How can I minimize or eliminate Finasteride’s side effects?

The best way to minimize effects are as follows:-limit dosage to every other day or lower dose if concerned-switch to topical formula with retinoic acid such as Formula82F (retinoic acid helps penetration)-consider use of alternatives including growth factors / prp/ etcBest, Dr. Anil Shah

There isn't a way to eliminate side effects, however the chances of side effects is low. I suggest seeing a hair loss expert now to go over your condition and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone and/or hair transplantation. See an expert. Best, Dr. Emer

The chances of experiencing side effects on Finasteride are quite low, however the best way to eliminate all side effects is to stop taking Finasteride all together. You can also choose to minimize the dose of Finasteride, although this may also reduce the effectiveness. 

The only way to really eliminate side effects from finasteride is not to take the drug. The chances of side effects with oral finasteride are low and in the order of 1-2 %. Nevertheless, all men need to be aware of the possibility of sexual dysfunction, mood changes, gynecomastia and other potential side effects as well. The chances of side effects tend to be depenent on the amount of finasteride absorbed into the blood stream which in turn affects the degree of reduction in DHT. Reducing the dose to 0.5 mg or 0.25 mg or taking every other day can reduce side effects but may slight impair effectiveness as well. The other way to minimize finasteride side effects is to consider topical finasteride applied to the scalp. Absorption into the blood stream may still occur (and systemic DHT levels are still reduced) but side effects are less. Studies also show that a broad and objective understanding of the drug, its proper use also reduces side effects. Anyone wishing to minimize side effects should have a thorough discussion with their physician.

Some men have been successful by reducing the dose to as small as 0.25 mg daily which is 50% as effective as the full dose