To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Please select your option

Yes
No




Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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Gradual thinning on top of the head
Circular or patchy bald spots
Sudden loosening of hair
Full-body hair loss
Patches of scaling that spread over the scalp

Less than 6 months
6 months to 1 year
More than 1 year



No inflammation on the scalp
No redness
No medical dressings
Unshaven



  • Heart Disease (including chest pain, angina, heart attack or any history of cardiovascular event)
  • High Blood Pressure
  • Dyslipidemia
  • Pheochromocytoma (cancer of the adrenal glands)
  • Male breast cancer
  • Cancer
  • Acute Porphyria (a rare hereditary disease affecting haemoglobin)
  • Prostate problems (prostate enlargement, prostatitis, prostate cancer)
  • Bladder obstruction (obstructive uropathy)
  • liver problems (hepatic impairment)



If so, how long have you used it, and how successful was it? Did you experience any side/effects?






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  • A depressed mood, despair, or suicidal thoughts
  • Lumps, larger breasts, soreness, or nipple discharge are all signs of breast tissue alterations.
  • Finasteride can cause mood swings in rare cases. If you acquire a poor mood, depression, or suicidal thoughts while taking Finasteride, you should stop taking it and consult your doctor.

  • You will read the patient information leaflet supplied with your medication
  • You will contact us and inform your GP of your medication if you experience any side effects from treatment, if you start taking a new medication, or if your medical conditions change during treatment.
  • The treatment is solely for your own use
  • You have answered all the above questions accurately and truthfully. You understand our prescribers take your answers in good faith and base their prescribing decisions accordingly and that incorrect information can be hazardous to your health.