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Hair & Follicle ResearchSmall-molecule 5-alpha-reductase type II inhibitor, supplied as oral tablets

Finasteride

An oral prescription drug, approved at 1 mg for male pattern hair loss, that lowers production of the androgen DHT.

ApprovedApproved PharmaceuticalAlso known as: Propecia, Proscar, MK-906Skip to Human Evidence ↓
Other Research Areas

Finasteride Biological Classification

Research Record

Investigated within physiological and chemical models.

At a glancePlain English, then the evidence
Approved

What kind of compound

Small molecule

Small-molecule 5-alpha-reductase type II inhibitor, supplied as oral tablets.

Human testing on file

0human records

0 animal · 1 total indexed. Approved drug product in the United States.

Regulatory position

FDA-approved for male pattern hair loss in men only (1 mg); not approved for women.

Studied for

Approved oral androgen-pathway treatment

Reviewed 13 November 2026

Known safety concerns in this file

  • The label carries warnings and precautions, including sexual adverse experiences and effects on prostate-specific antigen.
  • Finasteride is not indicated for women; the label addresses pregnancy risk.
  • This record is not a complete safety profile or a prescribing guide.

Commonly compared with

  • Dutasteride — Dual 5-alpha-reductase inhibitor; not FDA-approved for hair.
  • Minoxidil — Approved topical treatment with a different mechanism.
  • Pyrilutamide — Investigational topical androgen-receptor blocker.
Open side-by-side comparison →
1

What is Finasteride?

An oral prescription drug, approved at 1 mg for male pattern hair loss, that lowers production of the androgen DHT. A small-molecule 5-alpha-reductase inhibitor approved at 1 mg for male pattern hair loss. A separate 5 mg product is approved for benign prostatic hyperplasia; the two are not interchangeable as hair-loss products.

2

Why are people interested in it?

Androgenetic alopecia in men is driven by follicular sensitivity to DHT; finasteride is the established pharmacological test of that mechanism.

Primary Research Categories

  • Hair-growth drugs
  • Small-molecule drugs
  • Approved drug substances
3

How does it work in the body?

Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders.

In Everyday Language: In plain terms: Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders.
Cellular & Receptor Signaling: Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders.

Biological Pathway Overview

Finasteride Receptor & Target Interactions

This compound is evaluated in scientific research for its interactions with target cellular receptors and signaling cascades. Consult the evidence section below for specific peer-reviewed papers.

5-alpha-reductase type II

Named in the published mechanism discussion for this compound.

DHT synthesis

Named in the published mechanism discussion for this compound.

Androgen receptor signalling

Named in the published mechanism discussion for this compound.

Key Distinction: Approval applies to the specific indication and product on the label, not to every use of the molecule.

4

What has actually been demonstrated in humans?

Approved Pharmaceutical

Randomised trials in men with mild-to-moderate androgenetic alopecia support the approved indication. It is not approved for women.

Pharmaceutical Reality vs. Unregulated Research Chemicals

FDA-approved for male pattern hair loss in men only (1 mg); not approved for women. Reliable prediction of who will respond.

5

What is still uncertain or unknown?

Reliable prediction of who will respond. The natural history of reported persistent sexual adverse effects after stopping. Long-term outcomes beyond the trial periods.

Regulatory Position: FDA-approved for male pattern hair loss in men only (1 mg); not approved for women.

1 record in this file

  • REGULATORY1

Publication span: 2022

What Has Actually Been Studied

  • PROPECIA (finasteride) tablets — prescribing information (FDA approved labelling, 2022) — Approved product labelling.

What is Still Unknown

What we know

    Editorial reading of the records below, labelled as Therapept analysis. How records are built

    What remains uncertain

      Preparation and Handling

      Lyophilized peptides ship as freeze-dried powders; whatever happens next involves diluents, concentrations and storage conditions that are compound- and product-specific.

      United States Regulatory Status

      FDA-approved drug substance

      Application: NDA 020788 (PROPECIA) — approved 19 December 1997

      Approved Indication: PROPECIA (finasteride 1 mg) is indicated for male pattern hair loss (androgenetic alopecia) in men only. The label states that efficacy in bitemporal recession has not been established and that the product is not indicated for women.

      • PROPECIA, NDA 020788, approved 19 December 1997 for androgenetic alopecia in men.
      • The approved label limits the indication to men, and states that efficacy in bitemporal recession has not been established.
      • Finasteride 5 mg (PROSCAR) is a different approved product, indicated for benign prostatic hyperplasia.
      • The label carries warnings and precautions, including effects on prostate-specific antigen interpretation and reports of sexual adverse experiences. Regulatory status is not a safety assessment.
      Technical Chemical SpecificationsClick to view CAS, sequence, and molecular formulas
      Molecular weight
      372.55 g/mol
      Sequence length
      Not recorded
      CAS number
      98319-26-7
      PubChem CID
      57363
      Compound class
      Small-molecule 5-alpha-reductase type II inhibitor, supplied as oral tablets
      Sequence
      Unknown / Unassigned
      Molecular formula
      C23H36N2O2
      Molecular weight
      372.55 g/mol
      CAS number
      98319-26-7
      PubChem CID
      57363