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Finasteride dosage to prevent hair loss, it does appear to be safe and effective for acne. A few of the side effects that you might experience include dryness, flakiness, and changes in your scalp. If these side effects bother you, talk with your doctor. There are two other possible side effects of finasteride: • Men's voices may increase as a side effect. Speak with your doctor about this risk. • It can decrease your blood flow to penis. This can cause erection problems in men, which is why it's important to use a condom during your first cycle or every time you have finasteride. Are there any problems with using finasteride? No. Finasteride is a safe medication. There have been some reports of unwanted hair growth in men who took finasteride, but these reports are rare and there no long-term studies showing any increased risk of having unwanted hair in men who take finasteride. How does finasteride work? Finasteride blocks the conversion of testosterone to dihydrotestosterone (DHT), the male sex hormone. reason dihydrotestosterone is responsible for hair loss because it boosts the number of cells that produce androgens (sex hormones). What are the possible side effects of finasteride? Some possible side effects of finasteride are: • Changes in your hair (including thinning, thinning in one place, black spotting, thinning in another place, with age, and male pattern baldness), or a thinning of the scalp may occur in those with severe acne. • Changes in the way your body produces sperm may occur if you take finasteride. may not be able to have children or get pregnant properly. • Hair thinning may occur on the back of your neck. • Changes in vision, including problems with depth perception and color vision. You may have side effects caused by other medications. Talk with your doctor if you have questions or concerns. What are other medications yo