What are the contraindications for Finasteride (generic name for Propecia)?

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Last updated: February 11, 2025View editorial policy

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From the FDA Drug Label

Finasteride tablets are contraindicated in the following: Hypersensitivity to any component of this medication. Pregnancy. Finasteride use is contraindicated in females when they are or may potentially be pregnant Finasteride tablets is contraindicated in pregnant females and in females who may potentially be pregnant and not indicated for use in females. Finasteride tablets are contraindicated in pregnant females and not indicated for use in females.

The contraindications for Finasteride are:

  • Hypersensitivity to any component of the medication
  • Pregnancy
  • Use in females who are or may potentially be pregnant 1, 1, 1

From the Research

Contraindications for Finasteride

The following are contraindications for finasteride:

  • Pregnancy: Finasteride is contraindicated in pregnant women due to the risk of hypospadias in male fetuses 2
  • Hypersensitivity to finasteride or any ingredients in the formulation
  • No specific contraindications are mentioned in the provided studies for other conditions, but caution is advised in patients with hepatic dysfunction as the effect of finasteride on the metabolism of finasteride is unknown 3

Warnings and Precautions

The following warnings and precautions should be considered when prescribing finasteride:

  • Suicidal ideation: The US Food and Drug Administration has added suicidal ideation to the list of adverse effects for finasteride, and patients should be monitored for new-onset mental health or suicidal symptoms 4
  • Depression: There is a possible link between finasteride and depressive symptoms, and patients should be screened for prior mental health and personality disorders 4
  • Sexual health: Finasteride may cause sexual dysfunction, including erectile dysfunction, decreased libido, and ejaculatory disorders 2, 5
  • Use in women: Finasteride is not recommended for use in women, especially those who are or may become pregnant, due to the risk of birth defects in male fetuses 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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