Hair society maintains Propecia safety, effectiveness
ISHRS maintains that the safety and efficacy of Propecia (Finasteride 1mg) for male hair loss is backed by proven scientific data
The International Society of Hair Restoration Surgery (ISHRS) — the world's leading medical authority on
hair loss and hair restoration — cautions that recent anecdotal reports of persistent sexual dysfunction
by some men who have used finasteride 1mg (Propecia) to treat hair loss should not define the safety and
effectiveness of the drug. Propecia is the only oral medication approved by the U.S. Food and Drug
Administration (FDA) for the treatment of hair loss in men.
From a scientific standpoint, the ISHRS reports that there are no evidence-based data substantiating the
link between finasteride and persistent sexual side effects after discontinued use of the drug in
numerous, double blinded, placebo controlled studies conducted evaluating the use of Propecia 1mg for
hair loss.
"The health and well being of our patients is the utmost concern of the 900 physician members of the
ISHRS — whether prescribing medications like Propecia or performing hair restoration surgery," said
ISHRS President Dr. Jennifer Martinick. "ISHRS members devote an average of 72% of their practices to
medically and surgically treating hair loss, and collectively they have treated millions of men around
the world suffering from hair loss with finasteride 1mg with virtually no side effects."
Since receiving FDA approval in December of 1997, 20.5 million and 6.7 million patient-years of exposure
using Proscar (finasteride 5mg) and Propecia (finasteride 1mg) respectively are recorded with a low
adverse event profile. The ISHRS believes that these are the most current and reliable data available
until further studies are conducted.
Sexual dysfunction is a complex disorder, and Dr. Martinick noted that it often can be hard to pinpoint
the exact cause — particularly when multiple factors such as nicotine, alcohol, prescription medications,
stress, anxiety, fatigue and depression can contribute to erectile dysfunction (ED).
"The incidence of ED in the general population is known to be quite high — as high as 49% in middle-aged
and older men according to one study published in 2006 in the Archives of Internal Medicine," said
Dr. Martinick. "That being said, we owe it to our patients to address valid concerns in a scientific
manner and to clarify any misleading reports so that men can make informed choices regarding the use of
this medication."
The ISHRS recently formed a task force to more closely examine anecdotal reports of sexual dysfunction
by some Propecia users who have used the drug to treat hair loss. In addition, the ISHRS has called on
the medical communities of dermatologists, hair loss physicians, urologists, endocrinologists and sexual
medicine specialists to join in a colloquium to share all data and experiences with finasteride in a
fact-based manner.
Founded in 1993, the International Society of Hair Restoration Surgery (ISHRS)
is a non-profit medical association with a membership of over 900 physicians worldwide dedicated to the
advancement of the art and science of hair restoration. The mission of the ISHRS is to achieve excellence
in patient outcomes by promoting member education, international collegiality, research, ethics and public awareness.
Source: The International Society of Hair Restoration Surgery, 12/13/11
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