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"Post Finasteride Syndrome
I had a couple pretty unpleasant encounters with some folks from the Post-Finasteride Syndrome world recently. If you’re not aware of what that is, its basically a handful of websites with people who report having long-term side effects from Propecia. As with most topics from politics to religion, moderate, rational, grounded thought quickly gives way to extremism. , and in this case I see an abundance of speculation, paranoia, and fear that really dilutes the message for me. In a bad way. I wanted to listen, but I couldn’t go longer than 10 minutes without hearing that Propecia makes people “kill themselves”. All sincere attempts to appeal to a more rational conversation were rejected, and I was labeled a slime bucket who “doesn’t care that people are dying”. Simply because I still tell people to use Propecia on this site.
I should say very clearly that I do strongly believe that a certain percentage of guys have side effects on Propecia, and a relevant number of those have ongoing issues with both their hormones and sometimes neurotransmitters responsible for mood. But what I care about is data. Fortunately, Swoop sent the following study to me which was just recently published (July 2016).
Its the best kind of study in my opinion, because it is a meta-analysis of propecia side effects. That means they analyzed all the data out there, as well as including speculative and subjective reports from discussion forums online. I think you should check it out if you care about remaining rational on this topic: Adverse Effects and Safety of 5-alpha Reductase Inhibitors (Finasteride, Dutasteride): A Systematic Review.
Propecia Side Effects – A Rational Look
It’s clear that there are some very strong opinions on Propecia side effects, and I know firsthand that medical science is sometimes incredibly wrong in its conclusions. But for the time being, I need to stand by my opinion that:
First, every medication has severe side effects in some people. Aspirin actually has “suicide” and “death” listed on its post-marketing side effects list. Does that mean you’ll stop taking it when you get a fever of 104? Second, Propecia is remarkably good at telling you whether it’s going to cause problems for you. I don’t believe they happen “without you knowing” or that you’ll wake up one day forever impotent. I believe severe side effects are very rare, and people who experience them should discontinue treatment or risk doing long term damage.
Lastly, its important to remember the absolutely devastating effect hair loss has on people. There actually are people out there who may be suicidal if they don’t stop their hair loss. And millions more who simply lose hope in life, and their future, because thinning hair destroys their self esteem and social status as well. It’s disappointing to me that we can’t find a rational, middle ground on this issue."