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Finasteride + Tadalafil: Brands, Price & Uses in Bangladesh
Finasteride + Tadalafil is a fixed-dose combination that is not FDA-approved as a single co-formulated product and more.
About Finasteride + Tadalafil
Indications of Finasteride + Tadalafil
Finasteride + Tadalafil is a fixed-dose combination that is not FDA-approved as a single co-formulated product, but the individual components are approved and are frequently prescribed together (off-label combination) for men who have both benign prostatic hyperplasia (BPH) and erectile dysfunction (ED).
- Established/guideline-supported use: Symptomatic benign prostatic hyperplasia (finasteride reduces prostate volume by lowering dihydrotestosterone; tadalafil, separately FDA-approved for BPH symptoms and for BPH with ED, relaxes smooth muscle in the prostate and bladder neck).
- Established use: Erectile dysfunction (tadalafil component), including in men who also have BPH, where combined therapy addresses both urinary symptoms and erectile function with a single regimen.
- Off-label/adjunct use: Some men being treated for male-pattern hair loss with finasteride who also have ED are prescribed this combination so that one product addresses both concerns; this is a clinician-directed off-label combination rather than a separate approved indication.
Use of Finasteride + Tadalafil should always be individualized by a physician based on symptom severity, prostate size, and cardiovascular status.
Dosage & Administration of Finasteride + Tadalafil
| Indication | Typical Adult Dose |
|---|---|
| BPH with erectile dysfunction | One capsule of Finasteride + Tadalafil (commonly 5 mg/5 mg) taken once daily, at approximately the same time each day, with or without food. |
| Onset of benefit | Urinary symptom improvement from the tadalafil component may be noted within days to weeks; prostate-volume-related benefit from finasteride typically requires 3–6 months or longer of continuous use. |
Swallow the capsule whole with water. Do not increase the dose or frequency without medical advice. See Use in Special Populations for renal/hepatic dose considerations related to the tadalafil component.
Side Effects of Finasteride + Tadalafil
Side effects reflect both components of Finasteride + Tadalafil:
- Common: headache, dyspepsia (indigestion), back pain, myalgia (muscle aches), flushing, nasal congestion, and decreased libido or other sexual side effects (e.g., erectile dysfunction, ejaculation disorders) attributable to the finasteride component.
- Less common: dizziness, gynecomastia (breast tenderness/enlargement), and testicular pain.
- Rare but serious: priapism (a painful erection lasting more than 4 hours, requiring emergency care); sudden decrease or loss of vision, including cases of non-arteritic anterior ischemic optic neuropathy (NAION); sudden decrease or loss of hearing, sometimes with tinnitus and dizziness; and severe hypotension, especially if taken with nitrates or alpha-blockers.
Seek urgent medical attention for any of the rare but serious effects listed above.
Contraindications of Finasteride + Tadalafil
Finasteride + Tadalafil is contraindicated in:
- Known hypersensitivity to finasteride, tadalafil, or any component of the formulation.
- Concurrent use of any form of organic nitrate (regularly or intermittently), due to the risk of severe, potentially life-threatening hypotension.
- Women, particularly those who are pregnant or who may become pregnant, because of the risk of finasteride-related abnormalities of the external genitalia in a male fetus; this product is intended for use in men only.
- Use in combination with other PDE5 inhibitors or other treatments for erectile dysfunction or pulmonary arterial hypertension.
Frequently Asked Questions about Finasteride + Tadalafil
What is Finasteride + Tadalafil used for?
Finasteride + Tadalafil is used in adult men who have benign prostatic hyperplasia (an enlarged prostate) together with erectile dysfunction. It combines a medicine that gradually shrinks the prostate with a medicine that improves erections and urinary flow.
How long does it take for Finasteride + Tadalafil to work?
Improvement in urinary symptoms and erectile function from the tadalafil component may be noticed within days to a few weeks, but the full benefit on prostate size from the finasteride component can take 3 to 6 months of regular daily use.
Can women take Finasteride + Tadalafil?
No. Finasteride + Tadalafil is intended for men only. Women, especially those who are pregnant or may become pregnant, must not take it or handle broken/crushed capsules, because finasteride can cause abnormal development of the genitals in a male fetus.
Can I take Finasteride + Tadalafil with nitrate medicines?
No. Combining Finasteride + Tadalafil with nitrate medicines (such as nitroglycerin, used for chest pain) can cause a sudden, severe, and potentially life-threatening drop in blood pressure. Tell your doctor about all heart medicines you take before starting this medicine.
What should I do if I get a prolonged erection?
If an erection lasts longer than 4 hours (priapism), stop the medicine and seek emergency medical care immediately, as this can cause permanent damage if not treated promptly.
Does Finasteride + Tadalafil affect PSA (prostate-specific antigen) test results?
Yes. The finasteride component lowers PSA levels, which can affect prostate cancer screening. Tell your doctor you are taking Finasteride + Tadalafil before having a PSA test so the result can be interpreted correctly.
Disclaimer
The information provided is accurate to the best of our knowledge, but it does not replace professional medical advice. We cannot guarantee its completeness or accuracy, and the absence of specific information about a drug should not be taken as an endorsement. We are not responsible for any consequences arising from this information, so please consult a healthcare professional for any concerns or questions.