- Reaction score
- 179
I know how you feel. I've tried oral finasteride (1mg, 0.5mg, 0.25mg) and got fairly significant side effects. I moved onto topical finasteride 0.05% (Hims) which was going great for a few weeks but then the side effects caught up with me (although mild). I'm now on a 0.005% topical in line with the study we're talking about (been using for 2.5 months, no noticeable results yet). My libido is slightly lower than pre-finasteride and I don't get MW very often, so even this dose is seems to giving me mild systemic side effects, but they're bearable. If you look at the studies, a 0.05mg oral dose will reduce DHT by about 50% (1mg gives a 60% reduction); at 0.01mg orally, DHT reduction is no different to placebo, so a topical dose somewhere between these two is probably what we're after (assuming follicular 5 alpha reductase is the culprit).
Finasteride is an insanely potent drug with a very steep inhibition curve.
My take on this is that if 0.05mg orally can lead to a 50% drop in systemic DHT, then that's surely the absolute maximum we should be applying to our heads if the objective is local 5 alpha reductase inhibition, and even then, it's not clear how much would hit the bloodstream.
Mozzarella's study is encouraging but all of the more recent studies have looked at topical formulations of 0.1-0.25% and there's no other evidence to show that a 0.005% topical would work. This is the last roll of the dice for me and will shave it if I don't see any results. I'm also confused by the latest topical finasteride study which shows a fairly limited reduction in systemic DHT using a 0.25% topical - doesn't this contradict the earlier studies that showed virtually no difference between oral and topical administration when it came to systemic DHT reduction?
you are totally right eith your assesment. finasteride is insaley potent, dosages literally dont matter, i cant think of any other drug where it does not even matter if you take a dose or 1/100th of that dose and still get the same systemic effect. with finasteride that is the case. thestudy results are weird indeed, i wish there was more evidence on lower doses like mazarella used. in my case, using 0.05% the sides are not mild, they are just as bad as with oral. maybe i truly never recovered from the oral but i highly doubt it, some things have changed e.g semen is thicker and orgasms are better but i still have significsnt ED, not where i cant perform sexually, no, to the extent where i can physifally not masturbate. i do not know what my semen looks like because i csnnot get this fsr eithout v**** and im not into that sh*t anymore. it is beyond my understanding how a 0.05% topical dose, a dose with zero discontinuation rate among the last randomized plwcrbo controlled studx is giving me those sides. out of 200 people nobody hsd to quit compared to 8% in oral finasteride. i feel no different compared to oral finasteride tbh, i feel completelx chemically castrated. im getting my blood resukts next week and then ill see whether topical finasteride has had any positive impact on blood resukts compwred to oral at all.
crazy that you think you get sides on mazarella dose, did they not test dht and found no change? hoe would that eork, no change in dht but sides? isnt the lack of change evidence thag it basifally does not get systemic?
everyone who gets sides talks about how they csnt last as long or they take longer to get an erection or have a longer refractory period, meanwhile here i am i cant even get an erection its as if i had a venous leak, it just flops immediately, no pressure buuld up inside the penis, no urges eitherx its all numb snd gone. the sad thing is to me this is still better than beint NW6 in mid 20ties -. -