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They pass the same tests as the original brands. Performance The two drugs use the same active ingredient - Finasteride. 81% of drugs used by the NHS are generics, and that of course includes drugs in which a small variation in dose or bio-availability can make a much bigger difference than with fin. I realize other countries may manufacture finasteride in 1mg strength, but Propecia is still under patent protection in much of the western world. This enzyme is responsible for converting testosterone into DHT (dihydrotestosterone) While Finasteride and Propecia both have the same risk of side effects – as they are indeed the same drug – this risk is low. Finasteride blocks the activity of an enzyme called 5-alpha-reductase. I want to switch to brand Propecia and it’s costing me 5 a month which is insanely expensive Generic Finasteride from Aurobindo vs. I have heard that the dose of the generic may not be as predictable as the brand name Propecia William Rassman, MD (retired) VOTED MOST HELPFUL October 14, 2016. This enzyme causes the prostate to enlarge, or it also causes hair loss in males Comparing Finasteride vs Propecia Finasteride Propecia (finasteride) Prescription only Finasteride 5mg is effective at treating the symptoms and delaying the progression of BPH. These are very effective hair loss treatments. On the other end, Finasteride is much cheaper and could be covered by insurance as a Tier 1 medication. Within a month of the switch I started losing. A couple weeks ago my prescription ran out, and I decided to refill it. 36/male with mpb/thinning in my hairline. The Finasteride Plan Works for 9/10 Men The most effective oral treatment for receding hairlines and balding crowns. 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