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What is Propecia?
Propecia is the brand name of the drug finasteride, also sold as proscar. It's the first pill approved by the FDA to treat male pattern baldness or hair loss on the top of the head and mid-scalp areas. Finasteride is pronounced: fin AS ter ide.

Propecia was originally developed to treat an enlarged prostate condition called benign prostatic hyperplasia (BPH). The FDA approved it in December 22, 1997. It's manufactured by Merck and Company, Inc.

How does Propecia work?
Male pattern baldness is medically called androgenetic alopecia. It accounts for 95% of all hair loss. In women, it appears as a diffuse thinning over most of the scalp. In men, it starts with a receding hairline that gradually develops over the top of the head. This hair loss is called androgenetic alopecia because the male hormones (androgens) and hereditary factors (genetic) that determine the loss of hair.

Specifically, the enzyme 5 alpha reductase converts the male hormone testosterone into a male hormone called Dihydrotestosterone (DHT). The DHT is believed to cause hair loss in those who are genetically disposed. DHT shrinks the hair follicle until it no longer grows visible hair.

Propecia works by blocking the enzyme 5 alpha reductase that lowers the levels of DHT in the body. This normalizes hair growth and reverses hair loss. The advantage of Propecia is that it selectively targets the appropriate hormone without causing undesirable changes in other hormones.

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