Interactions

Hair loss medication interactions

Plain-English clinical answers to the most common drug-drug and drug-test interactions involving hair loss medication and the supplements we range. BNF and UK Summary of Product Characteristics sources cited on every page.

Interactions covered

CAUTION

Finasteride 1 mg and PSA (prostate-specific antigen) test

CAUTION: finasteride approximately halves measured serum PSA at the licensed 1 mg dose, so any PSA value taken during finasteride therapy must be DOUBLED for in...

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AVOID

D-Biotin (Vitamin B7) and Thyroid function tests (TSH, free T4, free T3)

AVOID taking high-dose biotin within at least 48 to 72 hours of a thyroid function test (TSH, free T4, free T3) because biotin can produce falsely high or false...

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CAUTION

Iron with Vitamin C (or any iron salt) and Levothyroxine

CAUTION: oral iron reduces levothyroxine absorption. Separate doses by at least 2 hours (UK SmPC); NICE and BNF guidance commonly advises at least 4 hours....

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AVOID

Vitamin K2 (MK-7) and Warfarin (and other coumarin anticoagulants)

AVOID starting Vitamin K2 supplementation without specialist review if you are on warfarin or another coumarin anticoagulant. Vitamin K antagonises the mechanis...

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ASK PRESCRIBER

Finasteride 1 mg and Testosterone replacement therapy (Testogel, Tostran, Testavan)

ASK PRESCRIBER: combining finasteride with testosterone replacement therapy (TRT) is a deliberate clinical strategy in some hair-loss cases on TRT, because TRT ...

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