Higher Strength Minoxidil – Hair Loss Information – Balding Blog

I got a prescription for Avodart here in the states.I will start today.I have read on the internet that there is a 12.5% minoxidil lotion and a 15% minoxidil cream that are better than the 5% you can buy over the counter.I want to start a new hairloss program but i want to make sure that im doing the best possible treatment for my hair.Are these stronger creams better or should i use the over the counter 5%.I have been depressed but i can not give up on my hairloss.Your input on this email will be very helpful!

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You can try higher strength minoxidil, but just be wary of the drug’s side effects like dizziness or skin irritation. I have no particular experience with 15% minoxidil, but if you want to try it, I have not heard anyone saying it is bad.

Hair Loss InformationShould I Be Proactive with Family History of Hair Loss? – Hair Loss Information – Balding Blog

Hello Doctor,
Thank you for your blog !
I have a few questions. I am 24 yr old male with no history of hair loss/thinning. But my dad started balding at 34. I have a full set of hair as of now but the chances seem high that I will eventually start losing/thinning. My brother is only 21 and he is already thinning. I was wondering if I should be proactive and start on propecia/minoxidil so as to delay/avoid the hair loss? What are the downsides to this (if any)? Will the fact that I take minoxidil or propecia even though I have full set of hair affect my hair in any negative way or initiate the process of hair loss ? Even if any of those medications grow further hair .. will I lose all that hair or even my original hair if i discontinue taking them? Please advise. Thanks!

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There is an old American saying “If it ain’t broke, don’t fix it”. That fully applies to you. You are correct to be slightly concerned at this time, so the best way to find out what will happen to you is to obtain a good hair doctor’s examination and get yourself followed yearly to detect the very first signs of miniaturization. You should not start treating it now, but if or when the process begins, then Propecia will probably be the best approach to preventing or slowing the process down, that is, unless another better drug comes on the market by then. It is not infrequent for generations to be skipped, so please do not obsess over the balding prospect.

Stopping Propecia When It is Working – Hair Loss Information by Dr. William Rassman

Hi I used propecia 3 years ago & it was very good for my hair growth, but for one year I couldnt find propecia and I lost my regrown hair. then I found propecia in my country and now I use it again, but it does not work for me. why?

Once you lose your hair, getting it back is difficult. In your case, it sounds like Propecia caught the hair loss early in the hair loss process. By the time you had resumed using Propecia, you’d already lost the benefits you gained by using is early in the hair loss process. You probably resumed where you would have been had you not started it at all so you now have a new baseline. In your case, you could not go back to where you were after the first course of Propecia. Transplantation sounds like your best option now, but a proper diagnosis needs to be made first.

Think about a car that rusts with time. If you keep it from rusting, it will stay rust free, but if you let it rust, then the rust is there and you just can’t take it away as if it never happened. In this metaphor, the rust is like your hair loss; you are the car. Now that the car is rusty, all you could do is to repaint it (or in the case of hair, transplant it to get it back). That is why I always tell people who I start on Propecia that they must never stop it, or they will experience what you experienced.

Too many men, after taking Propecia for a year, stop it thinking that it is not working, even though it stopped their hair loss. They come to see me a year later, crying over what looks like more hair loss than they had ever experienced, even dating back to the time they had started to take Propecia. It looks worse because they lose what benefit they got in a few months, then on top of it all, they continue on the march of progressive hair loss.

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Fear of Propecia’s Side Effects – Hair Loss Information by Dr. William Rassman

hi doctor,
Iam 22 years old male and my hair has been thinning for about 3 years. I took many medications especially vitamins ( biotine B5, zinc, Durance, Nutri-cap,……….), only the zinc had reduced the hair loss but not the thinning. I used minoxidil 5% but I had an excessive dandruff on my scalp ( even Nizoral didnt eliminate it. I didnt try proprcia since to its sexual sideeffects and others bad feedbacks about sexual disfunctions ( btw my friend had a bad reduction in his libdo and a raise in testesterone)….. Any advice please professor to any alternatives to stop my hair thinning.
Thanks and I appareciate your effort…

Just because your friend had a decreased libido with Propecia, does not mean that you will. If you try it and you don’t like it, you can stop it at any time and the problem will correct in a week or so. It is the BEST approach to hair loss in a young man, and there are no other proven therapies that work as well on young men. Alternatively, you can become bald, but then it you do, transplantation will be your only recourse.

Try it; you might find that Propecia is not a bad experience at all. Very few of my patients tell me that they feel anything at all on the drug. Some reported an increased sex drive. Men are highly suggestive, so if you truly believe that Propecia will reduce your libido, then it might do just that.

Doctor Refusing to Prescribe Finasteride – Hair Loss Information – Balding Blog

I am a 23 year old guy. I have been using minoxidil solution for past 6 months. I keep my hair short coz i feel my roots will have to bear lesser weight. Minoxidil 5% once a day was helping me for 5 months, then suddenly since in the past month my hair has become rough and has started falling out again. One of the dermatologist says that you should use minoxidil for 3 months… then stop usage for 1 month… then again use for 3 months… then again stop for 1 month. Does this sound ok to you?

He is not allowing me to use Finasteride 1 mg, because he says it can give impotency problems. And I’ve been losing hair from sidelocks too. I never knew this happened in male pattern baldness.

My dad is bald. He became bald at 28 due to side effects of medicines, but he always had thinning hair. My mothers side… all have thick hair, but on my dad’s side, although people are not bald, they have very thin hair (and many have cancerous disease on my dads side). My doctor still maintains I have male pattern baldness. Is there a way to test if this is male pattern baldness or something else?

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I am having problems with your dermatologist’s opinions. All doctors have a right to a medical opinion, but I am going to take a contrary view to his recommendation, because what he is telling you is not supported in the literature. Finasteride (Propecia) has to be the best hair loss medication for a young man (read the many blog questions and answers on this very subject). The decreased libido sexual side-effect is relatively rare (less than 2%) and if it were to happen, you could stop the drug and the problem would be gone in a matter of days. I strongly disagree with his opinion on Minoxidil and Finasteride.

The diagnosis of male patterned genetic balding is easily made with a densitometer (magnifying instrument used on the scalp) which will show the miniaturization of hair in the balding areas affected by the ‘defective’ genes. Diagnosis is first and foremost in your overall MASTER plan for your hair loss. A good doctor needs to perform this test and then outline the plan with you.

Proscar or Propecia? – Hair Loss Information by Dr. William Rassman

Hi Dr. Rassman,

I’ve just started using Propecia, and Minoxidil 12.5%, but have seen that Proscar has much more of the active ingredient for the same price. Would you recommend Proscar, and how come if it’s so much stronger, and better value for money, it’s not as popular?! Also I read about one of the active ingredients in Minoxidil burning the scalp Is this true? If I’m using Proscar which is 5 times the strength of Propecia, do I need to worry about minoxidil at all? I don’t really like having to apply the cream every night anyway! I do appreciate your time, & look forward to your reply!

Proscar is the 5mg version of Finasteride and Propecia is the 1mg version of the same drug. They do cost about the same and both require a doctor’s prescription. Many people buy the 5mg dose and then split it up. That is not very convenient, but there is no medical reason for me to tell you not to do it. The drug company’s studies show that for hair loss, the 5mg dose is just as effective as the 1mg dose, but the side effects go up as the dosage rises. So if you elect to take Proscar, be sure to use a pill cutter to reduce the dose so that you do not increase the possible side effects of the drug.

Minoxidil does have skin irritation as a side effect, but if you do not experience skin irritation of more flaking(or some of the other side effects), then you can continue using it. The old saying applies: Try it, you might like it!

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Hair Loss from Finasteride – Hair Loss Information – Balding Blog

Hello Dr.Rassman,
Like one of your readers I too am experiencing a drastic increase in the hair fall. I am on finesteride since last 3 months and I am shedding heavily. I am significantly more bald then I was 3 months ago and the rate of shedding is noticeably higher then any at other point in time in history. Should I stop or continue. I am in double mind. I tried minoxidil and there was exceptional growth in my frontline( like I had in my teen age) but the hair were fuzzy and not cosmetically elegant. No more than 3mm in length but pigmented. The side effects of itching and red skin and dark circle around eyes were too much for me to handle so I stopped it. Can you please do some research tell me please if I should continue with finesteride.? Thanks

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It is possible that you are going through hair loss that would have happened anyway. Hair loss has not been a reported side effect of Propecia. I would suggest that you stay the course for at least 8-12 months. If you elect to stop it, then do so carefully and consider restarting the Propecia within 1-2 months if the hair loss continues. I’ve answered a similar question a couple of weeks ago: Significant Hair Loss on Propecia.

Propecia and Rogaine – Hair Loss Information by Dr. William Rassman

HI DOC,
Thanks for the wonderful blog. Can you please post your opinion on the combination treatment of Propecia and Rogaine ?

Applying rogain twice a day is cumbersome for me. But I have started on Propecia since past 2 weeks. My derm tells me combo is a the best. I dont think I will be able to continue on Rogaine for longer than 3 months. Can I leave it after 3 months since I am already on propecia? how do you think it will impact my hair? Also How bout the option of 5% minoxidil once a day combine with propecia? My hair thinning/ some loss is 8 months old. Thank you!

The two medications have different mechanisms of action. Rogaine (Minoxidil) gets great results about 15% of the time, but does require twice daily use and has side effects of dryness and flaking. Some people get dizzy from the antihypertensive effects of this drug. Propecia (Finasteride) works in a much higher number of young men, so I tend to recommend it with little side effects. I’ve found that increased sex drive occurs in about 10% of men (it happened to me), a decreased sex drive in less than 2% of men, and a decrease in the occurance of prostate cancer in about 25% of men by a recent report.

I prefer starting on one first, usually Propecia, and then after a year if the goals are not met, I may start the patient on Minoxidil.

Viviscal – Hair Loss Information – Balding Blog

Are you familiar with Viviscal tablets & are they effective???

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Ah yes, another fancy name of yet another “miracle” solution for hair loss. In looking up this product on the internet, I found the following comment on the site of a Viviscal reseller: “Although he was thrilled that I was growing out my hair, my boyfriend was skeptical about this ‘miracle pill’ I was taking, and was worried that I was taking something with a ‘secret’ ingredient. To calm his concerns, I showed him the box and he read over the ingredients, then agreed that the cartilaginous seafood extract, acerola extract, silica compounds, microcrystalline cellulose, magnesium stearate, and natural black currant flavor were more than likely safe. When I convinced him I wasn’t experiencing any negative side effects, he seemed much more at ease with Viviscal and began to realize that I would have longer hair sooner than he and I had previously estimated.”

Ok, where is the science in this? Is this the best testimonial that the reseller could come up with — “my boyfriend thinks it’s safe“??

Some months ago, NBC News’ Dateline show had a story on the results of five balding treatments. One of these treatments was Viviscal. Dateline had a physician evaluate each of the five candidates prior to beginning their treatments, and then again in six months. The person taking Viviscal was the one with no growth. So while this may not have been a perfect double blind scientific testing process, the Dateline show made a reasonable effort to compare the five methods of hair treatment. While Viviscal may not have harmful ingredients, why spend the money (about $600 per year) on an unproven food supplement?

On a side note, as I looked over their site, what initially caught my attention was that the male model shown in their site design is bald. That may have nothing to do with anything, other than the tastes and aesthetics of the web designer, but I thought it was a little strange to promote a hair product and showcasing someone with shaved head. The company seems to reflect more of an entire hair product line, rather than a treatment for hair loss. So when you ask if it is effective, I can only say that it may be effective as a good shampoo (I do not have any first hand knowledge) and the other products in the family line may be ones of personal choice. With the included ingredients (Water, Sodium Laureth Sulfate, Lauryl Glucoside, Cocamidopropyl Betaine, Pisces, Panthenol, Betaine, Lauryldimonium Hydgroxypropyl, Hydrolyzed Wheat, Protein, Sodium Chloride, Citric Acid, Propylene Glycol, Disodium Edta, Diazolidinyl Urea, Methylparaben, and Propylparaben), I do not believe that these components individually or in combination should accelerate hair growth or prevent hair loss.

Changing Hair Characteristics – Hair Loss Information – Balding Blog

hello i am 19 and i noticed that me hair was thining last year while i was a freshman in college. i also started to notice that the hair on the side of my head and in the back some wouldnt grow as fast and became very curly and dark.i was wondering if this would have somthing to do with the thinning. it was just kinda weird to have 2 differnt kinds of hair on my head. i started taking propecia about 4 months ago and started to notice results within the first 2 weeks, no more hair falling out. i was wondering since the hair loss was so sudden as was the curly black hairs if this could have something to do with a chemical inbalence of somekind. i was thinking maybe thyroid or somthing. if u have ne advise i would be happy to hear it. thanks

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It sounds like you are experiencing male patterned genetic hair loss and the Propecia has started to reverse it. Wait for a full 8-12 months and you may find that the hair will return to your normal thickness. Get a working diagnosis from a doctor with a good microscopic assessment, so that you are not blind to the things that are going on. You will want some ‘metrics’ (numbers) on the amount of hair miniaturization you have before the Propecia takes full effect, so that you can gauge the changes over time. You should have a Master Plan for the many years you have in front of you, so that as you age and your hair loss problems progress, you will have a better idea of what your options are. For more information on a Master Plan, see the NHI Master Plan page.