Hair loss drug finasteride ‘biggest mistake of my life’

Some online sites are prescribing men a hair loss drug that has potentially risky side effects without consistent safety checks, the BBC has found.

The side effects of finasteride can include suicidal thoughts and impotence, yet some big brand companies will send the pills in the post without seeing or chatting with the customer.

Kyle, who is 26 and from Wakefield, regrets buying the pills online after filling out a ‘tick-box’ form.

He says his life has been turned upside down by an all too quick decision.

Kyle started taking finasteride last spring, after it was recommended to him by a mate who was on it.

He says he did a bit of research beforehand, but buying it online was simple.

“I just typed it in on Google and it came up with all these online pharmacies,” Kyle says.

“It’s everywhere. It’s so easily accessible.”

The prescription pills arrived on his doorstep within a week of ordering them.

“I had no consultation with a doctor. No zoom meeting. I didn’t have to send any pictures to them or anything like that to actually make sure I did have male pattern baldness.

“I started it and, yeah – that was the biggest mistake of my life.”

Since taking the drug, Kyle says he’s been having problems with his sexual, mental and physical health – problems he had never experienced before and which have persisted since he stopped the medication.

“Life just feels grey. It’s, like, castrated my emotions,” Kyle says.

“It just stripped everything from me – all my personality and everything. I stopped going out with my mates, stopped playing football and started having all these issues.”

Finasteride is one of the most common pills for hair loss, taken by tens of thousands of men in the UK. It is only available by private prescription.

It works by stopping testosterone turning into another hormone, called dihydrotestosterone (DHT), that can stop hair growing.

Kyle took it for about six weeks, but stopped after experiencing problems including suicidal thoughts.

In late April 2024 – just weeks after Kyle got his prescription – UK regulators took urgent action over finasteride, saying packs must contain a special safety alert card warning of the small risk of severe side effects including suicidal thoughts and sexual dysfunction.

After being contacted by other men like Kyle through Your Voice, Your BBC News, we asked a male colleague to buy finasteride from three leading online providers to see what the checks now involved.

Online prescriber ‘Hims’ mentioned the side effects.

Superdrug also offered the option to chat with a doctor – that cost extra.

Only Boots pharmacy asked for a photo of hair loss.

When some packs arrived, none contained the new patient alert card that drug makers were asked to add.

The Medicines and Healthcare products Regulatory agency says manufacturers have been given up to a year to comply, but it might take longer.

Boots, Hims and Superdrug say online finasteride customers are asked to confirm that they have read and understood the possible risks.

They say until the alert cards are “rolled out” and put in packs, users can read the long patient information leaftlet already included with the medicine to learn about side effects.

The Royal Pharmaceutical Society says online prescribing can be very useful for a lot of patients, particularly if they are too embarrassed to visit a doctor. But the checks must be robust.

James Davies, RPS director for England told BBC News: “It’s really important that regardless of whether it’s online or face to face, these thorough checks are taking place.

“That means that a full medical history is taken, there’s an opportunity to understand the medication that may be prescribed, the side effects, the risks and the benefits.”

He said sharing photos of the hair loss with the prescriber and having a video call to discuss all of the issues could be useful.

The British Association of Hair Restoration Surgery (BAHRS) believes patients shouldn’t get the drug just by filling out an online form.

Greg Williams, hair transplant surgeon and vice president of BAHRS, says although finsasteride is a good treatment for many, the small chance of serious side effects must be explained and closely monitored.

“There will be some patients who have risk factors that might make finasteride a risky prescription. I’m not saying it can’t be prescribed, but patients need to be appropriately counselled.”

Europe’s drug regulator is doing its own safety review of finasteride which could include a ban.

Nearly a year since first ordering the drug, Kyle says he deeply regrets taking finasteride.

“It’s just a little pill. You take it and don’t really think about what it can do to you,” he says.

“Every day I beat myself up saying like ‘You had a perfect life, you didn’t have to risk something over hair’.

“It was vain of me…but when you get insecure you do stupid things.

“If I were made aware of what it can do I never would have took it.”