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3. What Is FINOSIN and What Is It Used For? |
What Is FINOSIN?
Finosin is a fixed-dose
combination tablet containing two well-established medicines for prostate
health: Finasteride (a 5-alpha reductase inhibitor that shrinks an enlarged
prostate over time) and Tamsulosin (an alpha-1 blocker that relaxes the muscles
around the prostate and bladder neck to make urination easier).
By combining both in a single
tablet, Finosin works on two fronts simultaneously, giving you quicker symptom
relief while also tackling the underlying cause of prostate enlargement.
What Is It Used For?
Finosin is for adult men
living with Benign Prostatic Hyperplasia (BPH), a non-cancerous enlargement of
the prostate gland that causes frustrating urinary problems such as a weak or
slow urine stream, difficulty starting urination, frequent need to urinate
(especially at night), and a feeling that the bladder never fully empties.
It is particularly recommended
for men with larger prostates and moderate-to-severe symptoms, where a single
medication may not provide enough relief.
Finasteride works gradually
over months to reduce the prostate's size, while Tamsulosin begins to ease
urinary flow within days, together offering both short-term comfort and
long-term disease control.
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4. How to Take This Medicine |
Usual Dose
1 tablet once daily, taken 30
minutes after the same meal each day.
Swallow Whole
Swallow the tablet whole with
water, do not crush or break it. Finasteride can be absorbed through skin and
is harmful if handled by women who are pregnant or may become pregnant.
Consistency
Take at the same time every
day. Missing doses can affect how well the medicine works.
Duration
This is a long-term treatment.
Tamsulosin begins to ease symptoms within days, but Finasteride takes 3–6
months to produce meaningful prostate shrinkage. Continue even if you feel
improvement early on.
Missed Dose
If you miss a dose, take it as
soon as you remember unless it is nearly time for your next dose. Never take
two tablets at once.
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5. Side Effects |
Common Side Effects
· Decreased
interest in sex (reduced libido)
· Erectile
dysfunction
· Reduced
ejaculate volume
· Dizziness
or lightheadedness on standing up (Tamsulosin)
· Retrograde
ejaculation (semen goes backward into the bladder, harmless but causes cloudy
urine)
Uncommon Side Effects
· Breast
tenderness or enlargement (gynaecomastia, Finasteride)
· Runny
nose (Tamsulosin)
· Headache
Serious Side Effects, Seek Immediate Medical Attention
· Intraoperative
Floppy Iris Syndrome (IFIS) during eye surgery, always tell your eye surgeon
you take this medicine
· Serious
allergic reactions (rare)
· Depression
or mood changes (monitor, especially if you have a history of depression)
· Prostate
cancer monitoring: Finasteride lowers PSA levels, your doctor must account for
this
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6. Contraindications |
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⚠ The following
patients should NOT use this medication: • Women and children, Finosin is for adult men ONLY • Women who are pregnant or may become pregnant must not handle
broken or crushed tablets, Finasteride is teratogenic to a male fetus • Hypersensitivity to finasteride, tamsulosin, or any tablet
excipient • Severe hepatic impairment • History of orthostatic hypotension
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7. Safety Warnings and Special Precautions |
· PSA
TEST WARNING: Finasteride reduces PSA (prostate-specific antigen) levels by
about 50% after 6 months. Always inform any doctor ordering a PSA test that you
take Finosin, failure to account for this could lead to missed prostate cancer
diagnosis.
· TERATOGENICITY:
Women who are pregnant must never handle broken or crushed Finosin tablets, Finasteride
is absorbed through skin and can cause abnormal development of the genitals in
a male fetus.
· BLOOD
DONATION: Do not donate blood while taking Finosin or for 6 months after
stopping, to protect any pregnant recipient.
· EYE
SURGERY: Tamsulosin causes Intraoperative Floppy Iris Syndrome (IFIS), always
tell your ophthalmologist you are on Finosin before any eye procedure.
· PROSTATE
CANCER: Finosin does not treat or prevent prostate cancer. Prostate cancer must
be excluded before starting therapy and monitored throughout.
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8. Drug Interactions |
Strong
CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir): Increase
Tamsulosin and Finasteride levels, use with caution.
Other
alpha-blockers (doxazosin, prazosin): Additive
blood pressure lowering, avoid concurrent use.
PDE5
inhibitors (sildenafil/Viagra, tadalafil): Additive
hypotensive effect, use the lowest dose of the PDE5 inhibitor and monitor
carefully.
Warfarin:
Finasteride may modestly affect anticoagulation,
monitor INR.
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9. Storage Instructions |
· Store
below 30°C in a cool, dry place.
· Keep
in original packaging, protect from moisture.
· Keep
away from women of childbearing age and children.
· Do
not use after the expiry date.
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10. Prescription Status in Kenya |
Finosin is a prescription-only
medicine (POM) in Kenya, for adult men only. A valid prescription from a
urologist, physician, or general practitioner is required. Available at
Pharmily with a valid prescription.
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11. Patient Guidance |
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💊 Key Points
for Patients: ✔ Take your Finosin tablet once daily,
30 minutes after a meal, try to make it part of your daily routine. ✔ Be patient with Finasteride, prostate
shrinkage takes 3 to 6 months, but Tamsulosin should begin easing your
urinary symptoms within a few days. ✔ Do not stop taking Finosin because you
feel better, stopping means the prostate will start enlarging again. ✔ Always tell any doctor or surgeon
(especially an eye specialist) that you are on Finosin before any procedure. ✔ Keep tablets away from women and
children, pregnant women must never handle broken tablets. ✔ You cannot donate blood while on this
medicine or for 6 months after stopping. ✔ If you notice any breast swelling or
tenderness, or changes in mood, tell your doctor.
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12. Pharmacist / Prescriber Notes |
Finosin is a generic dual
combination equivalent to Duodart but using Finasteride (5ARI) rather than
Dutasteride. Key counselling differences from Dutasteride combinations:
Finasteride's PSA suppression is ~50% (vs ~50-70% for Dutasteride), and
Finasteride has a shorter half-life. The PSA counselling point is critical, document
it at dispensing and communicate to the patient's GP/urologist.
Screen the full medication
list for CYP3A4 inhibitors (azole antifungals common in Kenya) and PDE5
inhibitors. The IFIS and teratogenicity warnings must be explicitly counselled,
not merely handed over in a package insert. Blood donation prohibition for 6
months post-cessation must be documented. If dispensing to an elderly patient,
assess fall risk from orthostatic hypotension, counsel on slow position
changes.
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13. Frequently Asked Questions (FAQs) |
What is Finosin used for?
A: Finosin is used to treat an
enlarged prostate (Benign Prostatic Hyperplasia) in adult men, helping to
relieve urinary symptoms such as difficulty urinating, weak flow, and frequent
night-time trips to the toilet.
How quickly will Finosin work?
A: The Tamsulosin component
begins relaxing the muscles around your prostate within a few days, easing
urine flow. The Finasteride component takes 3 to 6 months to gradually shrink
the prostate itself, so be patient and keep taking the medicine.
Will Finosin affect my sex life?
A: Some men experience reduced
sex drive, difficulty with erections, or changes in ejaculation. These effects
are usually mild and may improve over time. Discuss any concerns with your
doctor.
I am having cataract surgery; is Finosin safe?
A: Tell your eye surgeon
before any operation. Tamsulosin can affect how your iris behaves during eye
surgery (called IFIS). Your surgeon can take steps to manage this safely if
they know in advance.
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