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Finasteride is marketed under many names including Propecia and is used to treat benign prostatic hyperplasia in lower doses and prostate cancer in higher doses. Propecia is very effective at reducing the rate of prostate cancer. It is also used for treatment of male baldness. In the United States, Propecia was marketed as a drug for the treatment of an enlarged prostate but was found to have the side effect of regrowth of hair. It was approved for use of treating baldness by the Food and Drug Association in 1997 and is sold as Propecia under Merck.

It takes six months of continued use of 5mg Propecia to see any improvement over the treatment of an enlarged prostate (benign prostatic hyperplasia). It also helps to alleviate the symptoms associated with having an enlarged prostate such as difficulty urinating. For the treatment of baldness, Propecia is administered for men only (not effective in women) and hair growth is possible as long as the drug is taken. Hair loss resumes shortly after the drug ceases to be taken. Propecia has been proven to be very dangerous for male fetuses and pregnant women are precautioned to stay away from any crumbs that may result from splitting Propecia from the man in the house.

Side effects include abnormal ejaculation, erectile dysfunction, impotence, and testicular pain. Side effects stop after the drug is no longer taken, except a study shows that erectile dysfunction may persist after use of Propecia. This drug has also been linked to depression. Because Propecia works different for each individual, different side effects may occur for different people and caution is advised. Propecia increased levels of testosterone and this may explain many of the side effects, as well as psychological affects seen in people with high levels of testosterone such as aggression, impulsivity, and depression.