April 22, 2025
1 min learn
Key takeaways:
- FDA warned of potential severe dangers when utilizing compounded topical finasteride.
- There are not any FDA-approved topical formulations of the drug.
The FDA issued an alert warning of potential severe dangers related to the usage of compounded topical finasteride, which is marketed to deal with hair loss however doesn’t have agency-approved labeling.
In a press launch, FDA acknowledged it’s conscious of some compounders and telemedicine platforms that market topical formulations of finasteride both as a single energetic ingredient (finasteride alone) or together with different energetic elements, akin to finasteride mixed with minoxidil, to deal with hair loss.

In line with the company, there have been 32 instances reported to the FDA Hostile Occasion Reporting System between 2019 and 2024.
“Absorption of finasteride by the pores and skin into the bloodstream is predicted, and the studies describe opposed occasions which are per these reported in affiliation with the permitted oral finasteride merchandise, akin to erectile dysfunction, nervousness, suicidal ideation, mind fog, melancholy, fatigue, insomnia, decreased libido and testicular ache following the usage of compounded topical merchandise with finasteride alone or together with different energetic elements,” FDA acknowledged.
A lot of the studies the FDA obtained state the opposed occasions continued to persist after product discontinuation.
“In some instances, customers expressed they weren’t conscious of the potential opposed occasions related to the usage of topical finasteride, and different sufferers reported that they had been instructed by the prescribers that there was no danger of any opposed occasion as a result of the product was topical,” FDA acknowledged within the launch.
There are two FDA-approved oral finasteride merchandise, Proscar and Propecia, for various indications at the moment accessible in america. There isn’t a FDA-approved topical formulation of finasteride, and compounded topical finasteride merchandise shouldn’t have FDA-approved labeling. Accredited finasteride merchandise are contraindicated in being pregnant.
FDA mentioned well being care professionals ought to educate sufferers on the potential dangers of utilizing compounded topical finasteride, together with the chance of inadvertent publicity to pregnant ladies.