptoms occur such as:
a frequent urge to urinate,
difficulty in urinating, or
dribbling of urine.
Regular checkups are important even for men who have had surgery for BPH. BPH surgery does not protect against prostate cancer because only part of the prostate is removed. In all cases, the sooner a doctor finds a problem, the better the chances that treatment will work.

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