Can I Take a Half Dose of Propecia if I See Side Effects?

Hi, Doctor Rassman,
Im a 27 year old male,my hair has been thinning since I was 23.I still got hair on top and at the front but is thinning on the crown. After tried herbal remedies like Provillus (waste of time and money, honestly) and tried different topical lotions like Revivogen( the same as Provillus,waste of time and money.) Please guys don’t even think about this kind of products,they don’t work!!!

I just decided to try Propecia after a year of research,Im still bit scared about the side effects but I think I’m going to give it a go and see if it works for me. My question is: is possible to take a dose of 0.5 daily in case I get any of the side effects? Is this safe an effective?

Thanks

You should take 1mg of Propecia (per your doctor’s prescription) and if you develop side effects, you can cut the dose… but going the other way makes no sense. 99% of people do not get sexual side effects addressing sexual performance. Why would you assume you are in the 1% group of the population?


2009-05-14 15:04:09Can I Take a Half Dose of Propecia if I See Side Effects?

My Wife Has Alopecia — Will Our Children Have this Disease, Too?

Dear Sir, My wife is 1 month pregnant . She is alopecia patient & complete bald since at the age of 5 years old. Her 2 other sister are also bald and having the same disease. They all wear wigs.. But her parent is having full grown hair.

My worries is that will it affect our future children ? Will my future child inherit this disease from her mother. how can i be assure for that. What test can be done to confirm it. Please advice.

Regards

Alopecia totalis sounds like the diagnosis and in one form of inheritance, the problem starts appearing in the very young at between 3-4 years old. Once the process starts, all of the hair falls out within months. Angela Christiano, Ph.D., of Columbia University in New York researched this in a town in Pakistan where the population was inbred. She found that many of the children in that town lost their hair at ages 3-4 and it fell out in a distinct pattern. She took samples of their genes, and tested them at the university, finding a connection between their disease and some of the genetic patterns in our more common form of alopecia areata, a disease which she has. Your child may very well inherit the condition. See our previous post on this subject here.


2009-01-26 15:36:23My Wife Has Alopecia — Will Our Children Have this Disease, Too?

Can I Use Rogaine Liquid at Night and Foam in the Morning?

Hi!

I am 25 and have been using rogaine since i was 20…the foam worked great having used it twice a day however it seemed to be ” lacking” recently and with instructions from Dr.Bernstein in NYC switched to the liquid only at night time. Few questions:

1. Can i use foam in the AM and liquid at night?

2. Does PG help with hair growth? I just went through a new shedding stage and am assuming that was weak hair falling out.

3. Any vitamins to help with hair loss? I take the standard multi but wonder if there is anything more or shampoos to block DHT? Ketoconazole?

Thank you

Yes, you can use the foam and liquid on the same day.

As for “PG”, I assume you mean propylene glycol. It is included in minoxidil to help the medication penetrate the scalp (see here).

Some people use ketoconazole with hopes of treatment help in the battle against hair loss, but I’ve got mixed feelings about it (see here).

I Had My Neck Hair Pulled Out, so I Started to Use Minoxidil, Which Seems to Be Working. Should I Continue to Use It?

If you are seeing results, keep using it. The hair, once grown, may become dependent upon the Minoxidil, or it may be the original hair returning. It could be difficult to tell the difference. Hair pulled out often returns in the first 6 months after being pulled out.


2018-05-23 08:43:03I Had My Neck Hair Pulled Out, so I Started to Use Minoxidil, Which Seems to Be Working. Should I Continue to Use It?

Can minoxidil cause sexual side effects

Can Oral minoxidyl or high dose of topical minox cause sexual sides like low libido or ED?

no, these are not know side effect for minoxidil


2020-11-04 09:56:55Can minoxidil cause sexual side effects

Negative Impacts on Hair Growth?

Can the Drug Propranolol Cause Hair Loss?

I was wondering if my hair will grow back after stopping Propranolol and how long will it take to get back to where it used to be?

Yes, this drug, as most drugs, can cause hair loss. Stopping it will probably prevent the progressive nature of the hair loss caused by the drug and may reverse the hair loss.


2018-06-22 05:53:10Can the Drug Propranolol Cause Hair Loss?

New Hair Loss Gene Finding, APCDD1

I’ve received quite a few emails in the past day or so about the news of a hair loss gene finding that was announced. Thanks to all the readers that sent in links.

Here’s a snippet from one of the articles:

Researchers have found a gene mutation which leads to thinning hair and which can even start taking effect in childhood. The gene, APCDD1, causes hair follicles to shrink, leading to thinner hair. Now the team at Columbia university hope the findings could help discover new ways to treat the condition.

The condition leading to thinning hair is known as hereditary hypotrichosis simplex and the researchers believe they have pinpointed the gene behind it. However the scientists the cause of the more common male pattern baldness, which affects most men at some point in their lives, remains elusive.

Read the rest of this article at Telegraph UK. And here’s a couple other news links about this — CNN and WebMD.

I wasn’t involved in the research so there’s not much I can add beyond what these articles have already mentioned. It is an interesting finding and I am pleased that there is ongoing scientific research into the cause and the genes for hair loss. Unfortunately, as Dr Angela Christiano (lead author of the research) notes, “The gene we discovered for hereditary hypotrichosis does not explain the complex process of male pattern baldness.

One thing I am particularly happy to read about is that they discuss the miniaturization of the hair follicle, which is a process that needs to be quantified as a miniaturization study when diagnosing balding patterns (as we have stressed here on this site for many years).


2010-04-16 14:13:38New Hair Loss Gene Finding, APCDD1

Can I Regrow My Temples With Propecia or Rogaine?

This is probably a dumb question to ask but I don’t understand balding. I have thinning hair and possibly new regrowth on my temples. I’ve read that your hair thins out slowly until that area stops producing hair.

So my question is should I be expecting finasteride, and minoxidil to help keep those thin hairs and possibly thicken them or should I be expecting that area to be bald shortly. There’s so much conflicting information when it comes to thinning hair that I’ve read online and I’d really just like to know if I’m going to keep those hairs or lose them so I can stop stressing over it.

I’m a 22 year old male if it makes any difference.

Hair loss or balding in men is mainly due to genetic predisposition/ inheritance. It may not follow an exact father to son path but it is nevertheless a genetic trait. There are medications such as Propecia or Rogain to address the genetic male pattern balding and it works better in some men. However it does not stop or reverse the balding completely. Eventually your genetic balding pattern will take shape. Many men take these medication to slow the process down and some have great results. The bad news is that the medications do not work for the front hair line or front corner / temple hair loss in (what I would guess to be) roughly 95% of men. They also do not work in the temple peaks. Only a hair transplant offers this solution.


2015-01-09 09:49:06Can I Regrow My Temples With Propecia or Rogaine?

Nexium and Hair Loss?

Dr. Rassman,
Thank you so much for your answer concerning the two shoulder injections of cortisone!
I also have acid reflux,& had taken nexium, but stopped it after noticing hair loss more accelerated than usual. Are you aware of any hair loss associated with Nexium, as this drug seems to work best with GERD, & will regrowth occur after suspension? Also does regrowth generally occur with hair lost to seborrheic dermatitis, if treated? Thank you again for your prolific insight!

Nexium can cause hair loss, though it is a rare side effect. Seborrheic dermatitis rarely produces hair loss unless you scratch it and produce traction alopecia by continuously pulling at your hair.


2006-05-25 08:52:26Nexium and Hair Loss?