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Proscar (Finasteride) Patient Handbook in Malaysia

What is Proscar?

Proscar is the brand name for the active ingredient Finasteride, classified as a 5-alpha-reductase inhibitor. In Malaysia, it is predominantly indicated for the treatment of symptomatic Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate. This medication helps to shrink the prostate gland, improving urinary flow in adult males. It is available in the pill form. While Finasteride is also used in lower doses for hair loss, Proscar specifically refers to the higher 5mg strength formulation approved for BPH management.

Who Should Use Proscar?

Proscar is specifically formulated for adult males seeking management for prostate enlargement symptoms.

• Adult men diagnosed with Benign Prostatic Hyperplasia (BPH).
• Individuals experiencing bothersome urinary symptoms such as weak stream, Urgency, or frequent nighttime urination due to an enlarged prostate.
• Patients whose physician recommends reducing the physical size of the prostate gland.

How Does It Work?

The core mechanism of action for Proscar involves blocking the enzyme 5-alpha-reductase. This enzyme is responsible for converting testosterone into a more potent androgen called dihydrotestosterone (DHT). DHT is the primary hormone that drives the growth and enlargement of the prostate tissue. By inhibiting its production, Finasteride allows the prostate to slowly shrink over several months. This reduction in size relieves the pressure on the urethra, easing bothersome urinary symptoms. This medication does not impact sexual performance directly, although sexual side effects can occur as noted below.

Why Choose Proscar?

Choosing Proscar often relates to specific clinical goals for long-term prostate management. For patients requiring the standard 5mg dose for BPH, this established formulation offers predictable therapeutic effects focused on reducing prostatic volume. While generic Finasteride is available and bioequivalent, some individuals prefer the consistency of the original brand formulation. Furthermore, treatment with Proscar may reduce the risk of acute urinary retention and the need for prostate-related surgery down the line.

Dosage, Administration, Lifestyle and Dietary Recommendations

Recommended Dosage

The standard recommended dosage for treating BPH with Proscar is 5mg (one pill) taken once daily.

How to Take

Proscar should be taken orally, swallowed whole with water. It can be taken with or without food, but consistency is important; try to take it at the same time each day. It is vital to continue taking Proscar even if symptoms improve, as stopping treatment can allow the prostate to re-enlarge.

Missed Dose

If you forget a dose, take it as soon as you remember that day. However, if it is nearly time for your next scheduled dose, skip the missed dose entirely and resume your regular dosing schedule. Do not take a double dose to make up for a forgotten one.

Overdose

In the event of an accidental overdose, seek immediate medical advice or contact emergency services. Specific overdose management protocols will be determined by healthcare professionals.

Special Populations

• Elderly Patients: Dosage adjustments are typically not required based on age alone; treatment should be guided by symptom presentation.
• Hepatic or Renal Impairment: No specific dosing adjustments have been established for patients with mild to moderate liver or kidney impairment. Consult a specialist for guidance.
• Children: Finasteride is strictly contraindicated in children.

Lifestyle & Diet

There are generally no strict dietary restrictions associated with Proscar use. However, regular monitoring with your specialist is essential to track the progress of BPH management. Maintaining a healthy weight and limiting caffeine intake may help reduce Urinary Frequency, regardless of medication use.

Precautions and Warnings

A major precaution involves monitoring the Prostate-Specific Antigen (PSA) level. Since Proscar lowers the levels of PSA-a marker often monitored for Prostate Cancer screening-this reduction (typically 50%) must be accounted for by the specialist when interpreting future PSA test results. If you intend to have prostate Cancer screening, inform the testing facility that you are taking Finasteride.

Drug Interactions

Potential Side Effects

Common Side Effects

These effects are often transient and may decrease as your body adjusts to the medication:

• Decreased libido (sex drive).
• Erectile Dysfunction (difficulty achieving/maintaining an erection).
• Ejaculation disorders (reduced volume of ejaculate).

Less Common Side Effects

• Breast tenderness or enlargement (gynecomastia).
• Rash or itching.
• Testicular Pain.

Serious Side Effects

Contact your specialist immediately if you experience any of the following signs:

• Signs of Depression or mood changes.
• Inability to urinate (acute urinary retention).
• Any sign of an allergic reaction, such as swelling of the lips, tongue, or throat.

Who Should Avoid This Medication?

Proscar (Finasteride) is formally contraindicated in several situations:

• Women: Particularly those who are pregnant or may become pregnant.
• Children and Adolescents.
• Individuals with known hypersensitivity to Finasteride or any component of the pill.
• Patients with established liver failure.

Storage Instructions

Proper storage ensures the medication remains effective and secure.

• Store at controlled room temperature, ideally between 15°C and 30°C.
• Protect the pills from excessive moisture and light.
• Keep the container tightly closed.
• Store securely away from children and pets.

Proscar Alternatives

Frequently Asked Questions

How long does it take for Proscar to start working for BPH symptoms?

You may not notice significant improvement in urinary symptoms for at least six months to a year of consistent daily use. Since Proscar works by physically shrinking the prostate tissue, the process is gradual. It requires dedicated, long-term compliance to see maximal benefit.

Can I drink alcohol while taking Finasteride?

Alcohol consumption is generally permitted while taking Proscar, as it does not significantly interact with the metabolism of Finasteride. However, excessive alcohol intake can sometimes worsen urinary symptoms like the sudden urge to urinate, which may mask the true effect of the medication.

Will Proscar affect my ability to become a father?

While fertility is rarely impacted, one of the known side effects is a decrease in ejaculate volume, which can affect semen output. If you are concerned about fertility, this should be discussed thoroughly with your specialist, as the effect is usually reversible upon discontinuing treatment.

What happens if I stop taking Proscar once my prostate shrinks?

If treatment is stopped, the effects are reversed; the prostate will likely begin to regrow to its previous size, and the associated urinary symptoms usually return. Proscar is designed for continuous, long-term use to maintain the reduced size.

Is Proscar the same as medication taken for male pattern hair loss?

No, they are different strengths. Medications for hair loss typically use a lower 1mg dose of Finasteride. Proscar (5mg) is a much higher dose specifically approved and studied for treating the symptoms of an enlarged prostate (BPH).

Do I need blood tests while using this medication?

Yes, regular monitoring is often necessary, primarily to check Prostate-Specific Antigen (PSA) levels. Because Finasteride lowers PSA levels by about 50%, your specialist needs to know this factor to accurately screen for other prostate issues, such as cancer.

Can I take Proscar if I have high blood pressure?

Proscar itself does not directly treat High Blood Pressure. You can typically take Proscar alongside blood pressure medications, but you must ensure your specialist is aware of all medications you are taking to manage potential overlapping effects or drug interactions.

Glossary

• Benign Prostatic Hyperplasia (BPH): A non-cancerous enlargement of the prostate gland common in aging men that causes lower urinary tract symptoms.
• Dihydrotestosterone (DHT): A potent androgen hormone derived from testosterone that is the main driver behind the proliferation of prostate cells leading to BPH.
• 5-alpha-reductase Inhibitor: The classification for drugs like Finasteride that work by blocking the specific enzyme (5-alpha-reductase) needed to produce DHT.
• Prostate-Specific Antigen (PSA): A protein produced by the cells of the prostate gland; blood levels are measured as a screening tool for prostate health concerns.

Disclaimer

This article contains general medical information designed to help you understand your condition and treatment options better. This content supplements, but does not replace, direct consultation with a qualified healthcare professional in Malaysia. Decisions regarding medication use, dosage adjustments, and off-label applications must always be made in consultation with your specialist. We do not provide medical advice, and responsibility for safe and effective use of any medication rests with the patient and prescribing practitioner. Our service facilitates access to health information and support resources.

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