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Frequently asked questions about PropeciaAVODART: Questions and Answers
WHAT IS MALE PATTERN HAIR LOSS?
Male pattern baldness,  androgenetic alopecia,  is a very common condition in which men begin to experience thinning of the hair on the scalp.  These changes often start slowly in men in their 20’s and often progress to a receding hairline and/or balding on the top of the head.  Male pattern baldness is believed to be hereditary and dependent on hormonal effects.  The primary cause of Male Pattern hair loss and baldness is due to Dihydrotestosterone (DHT) which is produced by 5-alpha reductase conversion of testosterone to DHT
WHAT IS AVODART & HOW DOES  IT COMPARE TO PROPECIA?
Avodart,  (active ingredient Dutasteride) manufactured by GlaxoSmithKline, is the FIRST  & ONLY dual acting 5 alpha reductase inhibitor blocking both Type I and Type II 5-alpha reductase enzymes that convert testosterone to DHT.  Propecia, the oral drug approved by the FDA to treat male pattern baldness, only inhibits Type II 5 alpha reductase enzyme.    Men with male pattern baldness have increased levels of the hormone DHT and the hair follicles in the balding areas of the scalp become miniaturized.  Like Propecia, Avodart interrupts a key factor in the development of androgenetic or male pattern baldness but to an even greater extent.  Avodart at a daily dosage of 0.5mg/ day has been shown to reduce serum levels of DHT by over 90%.   Like finasteride, the active ingredient in Propecia, dutasteride or Avodart has initially been approved by the FDA for the treatment of prostatic enlargement   Preliminary studies have shown Avodart to be as SAFE as Propecia but significantly more effective in decreasing DHT levels and treating Male Pattern Baldness.
WILL AVODART WORK FOR ME? WHAT ARE THE INDICATIONS?
Avodart has been shown in preliminary Phase 2 studies by GlaxoSmithKline to be effective than Propecia for Male Pattern Hair loss. In over 80% of Men with Male pattern baldness in the vertex and anterior mid-scalp area, clinical  studies have shown that Propecia stops further hair loss and/or increases the number of scalp hairs resulting in significant hair re-growth filling in thin or balding areas of the scalp.  Medical Wellness Center has been compiling  Patient responses to Avodart after 6 months to one year of use.  Click here to read unedited patient responses to Avodart
HOW LONG BEFORE I SEE RESULTS?
Hair grows only about ½ inch per month, therefore patients start to notice results after first 3 months of treatment.  It takes time to see improvement.  Also, for those just starting to have hair thinning, taking Avodart in the early stages can prevent or dramatically slow further hair loss.
HOW LONG DO I HAVE TO TAKE AVODART?
The underlying predisposition to baldness is always present. Therefore, if a patient discontinues use of Avodart, he will gradually lose the new hair that grew in response to Avodart treatment and will experience the progression of his underlying predisposition to baldness.
WHEN & HOW DO I TAKE AVODART?
Avodart is prescribed in 0.5mg soft gelatin capsules that you take once a day with or without food.  Taking Avodart more frequently or in higher doses will NOT make it work better or faster.  If you miss an Avodart dose, take the missed dose as soon as you remember during the SAME day.  However, if you don't remember until the next day, skip the dose you missed and take only the next regularly scheduled dose.  DO NO take a double dose of the medication.
  • Avodart (dutasteride) is for use by MEN only
  • Take each dose with a full glass of water
  • Swallow the capsule whole.  Do NOT chew or crush or break the capsule
  • Avodart can be taken with or without food
  • Always discuss any new medications with your primary care physician first before taking.
  • Do NOT combine Avodart with finasteride - Proscar or Propecia
WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT ABOUT AVODART?
  • Avodart is for MEN only
  • Avodart is a more potent and effective 5 alpha reductase inhibitor than Propecia.  Although Avodart was approved in October 2002 by the FDA for treatment of prosthetic enlargement (BPH), Avodart  has been shown to be more effective than Propecia in treating male hair loss and can be prescribed off-label for other indications than BPH.
  • Pregnant women or women who may become pregnant MUST NOT handle Avodart capsules as dutasteride can be absorbed via the skin and cause external genital abnormalities in the male fetus.
  • Do not donate blood for at least 6 months after your last dose of Avodart to prevent pregnant woman receiving dutasteride via blood transfusion.
  • Store Avodart at room temperature away from moisture and heat.  Avodart gelatin capsules may become soft and leak or may stick together at high temperatures.  If the capsules are cracked or leaking, do NOT use them and contact your pharmacist.
  • Avodart reduces the serum level of the Prostate cancer marker PSA by approximately 40% after 3 months of treatment and by 50% after 6 months of treatment.  Therefore, if taking Avodart one must inform all treating physicians and adjustments need to be made in baseline measurements and interpretation of PSA levels for monitoring cancer-related changes.  To interpret PSA testing for a man on Avodart treatment for 6 months or longer, one must double the PSA value for Prostate cancer detection.
WHAT ARE THE SIDE EFFECTS OF AVODART?
Avodart has shown a similar safety profile as Propecia and most men, as with Propecia, experience no side effects.  A small percentage of men experience the following side effects most of which decrease or disappear with continued usage: impotence (4.7%), decreased libido (3%), breast tenderness and breast enlargement (0.5%) and ejaculation disorders (1.4%).   These possible side effects disappeared in most men who continued to take Avodart  and completely disappeared in men who stopped taking Avodart.

Stop taking Avodart and seek emergency medical attention if you experience an allergic reaction such as difficulty breathing, closing of the throat, swelling of the lips, tongue or face

 WHO SHOULD NOT TAKE AVODART?
WHAT ARE THE CONTRAINDICATIONS FOR AVODART?
  • Avodart is for Men over age 18 only. 
  • Do NOT take Avodart if you are a female or under age 18.
  • Do NOT take Avodart if you have LIVER disease as Avodart is metabolized by the liver.
  • Do NOT take Avodart if you are  taking Protease inhibitors such as Agenerase (amprenavir), Crixivan (indinavir), Viracept(nelfinavir), Novir (ritonavir) or Invirase, Fortovase (saquinavir)
  • Do NOT take Avodart if you are taking oral Nizoral(ketaconazole) or Sporanox (itraconazole)
  • Women who are pregnant or planning to become pregnant must  NOT touch Avodart capsules as dutasteride can be absorbed through the skin and cause harm to developing male fetus.
 CONTRAINDICATIONS:  In order to proceed to the medical consultation, you must proceed to the next page and read the contraindications and verify that you do not have any of the contraindications and understand that any pregnant or potentially pregnant woman must not even touch any broken or crushed pills.

Under NO circumstance is any woman or a child under the age of 18 to take Avodart.

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