Finasteride not working!

So I was on fin for around 1 year and then stopped for 2 months and have started again for 2 months (present day) and my hairline is progressively getting worse.

Finasteride doesn’t work for everyone but it often slows or stops the hair and as long as you can accept that, it is better than losing it

When I Stopped Minoxidil, I Lost My Hair. Now I Am Starting Finasteride. Is That the Right Thing to Do?

These two drugs work differently, and when properly managed, they can work together, complementing the value of each drug. Your response to Minoxidil sounds great, so it may be reasonable to expect that you may not get the same effect on Finasteride without going back on Minoxidil.


2018-05-18 09:02:42When I Stopped Minoxidil, I Lost My Hair. Now I Am Starting Finasteride. Is That the Right Thing to Do?

Finasteride side effects?

How long after stopping finasteride did it take to recover from sides?

Everyone seems to take a different amount of time to reverse finasteride side effects when stopping the drug. The range in my experience relates to how long you have been on the drug. The range is between 2 – 16 weeks.

Stopping minoxidil and finasteride

Is it possible to keep some of the growth you had if you stop minoxidil and/or finasteride? Or will it eventually fall back to where you started initially?

Any improvements depend upon continuation of these drugs. Stopping them, causes catch up hair loss

Finasteride for women who are young enough to get pregnant

I just started taking Propecia and debated it for years. I started to feel the brain fog / dizziness after day one but I’m going to continue taking it to see if I stabilize if the symptom is just in my head from all these horror story posts I’ve read. I’ll update to let you know if it goes away over time. Although I am on birth control pills and have already messed with my hormones, would finasteride still be safe for me in treating my hair loss?

If you are a woman young enough to have children (even if you are on birth control pills), you should not use finasteride (Propecia) as if you were to get pregnant because the birth control pills failed you, you could have a child with sexual developmental problem while you carry the baby. This is not the case for men who father children who take finasteride. If for any reason you could not have children (example had a hysterectomy), the this drug is not risky for women.


2017-05-08 20:40:11Finasteride for women who are young enough to get pregnant

Stress, heart attack and hair loss

My hairline has been receding for a number of years, I am now 62 and recently had a heart attack. It seems to me that the hair loss has accelerated since that trauma. My hair now has sort of a trough down the middle that was not there before but it was thinning. My question is: Can a heart attack cause acceleration of hair loss and can hair replacement techniques be employed to reverse it? Thank You

A heart attack or any significant illness with its associated stress can accelerate hair loss. You can meet with a doctor who specializes in hair transplantation to see if there is something that can be done for this that meets your agenda.


2017-08-18 13:29:35Stress, heart attack and hair loss

First patient identified taking 0.625mg oral minoxidil daily and developed Pericardial Effusion

Dr. Robert Haber had a 67 y/o female patient for two years and she was taking 0.625mg minoxidil/day. She was in a minor fender bender accident with no evident physical damage or harm from the accident and no airbag deployment. She developed chest pain and in the Emergency Room after an extensive examination demonstrated that she has a pericardial effusion (‘water around the heart in the heart sac’). The doctors did not connect the accident and the cardiac problem identified, but knowing that oral minoxidil can produce this complication, her minoxidil was immediately stopped. Slowly the effusion subsided. This is a warning that a is known complication of minoxidil on higher doses. It was previously thought that doses 2.5 mg or less per day was safe from this complication. This may not be the case even at doses under 1mg/day. This is a risk everyone taking minoxidil should know about.

Now with that said, it is possible that this patient could have had Covid which is known to cause pericardial effusion. Even the vaccine has, in rare cases, caused pericardial effusion so maybe, just maybe the pericardial effusion was from another cause other than minoxidil. Here is an article that suggests a connection with Covid and pericardial effusion: https://www.statnews.com/2021/06/10/officials-higher-than-expected-heart-inflammation-cases-covid-19-vaccination/


2021-06-16 12:33:09First patient identified taking 0.625mg oral minoxidil daily and developed Pericardial Effusion

Styling After a Hair Transplant

Hello doctor

I see a lot of HT photos, a lot of the patients seem to have their hair up and raised back like they’ve been in the wind. Is that just the way they style it? If I was to have a HT I’d want my hair down towards my eyebrows..

Is every patient different?

Regards

Hair normally grows forward in the front (parallel to the ground when standing upright). As one moves back from the frontal edge, the angle starts to change with hair pointing a few degrees upward until it reaches the front of the crown, where the frontal pointing hairs are about 35 degrees to the ground. So you see, the hair when placed by the surgeon is never placed perpendicular to the horizon. At the crown, the hair changes direction in a circular pattern (swirl) and as you look further back, eventually the hair points down and away from the front.

What you see in our patient photos reflect each patient’s styling (or lack of it), not something we do. I always put the hair back in the direction it would have been had they never lost hair and depending where I am working on the scalp, the rules I discussed above are followed with every hair placed by me. Patients generally like to play games with their hair and although a few comb it forward, most do not. Some comb it to the side with a part on one side, others comb it back with some product that they apply to the hair. Some just let it stray, taking on the character of the hair itself. If the hair is curly, then the natural state will look less groomed than if it is straight or has a nice wave to it. If you want to comb it down to cover your forehead and point to your eyebrows, you can do that also.

Every patient is different and the results we get depend upon texture of the hair, density at the area we are looking at, thickness of the hair shafts, the degree of curliness (or lack of it with very straight hair). But the hair transplant you get will be your hair, and it will bring all of its characteristics that are present in the back of the head where the hair grafts are taken.

Follicare and Propecia

Is it ok to take propecia and follicare together, since there is a vitamin you take when using follicare

I have reviewed the “supplement” listed at the Follicare website for ingredients. I can say, right off, that they seem to have put everything but the kitchen sink into the product. I do not believe it will be harmful if taken with Propecia.


2006-11-14 14:34:10Follicare and Propecia

Suicide from bad hair transplants

I am devastated. Three days ago one of my patients, who had been badly operated on in Turkey, committed suicide. I had seen him in emergency following his bad operation and had proceeded to remove part of the grafts. I saw him again via skype a few days ago and he exclaimed “my savior” …. There was still work to be done and I was enthusiastic about the idea of completing the correction work….
This isn’t the first time I’ve heard about suicide from patients who’ve been badly operated on, especially when it comes to beards. It’s a terrible ordeal for them to have this bad work in their face. I have a terrible grudge against all those who work badly and who shamelessly and remorselessly ruin the future of young men….

I had a long talk with his parents this morning. They explained to me that their son was consumed with remorse at having been taken in by dishonest people. The sad thing is that correction was possible. He was very concerned about the depletion of his donor area. And he asked me to bring as many grafts as possible to the scalp donor area. The first part of his correction went smoothly, with very good healing of the face, but the feeling that he had mortgaged his future was stronger. He left a long, beautiful and dignified letter which I was unable to read, but which comforted his parents. I think it would indeed be good for the ISHRS and for fight to fight to do an in memoriam to give an example of the psychological risk a patient can take by putting himself in non-expert hands.

Dr. Rassman’s comments: In the early to mid 90s, I had three patients that were suicidal as a result of the big plugs that they received for a hair transplant. In those days it wasn’t Illegal Clinics in Turkey, it was American and European doctors that did the deforming surgeries. One young man who committed suicide, Affected me greatly. I Remember talking to his parents before the suicide trying to work with them and comfort him. I offered my services free of charge to fix it. But he couldn’t deal with the stress and prior to the scheduled surgery with me, when he was about to fly out to see me from Ohio, he committed suicide. The family called me to thank me for my efforts. It didn’t make me feel better. The other two got help that I arranged for them. None of these three patients were in California where I practiced. A forth developed Alopecia Areata within a week after his Hair transplant. Dr. Ron Shapiro and I worked with a psychiatrist and prevented the suicide arranging 24/7 care for him after he was properly medicated. He did fine. Bad surgery is not confined to Turkey Black Market Clinics, it happens in our own back yard with poorly trained surgeons offering hair transplants without understanding the fundamentals. Shame on them.