Author: Dr. William Rassman

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Adding Avodart Once a Week to My Daily Propecia?

Doctor Rassman, I am sure you get this questioned asked alot, but in your opinion as a hair restoration expert, do you think by adding 0.5 mg avodart once a week to a every 1 mg propecia regimen can make a difference in loss of hair or even gain?

There was a study of a an individual who took one avodart pill once a week to a propecia everyday regimen and he saw substantial growth. The study was only on one person, but its not a conicidence that it happened when he added the low dose of avodart once a week? or do you think avodart and finasteride at the end of the day still produce the same outcome? I know at the 2.5mg it produces the best results, put more of a high side affect profile, and very expensive.

Both Avodart (dutasteride) and Propecia (finasteride) work in a similar mechanism by blocking the formation of DHT, but I have often stated that treating androgenic alopecia is not only about blocking DHT. I do not believe if you block DHT 100% you will stop or reverse the balding process.

I’m not sure which study you’re referring to, but if it was an anecdotal report on ONE patient, it isn’t something I would put a lot of stock into. Please note that just because there is study results available, it doesn’t necessarily make it the golden truth. Now with that said, many doctors believe Avodart is a better medication for stopping hair loss than Propecia, but I am concerned about sexual side effects and the few reports of sterility that came from Avodart.

A few patients that I treated with Avodart did get a response after Propecia stopped working as well for them. That is as much as I know. I couldn’t tell you if adding a single Avodart dose per week will make a difference, though.

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Adderall and Finasteride Interaction?

Do you think a stimulant like Adderall can interact with finasteride in an undesireable way? I have been on finasteride 1mg a day for 6 months with no problems and great results. I started using Adderall for ADHD and I reacted very severely. I lost a huge amount of hair, broke out with acne, started to sweat, grind my teeth at night, and have testicle aches. From what I’ve read and from people I’ve talked to that isn’t common. Is the fact that finasteride and Adderall both influence what your hormones are doing in your body a reason to believe they were a bad combination?

Thanks.

We get questions like these all the time. What you are describing sounds pretty severe, so I would consult with your doctor and follow up on your symptoms to figure out what is going on. The internet is a great source of information, but be warned that it is also a source of misinformation. Talk to a professional in person — best to talk to a caring and competent doctor.

To answer the first question though… no, these two medications do not interact.


2010-09-23 14:57:53Adderall and Finasteride Interaction?

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Added dermaroller to finasteride treatment (photo – from Reddit)

After years of using Finasteride + Minoxodil, my thinning got worse in January. So I added a dermaroller 1.5 mm every 7-10 days. Major progress in 6 months!

Nice improvement. There is no doubt that the use of a dermroller induces wound healing which brings on hair growth to those who recently lost the hair. Add that to the finasteride that held on to your hair, and you are a fortunate man.


2020-06-12 23:18:25Added dermaroller to finasteride treatment (photo – from Reddit)

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Add at Ankara Airport Turkey

These owls may be doing the surgery as their cost per hour is low! That $0.11/graft. Do you think that it will be sterile by a technique or done by an experienced surgeon? That includes hotel and airport transfers. Is this too good to be true?


2019-09-21 06:44:53Add at Ankara Airport Turkey

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Adderall or Ritalin — Which Is More Likely to Cause Hair Loss?

Between Adderall and Ritalin, which of the two would be most likely to cause alopecia? I know this is a loaded question. Thanks drs

There’s no way for me to know that. Adderall’s safety label was updated last year to include alopecia, and there are some reports of hair loss associated with Ritalin as well… but these are likely rare. I don’t generally prescribe either medication, so perhaps your doctor might be more familiar with them.

For men, the most common cause of hair loss is due to genetics (not medication).

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Aderans Research Institute’s Presentation from Stem Cell Meeting on the Mesa

hello dr
what do you think about this video: YouTube

This is Aderans Research Institute’s presentation from Stem Cell Meeting on the Mesa (a stem cell conference) about a method of cellular hair regeneration that they’re calling Ji Gami. It was posted a few days ago, but the audio is extremely low and it is difficult to hear, so I’m not going to be able to comment on the actual content of the video. I’m just posting this for those that might have better speakers and some interest in their research.

I’ve embedded the video here:

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Aderans Says Follicle Neogenesis Will Likely Be Available Before 2010

I found this quote on the Aderans website. You have probably read this before.

“Follicle neogenesis, a bio engineered hair loss solution, is not many years away; in fact, it is likely that before the end of this decade patients will have access to hair multiplication technology.”

Do you belive that before 2010 we will likely have hair regeneration?

Thank you!!!

I have not heard much about the progress of Aderans from my sources in the industry in recent months. I imagine I might learn more at the International Society of Hair Restoration Surgery (ISHRS) meetings next month. A number of years ago, I was told that it would be out in 3-5 years, and now that time has passed. Optimistic views are the way new businesses fund themselves and justify the research. There is a tendency to be aggressive when predicting timelines. I will try to report to the readership on this blog after the meetings next month.


2006-09-21 08:41:21Aderans Says Follicle Neogenesis Will Likely Be Available Before 2010

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Addison’s Disease and Propecia?

Hi I’m 30 and suffer from Addison’s disease. I’ve noticed over the past 3 years my hairs been getting thinner and thinner and I want to do something about it. Propecia seems like a good starting point…. only problem is I have this rare endocrine disease and am worried about serious side effects. Should I be worried? Should I try rogaine instead? Many thanks.

You should first see a doctor for an examination and a diagnosis of your hair loss cause. You shouldn’t just jump at trying different medications/products blindly. You can also ask your endocrinologist about your concern with Propecia (finasteride 1mg). First and foremost, make sure your hair loss is due to genetics if you’re even considering Propecia.

I have seen many patients with hormone disorders (though not Addison’s disease specifically) and there is no reason they cannot be on Propecia that I can think of. But even to my own patients, I always advise them to check with their endocrinologist first.

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Addressing Post Finasteride Syndrome (PFS) from Reddit

You said “The best way to avoid it is if you are taking finasteride and have significant eD, then stop the medications before it goes on too long.” That is not an effective risk management approach to avoiding post finasteride syndrome. Once a patient decides to take the drug, they should be aware that they are taking on a risk that they may permanently develop post finasteride syndrome. Your post creates the impression that they have the ability to minimize their damage once they start taking the drug which is not true.

I can only go by the experience of a small handful of doctors in the field who are honorable which probably represent experience with well over 50,000 patients combined together. We all stop the finasteride if the ED can’t be addressed by reduced dosages. In our experience of 50,000+ patients, we have never seen PFS in our practice.


2019-10-24 10:11:40Addressing Post Finasteride Syndrome (PFS) from Reddit