I went ahead and translated it because I was eager to read it myself. What’s important to note is that instead of attempting to take extremely small doses, he skipped days in between doses.
As for his pictures, the very top row is a count of the days since onset of side effects. Below that is the numbered month, below that is the number day of the month, below that is the Japanese name of the day. The important part is the next two rows: His finasteride dosage and oral minoxidil dosage. A number with a Japanese character next to it is the amount in mg he took, but just a number that counts up in the following days are days that he did NOT take finasteride.
The column is the drugs he’s taking then his side effects in this order:
Finasteride
Oral minoxidil
Sleep
Palpitations
Tingling in arms (especially left)
Hot flashes in face
Abdomen abnormality
Appetite
Discomfort in head
Back of the head
Tinnitus
Nighttime erections
Dayttime erections
The symbols in the chart are a rating system - X is the worst, a circle is the best, and a triangle is in-between.
I first took finasteride March 2008.
At this time, I was told finasteride was known to cause side effects among a small percent of people, but if you develop side effects, you will return to normal if you quit, and that was it.
After 6 years and 7 months of taking finasteride, in October of 2014, I developed side effects.
I started gathering information about quitting the drug and what I found scared me.
- After quitting finasteride, you can develop PFS
- It is not known whether to quit cold turkey or taper off
So should I just continue taking finasteride for the rest of my life???
In my case, serious side effects already appeared. At first, you’d think you should quit immediately. But if PFS develops from quitting, it’s possible something worse could happen if you quit.
When the serious side effects first appeared, I wasn’t even sure if it was PFS or not. Naturally, I believed it wasn’t PFS but simply side effects. Thinking that, I thought that if I quit finasteride I could truly develop PFS. Will my side effects now continue forever?
However, if I don’t quit finasteride, these side effects will continue and there is always the possibility they could get worse. Could I live like that?
At that moment I thought it’d be great if I continued taking finasteride but the side effects disappeared. If the side effects disappeared, it would mean it’s not PFS and I would be relieved. From now on, I could just slowly taper off over the course of several months or years.
Having said that, on October 20, 2014, after the side effects appeared, I continued to take finasteride.
Because I was also taking oral Minoxidil, I thought it was dangerous to quickly quit it, so I continued to take it.
Below is a record of my experience: (first picture).
The first week’s side effects were insomnia and hot flashes on my face and arms. Up until the 23rd I didn’t think I had sexual side effects, but it was simply a side effect of oral Minoxidil. But on that Friday, my penis and scrotum started to feel odd. That continued for 2 to 3 days and I was forced to accept that it was a side effect of finasteride. My abdomen started to feel odd, and I lost nighttime and daytime erections.
By the second week, I started having days I could sleep normally.
The hot flashes on my arms and back of the head didn’t get better. Especially, during the last half of the first week, it got a bit better but returned on the second week. I was tormented by the thought that this would continue for years.
I didn’t have an appetite, and I lost 5 kilos in 2 weeks.
The first week I took finasteride and minoxidil only on the 24th. It’s a bit confusing but “Day 1”, “Night 2.5” etc. tell when and how much I took. Simply “1” or “3” are days I didn’t take it. Basically, it’s important how many days I didn’t take it. The dosage amount varies such as 1mg or 0.5mg. My worries and distress is shown by those numbers. I really wanted to quit but if I quit I’d develop PFS - but if I continue, the side effects won’t disappear. Everyday I continued to ponder these problems that had no answers.
Also, I wanted to believe the side effects were from the oral minoxidil. So, I quit minoxidil and only took finasteride. Then I prayed the side effects would go away. But reality is cruel, and the sexual side effects slowly got worse.
The particularly important turning point was November 2nd. On October 31st, I took 0.5mg of finasteride during the day. I thought this would be my last dose. But 2 days later on November 2nd, before noon, I felt an intense, strange feeling in my penis. Jumping up from my futon, I thought “Did I get PFS?” Without thinking, I took another 0.5mg of finasteride. I don’t know if that worked, but the strange feeling lessened. This “strange feeling” appearing, taking finasteride, and the strange feeling going away, repeatedly occurred.
It might be my imagination but I thought that if I get the strange feeling and stopped taking finasteride, I could really get PFS. In actuality, I’d take finasteride and the strange feeling would disappear, but I had no proof.
Next is the 3rd through 5th weeks: (second picture)
During the latter half of the 3rd week I got insomnia again. My hot flashes got worse.
On November 6th I again thought I had taken my last dose. Until now, I had succeeded in a full 6 days of not taking the drug. But I had a deep sense of discomfort during that 6 day period. Nevertheless I continued to monitor my situation and on November 13th on the car ride home from work, I experienced something I never had before. A discomfort like “Ahh, it’s over huh”. My testicles flinched upwards, from my penis or something deeper in my body, like my kidney, I felt a discomforting surging feeling coming forward. 15 minutes later I quickly took a dose of finasteride and the feeling disappeared.
I strongly felt that the side effects were closely connected to finasteride. I acknowledged that quitting was too dangerous. But I didn’t take any more doses and prepared for the day I would finally be done for good.
On the 4th week, a new side effect appeared. An odd feeling in my head. It was scary. It was in the center of the back of my head. It was accompanied with numbness. At the same time, I experienced tinnitus.
But there was a good sign. From the 3rd week on, I had nighttime erections, and the 4th week on I had daytime erections. From the second week on I started eating almonds and doing light exercise at night. Maybe it was because I was paying attention to my diet and health.
On one side, I started getting erections again, but I still had discomfort in my scrotum and penis. Anyways, I didn’t really understand what was going on.
The 6th through 8th weeks: (third picture)
During the last half of November, I started getting erections again. My hot flashes started disappearing. I still had some small hot flashes in my arms. I didn’t really have problems with sleep anymore. My side effects were largely going away.
My desire to finally quit finasteride for good greatened. During the last half of November I reduced my finasteride dosage about 0.2-0.3 mg. Even if I lowered the dosage, my sexual side effects didn’t get worse, in fact I was encouraged by how I largely got better. And on December 7th I took 0.2mg, and a week later on the 15th, I took 0.2mg and finally quit for good.
Honestly, if I got PFS after quitting finasteride now, I thought there was nothing that could be done.
If you keep taking finasteride fearing PFS, there will come a day where you’ll quit. It’s too risky to take it the rest of your life. The risk of developing PFS is probably pretty low. I don’t want to go on always fearing that possibility. So I should quit finasteride right away - that’s what I thought.
In the end, it was 57 days from getting side effects to quitting finasteride - about 2 months. It was a period of trial and error abstaining from finasteride and decreasing the dosage.
For me, I think it was better to taper off instead of quitting cold turkey.
As proof of my success, I’ve been fine 4 months now after quitting.