Revivogen — Better than Propecia? – Hair Loss Information by Dr. William Rassman

Is possible that revivogen is better than propecia and finasteride?

http://www.regrowth.com/hairloss-remedy/revivogen/revivogenstudy.cfm

There is no scientific evidence that a skin application can get to the hair follicle with a DHT blocker, and as Revivogen is a topical and Propecia is an oral, therein lies the answer to your question. Revivogen does not block DHT the same way finasteride does. The study doesn’t show Revivogen working better than dutasteride or finasteride with actual hair regrowth or halting the progression of hair loss.

I really don’t understand why people would want to bother with unproven treatments and risk their progression of hair loss when there is an effective medication with great confidence that it will work (with scientific evidence to back it up).


Balding Forum - Hair Loss Discussion

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Headaches from Rogaine Foam? – Hair Loss Information by Dr. William Rassman

Hi, i’ve been using rogaine foam for about 7 1/2 months, and started using nioxin system 1 shampoo and coditioner. i’m starting to get a lot of head aches i think from the foam (since i think i’m using too much) and i’m not sure i’m getting much results, so i was thinking of starting using propecia, except it’s costly and i’m afraid of the side effects, seeing as i’m only 22, male. i heard the younger you are though, the less likely you are to have side effects from propecia, is that true?

i’ve been reading around and would like to only use .5mg, by cutting themin half. is it safe to just take a knife and cut them in half though? and i’ve heard using nizoral shampoo along with the foam is considered the “big 3″ and has shown a good amount of results for people, do you recommend using all three products?

HeadacheHeadaches may be from the hypotensive impact of minoxidil (Rogaine), which does drop blood pressure in some people. You may be using too much of it, or may just be too sensitive to it.

If costs on Propecia is too much, you can get a prescription for the genetic finasteride 5mg tablet and cut it into quarters. At our local Costco, the cost runs about $5/month for the 5mg generic. With regard to halving the dose, the financial solution to your problem is discussed already with the generic finasteride… and why take half when a full 1mg dose is better? Side effects are rare in men of all ages, but I don’t recall seeing statistics about side effects relating to age.

You can use Nizoral, but aside from being a good shampoo, I’m not sure it’s going to regrow your hair. If you’ve got the financial means to do so, you can continue to use all three products.

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Losing Hair is Like ‘Dying a Slow Death’! – Hair Loss Information by Dr. William Rassman

I have been gradually losing hair for the past 4 years. I don’t think I lose more than the “normal” 100 hairs per day, but the consistent shedding has definitely led to a receding hairline and a significant difference in density on top versus the sides and back. As I continue to shed on a daily basis, I worry and stress about getting to a point where my hair loss becomes very noticeable. It’s like dying a slow and painful death.

Is there any way to tell whether my hair loss will stop/plateau, or is it a foregone conclusion that I will eventually lose it all?

Hair deathYou aren’t the first person to use the analogy comparing hair loss to death. For many men, their hair is part of their identity.

As for being able to tell whether your hair loss will stop, well, this is what I’ve been referring to as miniaturization mapping. You use a microscope to examine your scalp… then do it again in 6-12 months to see how the loss is progressing. A physician should be able to tell from there where your hair loss will end. Taking medication like Propecia could likely help halt your loss at this point (if you are male), but this needs to be prescribed by a physician and with all of this information you should be able to develop a Master Plan with your doctor for your future hair loss possibilities.

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Take Propecia With or Without Food? – Hair Loss Information by Dr. William Rassman

Is it possible and/or safe to use propecia and minoxdil at the same time or is it not recommended to take these together. Additionally, if I take propecia, is there a recommended method of taking it – ie with/without food, empty stomach, without other medicines or vitamins.

Thanks.

You can use Propecia (finasteride) and Rogaine (minoxidil) together. It doesn’t matter if you take it with or without food.

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Hair Loss InformationI Want My 17 Year Old Brother to Take Propecia – Hair Loss Information – Balding Blog

Hello Dr.

I have a problem regarding my brother starting to lose his hair.He is losing his hair at a very young age (he is 17.5) I want to get him on propecia since he is nearly 18 but i am worried that even 18 years old is a little young to use propecia,do you think this is true? The reason i think it may be too young is that boys don’t stop growing until they are around 20 to 22 sometimes, and i am worried that DHT is needed for boys to develop into men.Do you think 18 years old is to young to use propecia and could it stunt his growth? I am really worried for him,please respond.

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You are your brother’s brother, not his doctor, so you can not be objective about the process of hair loss and its diagnosis and treatment. Assuming that he meets with a good doctor, gets examined for miniaturization, and gets a diagnosis of male pattern baldness (MPB), taking Propecia at 17.5 years old should not be a problem. The clinical trials and data are from men as young as 18 years old, and as you stated he’s nearly 18, he should be done growing anyway.

Maybe there is something else wrong? Perhaps he is not genetically balding, but just developing a mature hairline In any case, do what is right and in his best interests. Seeing a doctor should be step 1, as the medication is by doctor’s prescription.

Hair Loss InformationHow Important Is It to Take Propecia at the Same Time Daily? – Hair Loss Information – Balding Blog

How much does taking Propecia at exactly the same time each day matter? I try to take it within 10 minutes or so, but occasionally I am 2 to 3 hours late. I know you have said that the half life of the medication is only fours. By the time 24 hours passes, has essentially all the medication left the body so that if you don’t take it again at exactly the same time you are going that extra time without Propecia? Will taking it a few hours late cause a decrease in benefits?

Thank you for keeping up with this blog. It’s a great resource.

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It is not critical to take Propecia at the same time each day, but it does make sense. I take my medications in the morning so I develop a routine and do not have to remember if I took them. Maybe it’s my age. As long as you take it daily, you shouldn’t see any decrease in benefits by taking it a few hours later than the day prior.

Hair Loss InformationPrescription Holiday to Turn Side Effects Off? – Hair Loss Information – Balding Blog

Question re Propecia and Sperm Count. I take Flomax and Finasteride. Side effects are reduced libido and ejaculation. I noticed if I discontinue taking the pills, I regain libido and ejaculation volume in 3 – 4 days, although I had only been on these pills for three weeks. My question is, can I periodically take a “prescription holiday” and then resume medication after, say a week without risk of return of BPH? I.E. will the long term benefits of this prescription program remain in effect if I take periodic holidays?

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I am not a urologist, but I suspect that when the “flow problem” has resolved, you might be able to stop if for a week, but I would first check with your prescribing doctor for a more definitive answer.

Hair Loss InformationTopical DHT Blocker as Effective as Propecia with Less Side Effects? – Hair Loss Information – Balding Blog

An earlier question brought up an article about a topical DHT inhibitor at HairLossTalk:

The doctor interviewed in the article made some pretty impressive claims. Paraphrasing:

  1. His topical DHT blocker is as effective as Propecia as long as you could apply it to the affected area
  2. Downside of topical: It’s more of a pain to apply. It would be really difficult to apply to entire scalp, whereas Propecia blocks DHT everywhere.
  3. Upside of topical: it only blocks DHT near the scalp, having less of an affect on serum DHT levels. This decreases the chances of side-effects.

The claims seem to make sense to me, but this kind of stuff can sometimes be counterintuitive.

  1. Do you agree with his general evaluation of topical vs. serum DHT blockers?
  2. Do you have an opinion on the specific topical solution he is talking about?

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We have written about topical DHT blockers before here. The doctor in the article you referenced is a web-based provider of compounded, off-label medicaments for hair loss. The use of spironolactone has been a mainstay as a treatment for female hair loss when taken orally, but there is no real evidence that it works and many studies show the controversy, saying either it works or does not work. It is tied to the belief of the doctor, but you must keep in mind that doctors who recommend it profit from its use. When you take such medications and convert it to skin (topical) use, there is no guarantee that it works, if it is absorbed through the skin and just where the medication works (if it does work at all). It is easy to make such compounds and when a doctor puts his concoction into a cream or topical, there is an implication that it is safe and effective. Spironolactones are known antiandrogens and as such should work in men, but if taken orally, men will have significant secondary sexual side effects, such as loss of libido and problems with sustaining erections (when and if they get them). The question one should ask is whether this medication has sexual side effects. Without proper scientific studies, we really can not tell.

I never understood why men chase this stuff when the rare sexual side effects from Propecia (finasteride) have been measured. I would guess that if spironolactone was taken orally, they would dwarf the side effects of Propecia in men, yet men somehow want to experiment and may find themselves swamped with side effects or ineffective treatment losing valuable time on fixing hair loss with what is known to work. Topical spironolactone has a bad smell associated with it which is claimed to have been successfully addressed by this doctor, so I don’t know if this medication stinks from the aroma or its success and without good science behind it, it becomes a real gamble with the belief of one doctor who makes his living putting topical medications together.

Hair Loss InformationI Cut All My 5mg Finasteride Tablets At Once – Hair Loss Information – Balding Blog

Hey,
I read your post about not cutting finasteride ahead of time because it may make the drug less potent. I was unaware of that and have been cutting them ahead of time for the last 6 months. I am on my second cycle and cut them the day I get them. That would make some of my cut pills months old. Would this make the drug entirely ineffective? I am not sure yet if some hairs are miniatures or new ones, so I was beginning to worry. Thanks a lot for any response.

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The cut pills can absorb the moisture out of the air. The tablets have a coating on them that help extend shelf life and make them resistant to moisture, so cutting them one at a time before use won’t see any effectiveness problems. I don’t think your pills will be entirely ineffective, but certainly exposing them to the air without the coating isn’t how they’re intended. You’re running the risk of the shelf life being less than the date of expiration printed on the packaging. How much less effective can they eventually become? To be perfectly honest, I have no idea… but in the future, cut them as needed.

Hair Loss InformationTaking Proscar for My Prostate and Noticing A Smaller Penis When Relaxed – Hair Loss Information – Balding Blog

i was reading about the men who noticed after using dht blockers their penis felt tighter or smaller. its interesting, i am 43 and take testosterone due to low testosterone. i was given proscar to keep my prostate smaller because testosterone can sometimes enlarge the prostate. i switched to generic finasteride approx 2 years ago when proscar was too expensive. i also noticed a tighter feeling and smaller when relaxed only my erections are still rather tight and large.

but know this, i am rather large for my size my doctor always said i was in the top group for large penis size (i am not trying to brag i just want to explain all details). i still have large hard erections but i felt when relaxed i wasnt hanging as heavy and it was more tight. lately i added ginko biloba and ginseng and saw palmetto herbs and noticed the sag heavy feeling came back. those herbs increase circulation. what finasteride may do by blocking dht is slow blood flow to the penis, therefore resulting in its feel or size. but my question is, has anyone gotten off the drugs and did the penis go back to normal? thanks

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I have no studies to reference your question, nor have any of my patients reported a smaller penis from the finasteride. A limp penis is normal and it changes based upon what you do. Go into a cold shower and it will shrink even more. It seems to me that you are taking some control in what you are doing but really do not know what works, right?