Finasteride (Propecia) vs Avodart
Editorial comparison of Finasteride (Propecia) (finasteride) and Avodart (dutasteride). Same drug class context, trial-anchored data, no marketing claims.
Side-by-side
| Dimension | Finasteride (Propecia) | Avodart |
|---|---|---|
| Generic name | finasteride | dutasteride |
| Manufacturer | Multiple (Merck originated as Propecia) | GlaxoSmithKline (Avodart) |
| FDA approved | 1997 | 2001 |
| Mechanism | Blocks the enzyme that converts testosterone into DHT (dihydrotestosterone). | Same pathway as finasteride, deeper suppression of DHT. Head-to-head trials show ~1.5x the hair-count increase of finasteride at 6 months. |
| Dosing | 1mg orally once daily. Effects begin at 3-6 months; full effect at 12 months. Discontinuation reverses gains within 6-12 months. | 0.5mg orally once daily. |
| Cost | Generic finasteride $10-25/month direct from pharmacy. Telehealth platforms $20-40/month bundled with consultation. | $45-90/month via telehealth platforms that prescribe (Hims, Keeps offer it). Generic is available at standard pharmacies for similar pricing. |
Full Finasteride (Propecia) review →
Oral DHT blocker. Standard of care for male-pattern hair loss. ~80% slow shedding, ~60% regrow.
Full Avodart review →
Stronger DHT blocker than finasteride. Off-label for hair loss. Higher effect, smaller evidence base.
Frequently asked
How do Finasteride (Propecia) and Avodart compare on cost?+
Finasteride (Propecia): Generic finasteride $10-25/month direct from pharmacy. Telehealth platforms $20-40/month bundled with consultation. Avodart: $45-90/month via telehealth platforms that prescribe (Hims, Keeps offer it). Generic is available at standard pharmacies for similar pricing. Real out-of-pocket depends on insurance formulary tier, manufacturer savings programs, and whether a direct-pay channel is available.
Can I switch from Finasteride (Propecia) to Avodart?+
Switching between brand-name treatments in the same drug class is common, but the conversion is not always 1:1. Discuss the switch with your prescriber — they'll usually re-titrate dosing rather than substitute equivalent strengths directly.
Are Finasteride (Propecia) and Avodart the same drug?+
No. Finasteride (Propecia) (finasteride) and Avodart (dutasteride) are distinct medications from Multiple (Merck originated as Propecia) and GlaxoSmithKline (Avodart) respectively. They may share a drug class or mechanism but differ in active ingredient, dosing, and approved use.