Propecia (finasteride 1mg) tablets to prevent and reverse hair loss in men, and help restore hair growth.
- Long term daily tablet
- Low cost generic version available
- Clinically proven
How to buy online
- Read medical information about hair loss
- Answer medical questions to check for eligibility
- Reviewed by doctors - posted from UK pharmacy
Finasteride 1mg (generic Propecia)
Since October 2014 lower cost generic Propecia called finasteride 1mg has been licensed for sale in the UK. Generic finasteride 1mg tablets and Merck's Propecia tablets are medically the same and both available from Dr Fox.
|Propecia / finasteride 1mg||Quantity||Cost|
|Finasteride 1mg (generic)||28 tablets||£15.00|
|Finasteride 1mg (generic)||56 tablets||£25.00|
|Finasteride 1mg (generic)||84 tablets||£39.00|
|Finasteride 1mg (generic)||168 tablets||£75.60|
|Propecia 1mg (Merck)||28 tablets||£42.40|
|Propecia 1mg (Merck)||56 tablets||£81.70|
|Propecia 1mg (Merck)||84 tablets||£108.40|
|Propecia 1mg (Merck)||168 tablets||£214.00|
Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.
Prescriptions are issued by our doctors online and sent electronically to our pharmacy.
If you have your own private paper prescription please post to our pharmacy (details).
Dr Fox prices are 25%–50% lower than other UK online clinics.
|Order value||Prescription fee|
|up to £10||£1.00|
|up to £20||£3.00|
|up to £50||£5.00|
|up to £100||£8.00|
|Generic Propecia||28 tablets||56 tablets||84 tablets||168 tablets|
|Branded Propecia||28 tablets||56 tablets||84 tablets||168 tablets|
Improved growth usually starts after about three months and is usually noticeable by 4-6 months. Maximum benefit is seen at 1-2 years. At the end of 5 years men taking Propecia tablets / finasteride 1mg have a 90% chance of having more or the same amount of hair they started with. This compares with 25% of men not taking Propecia/finasteride 1mg (see study details).
How Propecia/finasteride 1mg works
Propecia/finasteride 1mg tablets bring about hair regrowth by reducing the amount of a hormone in the blood called DHT. Improvement is normally seen within three months. Improvement usually continues for 2 years and in most cases there is a noticeable difference in hair thickness after five years of Propecia/finasteride 1mg use.
Further information on how finasteride works.
Men at any stage of male pattern hair loss are likely to benefit.
Propecia/finasteride 1mg is most effective for hair loss over the top of the scalp (vertex).
Propecia/finasteride 1mg has NOT been proven to:
- Reverse receding frontal hairline.
- Reverse hair loss which is ONLY in the temple regions (the area at sides of the forehead).
- Restore hair to entirely bald areas.
Clinical studies were conducted on men aged 18-41 years with mild to moderate hair loss, but not complete hair loss.
The best results of Propecia/finasteride 1mg treatment are seen after two years, at which time hair growth is likely to be at its thickest.
- If hair loss has been rapid and recent (less than a year), or where there are symptoms of serious illness, such as unexplained weight loss, fevers, persistent diarrhoea or excessive fatigue, a doctor should be consulted.
- Where hair loss is patchy or irregular, or hair comes out in clumps, or there is scalp inflammation the scalp should be examined.
- Blood tests carried out to detect prostate cancer (PSA) can give misleading results when Propecia/finasteride 1mg is being taken.
- If treatment is stopped, the beneficial effects begin to reverse by six months and return to baseline by 9 to 12 months.
- Pregnant women should not come into contact with Propecia/finasteride 1mg tablets.
Reduced libido and erectile dysfunction are possible. Some men have reported episodes of depressive illness and suicidal thoughts. See patient leaflet for full list of side effects.
If low mood or depression develops stop treatment and consult your doctor straight away.
Regaine topical is the only other proven effective hair loss treatment. Regaine is applied to the scalp twice daily. Men can use Regaine and Propecia tablets/finasteride 1mg at the same time.
Patient information leaflet
The 'Patient Information Leaflet' supplied with medication must be read before taking tablets.Start order
How does it work?
A natural hormone, DHT, speeds up the rate of hair loss. Propecia blocks the action of DHT. Hairs naturally fall out and regrow in the same place. Propecia reduces the rate at which hairs fall out and promotes new hairs to grow in their place. Propecia works at the level of hair follicles.
Will Propecia work for me?
Propecia will only treat male pattern hair loss, where hair is receding at the front and temple region (either side of the brow) and thinning over the top of the head. Other types of hair loss, such as overall thinning over the whole scalp or patchy pair loss, will not respond to Propecia. Not all male pattern hair loss will respond to treatment. See question about effectiveness above.
Will Propecia restore hair to an area of complete baldness?
If hair has already been completely lost in an area, Propecia will not make hair grow again in that area. It can prevent further hair loss.
What causes male pattern hair loss?
Male pattern hair loss tends to run in families. Men with this condition are more sensitive to the naturally occurring hormone DHT. Propecia blocks the effects of DHT on hair follicles.
How effective is Propecia?
In studies, most men with male pattern hair loss taking Propecia see an increase in hair growth in the first 2 years and after 5 years have more hair than when they started. This compares with gradual continuous hair loss in untreated men.
Why is Propecia expensive?
Propecia is a brand name for tablets containing the active ingredient finasteride. The pharmaceutical company Merck first developed finasteride and is the only company which markets finasteride 1mg under the original brand name of Propecia. Merck keeps its prices for Propecia high, but there are lower cost finasteride 1mg tablets available from other pharmaceutical companies containing exactly the same active ingredient, finasteride 1mg (also available from Dr Fox).
Do Propecia tablets work if they are cut in half?
Propecia tablets should be swallowed whole. Each tablet contains 1mg of finasteride which is the daily amount required for the treatment of hair loss.
How long does it take for Propecia to work?
Improvement should be seen after two months, although optimal results are usually seen after 2 years.
Can men over 45 years old benefit from Propecia?
There may be a benefit for men over 45. The medicine license for Propecia relies on studies carried out on men from 18 to 41 years only.
Can Propecia cause impotence and fertility problems?
There is a lot of controversy surrounding this question, particularly in online forums. The pharmaceutical company Merck gives the following advice in its patient information leaflet supplied with Propecia tablets:
Effects on fertility - Infertility has been reported in men who took finasteride for a long time and had other risk factors that may affect fertility. Normalisation or improvement of seminal quality has been reported after discontinuation of finasteride. Long-term clinical studies about the effects of finasteride on fertility in men have not been conducted.
Uncommon: may affect up to 1 in 100 people
- you may be unable to have an erection (impotence)
- you may have less desire to have sex
- you may have problems with ejaculation, for example a decrease in the amount of semen released during sex. This decrease in the amount of semen does not appear to affect normal sexual function.
These side effects above may disappear after a while if you continue taking Propecia. If these symptoms persist, they usually resolve after stopping Propecia.
- persistent difficulty having an erection after discontinuation of treatment
- persistent decrease in sex drive after discontinuation of treatment
- persistent problems with ejaculation after discontinuation of treatment
- male infertility and/or poor quality of semen
March 2017: NHS Choices reviewed new research and concluded
If sexual problems do occur, the drug can be stopped and the problem will resolve in nearly all cases.
NHS Choices: Hair loss drugs linked with erectile dysfunction
Will the effects of Propecia wear off after stopping treatment?
Yes, the gains made from taking Propecia are likely to be lost in the 9 to 12 months after stopping treatment.
What is generic Propecia?
Propecia is the brand name used by Merck for tablets which contain the active ingredient finasteride 1mg. Other pharmacy companies produce 1mg finasteride tablets, usually at lower cost, and these are known as generic Propecia (also available from Dr Fox). See generic medicines FAQs page.
What type of hair loss benefits from Propecia?
Propecia treats male pattern hair loss, where hair thins at the front and sides and over the top of the head. Generalised thinning of the hair, not in the typical pattern, will not respond to Propecia. Propecia will not restore hair to areas of complete baldness.
How long do I need to take Propecia?
Propecia is a long-term daily tablet. Benefits are usually seen after about 2 months and continue for up to 5 years, and probably longer. Benefits are lost 9 to 12 months after stopping treatment.
Can I get cheap Propecia?
Propecia prices tend to be high because Merck, the company which produces this brand of 1mg finasteride tablets, keeps the wholesale price to pharmacies quite high. Some pharmacies, particularly Dr Fox, keep mark-ups low and supply Propecia at lower costs than others. It is worth shopping around. Non-Merck finasteride 1mg tablets (generic Propecia) are usually cheaper, and contain the same active ingredient.
Can women use Propecia?
Propecia will be ineffective for hair thinning in women and there is a risk of serious side effects, particularly in women of childbearing age, who should not even handle Propecia tablets (tablets are film coated to reduce the risk).
What is the shelf life of Propecia?
36 months from manufacture, after which Propecia goes out-of-date. Store below 30°C out of direct sunlight.
Can Propecia be used with other hair loss treatments?
The only other proven treatment is topical minoxidil, marketed as Regaine, and this can be used at the same time with additional benefit.
Authored 13 July 2016 by Dr Tony Steele
Reviewed 15 August 2017 by Dr B. Babor, Dr A. Wood, Dr P. Hunt
Last updated 3 March 2018
Really works well. Around 80% regrowth for me and with hair thickening fibre my hair is like normal. Couldn’t be happier.
R. Traynor Verified
I've had excellent results, thicker hair in general and good re-growth at the crown. I've ben using this product for 4 years and will continue to use it.
good service at the top
The best product for hair loss
J. Murray Verified
After 3 months, stopped my loss and some hair are growing back but very slowly.
The order process
Answer short medical questionnaire
Choose treatment, register, and pay
Doctor issues prescription online
Medicine posted direct from pharmacy