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Patient Notice! This questionnaire forms the basis of your hair loss consultation today. We need you to be honest with your answers including any current medication you are on. This allows our doctors to safely prescribe medication and offer accurate advice. We expect you to read the medicinal information provided before using your treatment.
If finasteride has not prevented further hair loss or successfully regrown hair after 4 months of treatment, you should discontinue use.
You will need to speak to your GP about additional treatment options.
Do you understand Propecia (Finasteride) is for men between 18-65 only?
NOTE: Propecia / Finasteride will not work in women and can be harmful during pregnancy
You must understand this information to proceed. If you are not a male aged between 18 and 65, please refer to your GP for a face to face consultation.
Unfortunately we can not offer you treatment, as sudden or unexplained hair loss is best discussed with your own GP.
Please see your GP to discuss treatment options.
Irregular or patchy hair loss should be investigated for underlying causes by your doctor.
You may be able to treat underlying causes to reverse or slow hair loss.
These treatments may not be suitable. You may be able to treat the underlying causes to reverse or slow your hair loss. Please see your GP to discuss treatment options.
Unfortunately we can not offer you treatment. You can discuss treatment options with your GP in this instance.
Please confirm you aware that some users of Propecia / Finasteride may experience depression or suicidal thoughts?
NOTE: You should discontinue use and see your GP if you are experiencing low mood or think you might be experiencing depression