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Proscar

Finasteride · also sold as Proscar / Propecia

An oral daily tablet used to treat enlarged prostate and male pattern baldness.

5-alpha reductase inhibitor
Generic name
Finasteride
Brand names
Proscar / Propecia
Route
Oral
Marketed by
Organon
FDA pharmacologic class
5-alpha Reductase Inhibitor; 5-alpha Reductase Inhibitors
First FDA approval
19 Jun 1992

Where Finasteride is approved

All regulators →

Of the three regulators tracked here, the first to approve Finasteride was the US, on 19 Jun 1992. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
19 Jun 1992
Proscar
NDA020180 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
26 Jun 1998
Propecia
Notice of Compliance 2910
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Finasteride

All medicines →
ENNHS England
£4.6m
4,522,924 items dispensed, Aug 2025 to Jul 2026
-16% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$4.1m
382,164 prescriptions in 2025 · Finasteride
+0% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Finasteride works

All drug targets →
  • Steroid 5-alpha-reductase 2 inhibitor Inhibitor
    Target: SRD5A2 steroid 5 alpha-reductase 2
    ✓ In ChEMBL and the Guide to Pharmacology
Other medicines acting on SRD5A2
Diseases it has been tested for in clinical trials, by furthest phase
  • HypogonadismPhase 3
  • Lower urinary tract symptomPhase 3
  • Prostate cancerPhase 2/3
  • HematuriaPhase 2
  • AcnePhase 2
  • Central serous retinopathyPhase 2
  • Non-small cell lung carcinomaPhase 2

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL710, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 6818, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Finasteride

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Finasteride

ATC codes
G04CB01, D11AX10
ChEMBL
CHEMBL710
DrugBank
DB01216
PubChem CID
57363
CAS number
98319-26-7
FDA UNII
57GNO57U7G
Wikidata
Q424167
Wikipedia
Finasteride

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Proscar is used for

PROSCAR, is a 5α-reductase inhibitor, indicated for the treatment of symptomatic benign prostatic hyperplasia (BPH) in men with an enlarged prostate to ( 1.1 ): Improve symptoms Reduce the risk of acute urinary retention Reduce the risk of the need for surgery including transurethral resection of the prostate (TURP) and prostatectomy. PROSCAR administered in combination with the alpha-blocker doxazosin is indicated to reduce the risk of symptomatic progression of BPH (a confirmed ≥4 point increase in American Urological Association (AUA) symptom score) ( 1.2 ). Limitations of Use : PROSCAR is not approved for the prevention of prostate cancer ( 1.3 ). 1.1 Monotherapy PROSCAR ® is indicated for the treatment of symptomatic benign prostatic hyperplasia (BPH) in men with an enlarged prostate to: - Improve symptoms - Reduce the risk of acute urinary retention - Reduce the risk of the need f…

How it works

12.1 Mechanism of Action The development and enlargement of the prostate gland is dependent on the potent androgen, 5α-dihydrotestosterone (DHT). Type II 5α-reductase metabolizes testosterone to DHT in the prostate gland, liver and skin. DHT induces androgenic effects by binding to androgen receptors in the cell nuclei of these organs. Finasteride is a competitive and specific inhibitor of Type II 5α-reductase with which it slowly forms a stable enzyme complex. Turnover from this complex is extremely slow (t ½ ~ 30 days). This has been demonstrated both in vivo and in vitro . Finasteride has no affinity for the androgen receptor. In man, the 5α-reduced steroid metabolites in blood and urine…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 10 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.