“Study shows that children exposed to smoking at home have more deposits in the carotid artery as adults. Passive smoking is known to endanger health. This is particularly so for the offspring of smokers. Children who are exposed to their parents’ smoking have a considerably higher risk of developing cardiovascular diseases as adults. That is the main result of the “Cardiovascular Risk in Young Finns Study” presented in the Journal “Circulation”.”
One Propecia in the Morning, One Propecia at Night?
Dear Dr. Rassman,
I know there is no standardized evidence to say one way or another, but in your opinion is 2 mg of Propecia (1 mg taken in the morning, 1 mg taken at night) more effective at preventing hairloss than 1 mg Propecia?
The reason I ask is I have been taking 2 mg Propecia daily for almost 3 years now, and have started to experience “clumpy” semen and painful ejaculation. I am thinking this is due to a side effect of Propecia. I am kind of in a dilemma now because I don’t know if my fight against hairloss will be affected by cutting down the Propecia to 1 mg or altogether. I am 26 yrs old and single so hair is very important to me.
Thanks Dr. Rassman!
I would reduce the dose of Propecia to 1mg taken in the mornings. The higher the dose, the more side effects you are likely to see. The 1mg dose has been shown to be just as effective as higher doses in the formal studies of drug dosing done by the manufacturer. I recently saw a patient with a similar complaint, and he halved the dose and the side effects went away. He was taking 1mg and reduced it to half a pill of Propecia, which has been reported to be about 80% as effective (0.5mg vs 1mg). In your case, you’re taking too much of the medication to begin with. 1mg a day is fine.
2009-04-10 12:31:472009-04-09 09:05:25One Propecia in the Morning, One Propecia at Night?
Class 5A before and after 5 months on finasteride & minoxidil
I would like to believe that this Class 5A patient achieved a complete reversal of his hair loss on finasteride and minoxidil use over a 5 month course; but I can’t believe it because the hair growth to long hair alone can account for the change in this picture. This man, if he wants to be fair, needs to show comparable hair cuts and comparable views.
2021-07-02 01:34:562021-01-15 10:39:33Class 5A before and after 5 months on finasteride & minoxidil
Only 4% of men get sexual side effects from finasteride?
Only 4% of people have sides? That sounds low. But, everyone online is talking about the side effects and how dangerous the drug is.
If you sat on a nail, you would remember it and every time you sat on a chair you would check for a nail. But sitting on a nail is very very very rare, not as rare as side effects from finasteride but those who have them are like the guy who sat on the nail, get it?
2020-01-13 03:22:472020-07-21 13:24:17Only 4% of men get sexual side effects from finasteride?
Clonazepam and Hair Loss
I currently take a medication called clonazepam (0.5 mg) once or twice daily as a muscle relaxer. I have been taking this medication since I was 19 or 20 (I am now 28). Could this be a cause in my thinning hair? I do not have a history of men or women balding in my family. My father has a full head (really full) along with both my grandfathers. My hairline is moving back more each year and my hair is all around is thinning and i am extremly worried. I do have a large amount of stress in my life and always have…but is it possible that hair from stress can grow back? I am extremly frusturated and baffled as to why my hair is thinning…If it is the medication, I am willing to get off of it with the consent of my doctor.
Thank you for your time.
Many drugs can cause hair loss, including Clonazepam. Before considering a drug as the source of your hair loss, you should also consider other medical causes. You should see your primary care doctor for a good examination and possible blood work to find a possible medical cause.
In address to the relationship between stress and hair loss, it is well known that stress can accelerate genetic hair loss as it unfolds over time. You discuss the movement of your hairline higher on your head, so I would wonder if this is the normal recession of maturing found in most men (the hairline goes up about 2/3rd inch in the middle and 1 or 1-1/2 inches in the corners). Sounds like you need an expert to evaluate the hair loss as well as your family doctor to assess your medication routine. The question an expert will is address is if you have a genetic component adding to the other factors causing hair loss or are you just seeing a maturing hairline in development. As you indicated you are in Los Angeles, you are invited to visit my LA office for a free consultation. You can call 800-NEW-HAIR to make an appointment, or request additional info via the NHI site.
2006-04-13 10:35:352006-04-13 08:20:01Clonazepam and Hair Loss
Oral vs Topical Minoxidil in female pattern hair loss
Pharmacology and therapeutics
Female pattern hair loss: a pilot study investigating
combination therapy with low-dose oral minoxidil and
spironolactone
Rodney D. Sinclair1,2, MBBS, MD, FACD
Abstract
Background Minoxidil and spironolactone are oral antihypertensives known to stimulate hair growth. Objective To report on a case series of women with pattern hair loss (PHL) treated with once daily minoxidil 0.25 mg and spironolactone 25 mg. Methods Women newly diagnosed with a Sinclair stage 2–5 PHL were scored for hair shedding and hair density before and after 12 months of treatment with oral minoxidil 0.25 mg and spironolactone 25 mg. Results A total of 100 women were included in this observational pilot study. Mean age was 48.44 years (range 18–80). Mean hair loss severity at baseline was Sinclair 2.79 (range 2– 5). Mean hair shedding score at baseline was 4.82. Mean duration of diagnosis was 6.5 years (range 0.5–30). Mean reduction in hair loss severity score was 0.85 at 6 months and 1.3 at 12 months. Mean reduction in hair shedding score was 2.3 at 6 months and 2.6 at 12 months. Mean change in blood pressure was 4.52 mmHg systolic and 6.48 mmHg diastolic. Side effects were seen in eight women but were generally mild. No patients developed hyperkalemia or any other blood test abnormality. Six of these women continued treatment, and two women who developed urticaria discontinued treatment. Limitations Prospective, uncontrolled, open-label observational study. Discussion Once daily capsules containing minoxidil 0.25 mg and spironolactone 25 mg appear to be safe and effective in the treatment of FPHL. Placebo-controlled
Combining finasteride and dutasteride
I’m about soon to reach two years of Finasteride (1.25 mg per day) usage. My hair loss has continued and I now have a diffused crown, which I did not have when I started the treatment.
I’m gonna reach out to my doctor and ask for a prescription of Dutasteride.
It would be great if someone with more experience than me could introduce me on how to add Dutasteride to my daily intake of Finasteride. Should I give up on Finasteride completely once I start taking Dutasteride? I was reading somewhere that a good start is to take Dutasteride once per week and then take Finasteride the rest of the week.Let’s keep the discussion to just Finasteride and Dutasteride. I have used the 3-big, a lot of supplements, oils, thyroid function test, PRP etc etc. Nothing has really worked for me to stop the hair loss.
If you are going to take dustasteride, then there is no need for finasteride. Dutasteride does the same job as finasteride for hair loss. By doubling down, you are increasing the risks of all sorts of side effects
Over-harvested donor area (photo)
This is the photos of a man who had too many FUE grafts removed from his donor area. This is called Over-harvesting and the only treatment for this is Scalp Micropigmentation (SMP)
Comparison Between Diffuse Thinning Believed by Man and His Normal Hair on the Same Man (Photos)
I zoomed in on the thinning that this man believes he has. Some of the questionable miniaturized hairs have been identified by me, but the percentage of miniaturized hairs is less than 20%, which means that this is not thinning in the medical diagnostic sense.
2020-06-08 04:00:532020-06-04 18:27:48Comparison Between Diffuse Thinning Believed by Man and His Normal Hair on the Same Man (Photos)
Hair Loss InformationRunning Out of Donor Hair – Hair Loss Information – Balding Blog
I’m an existing patient of yours and had great results on the front of my scalp with the last session 2 years ago. I’m starting to get a little thin on the crown of my head and a little forward of that. If it stopped where it is now, I wouldn’t be concerned but continued loss would be unnerving.
My issue now is that I’m pretty much out of donor hair. Has any progress been made with something I read about a couple of years ago called hair cloning? Also, I have a few old fashioned plugs that could be thinned and dispersed I suppose.
Nice to hear from you. Please look at the other comments in this blog on hair cloning. There is nothing new that would apply to you. As you are near our Northern California office, visit me there and I will personally assess your balding pattern. You are correct that taking hair from old plugs works, but the problem is total supply versus need. We would have to determine whether there is enough supply from all sources to meet your need for coverage.