2021-02-17 02:20:002021-02-17 09:55:32Should I try finasteride? (photo)
I am 23 and my hair is falling. I used Minoxidil for my beard and it was amazing, because my hair grew strong and it helped to have new hairs. But I leaved it, because I had inusual and strong hearbeats and I am losing all of the beard that grew from it. So, is it worth to try Fin? The side effects scare me.
I use finasteride for men like you in my practice and many of them have taken them since the drug was introduced two decades ago; however, I go through a full disclosure of all of the risks (which are small but real) so you must understand the balance between benefits vs risks. You should see a doctor about the minoxidil side effects.
2020-04-08 02:10:352020-04-19 12:36:57Should I try finasteride for my early balding?
Hello Dr. Rassman. I am in my early thirties and thinking of getting a transplant done. I have been on finasteride for quite some time with decent results. However, in the last few years my hair loss picked up in the front hair line but has slowed down up to this date. Should an individual, like myself, try ALL the available non surgery options like avodart, minoxodil, nizorol etc before going the hair transplant route?
Most of my hair loss im the frontal area. I still have decent coverage but I am thinning. Would I be at risk for severe shock loss even though I am on finasteride? Thank you.
Medications do not usually work to regrow hair in the frontal hairline, but hair transplant surgery generally address this area well. Whether you are ready or should undergo hair transplant surgery is between you and your doctor, and part of the Master Plan. Each and every patient is different, with different goals and expectations. There is no right answer to your question.
Many patients come to me and worry about shock hair loss, but this is part of the individual risk versus the benefit… as we discuss in the Master Plan. Most men in their 30’s with long term finasteride (Propecia) use and who are not rapidly losing hair, do not usually have shock loss. An ethical doctor would not recommend surgery to a patient if they feel the risk of shock loss is significant. I know I am a broken record on this, but this is why choosing a doctor and having a good Master Plan is very important.
Dear Dr. Rassman,
I wondered if you could answer a couple of questions I had about Dutasteride (Adovart)?
In the past 6 months, I’ve experienced a rather significant amount of shedding and what seems to be follicle miniaturization from the crown to the hairline (though there are still hairs in this area and need to do something about it if possible.
For the past 2-3 months I’ve been using DS Laboratories Spectral F7, RS/ & DNC-N, and despite their grandiose claims of these products being the most advanced hair loss treatments available, if anything I have a lot less hair/thinner hair shafts than I did before I started with them. However, I’m not sure if this is because I haven’t used them long enough or that simply that they aren’t efficacious.
The other possibility could be hormonal changes as I’ve got symptoms of BPH (last checkup showed some enlargement but benign) and after reading something you wrote about the effect of hair dye, I started to wonder if the combination of these two factors might be the cause? I noticed in the past year or so when using Herbatint (The supposedly “safe” hair color), my scalp would feel burning/itching that would last a couple of days and I began to think it might be involved in the fallout/thinner shafts.
I’ve taken Finesteride some years ago and finding it ineffective for hair loss, I was thinking that the next step might be to try Dutasteride. So I wanted to ask, do you think it is worth a try and would the generic version be as safe/effective as the original manufacturer’s version? I’m kind of at the last defense and hope this might work.
Thanks in advance for any input you could give me on this…
Respectfully Yours
There’s a few issues that immediately stand out to me. First, I don’t know anything about your medical history or even your age. What did you find ineffective about the finasteride when you took it years ago? How long did you take it?
Second, you’re asking me about whether you should take a prescription medication (dutasteride) that isn’t approved for treating hair loss. That’s going to be something you’ll need to discuss with your doctor. The name brand and the generic should be the same medication, but I can’t say whether you should even be taking it.
Third, if you used a hair dye on your scalp that produced a burning or itching, it might be related. I don’t have experience with Herbatint, but I suppose it’s possible you had a chemical or allergic reaction.
Most importantly, if you suspect you may have BPH, I hope you’re under the care of a urologist. Your doctor may prescribe dutasteride (Avodart) for treating your BPH, which could be beneficial for your hair loss, as well.
I’ve been looking around on internet to try to learn as much as I can about hair transplants, and I know quite a bit now, but there is one question that I can’t seem to get answered. I have a slowly receeding hairline, not very bad but definitley too much for 27 years old. I have healthy hair on the back and sides of my head but on top it’s a little thin and I think I may eventually loose it all on the top like my grandfather. I’ve tried rogaine and propecia but no dice.
My question is, would it not be a good idea to get a transplant seeing as I might lose hair behind the transplant later? Or is it possible to progressively do other transplants?
I do not believe that a Norwood class 2 pattern is worth transplanting. If you are evolving to a mature hairline, stay on Propecia and see what happens. If the hairline is actually moved up beyond the mature hairline into a class 3, you can transplant it.
I wouldn’t allow any doctor to transplant into an area that has not fallen out under the excuse that there’s anticipated hair loss (behind the leading edge of your loss), as this will only accelerate the thinning. Some doctors do this, and it isn’t in your best interest, only serving to put your money in his pocket.
If one opts for a transplant, is it still necessary to take Finasteride or any other medication?
Since hair loss is progressive, I generally recommend that a person having a hair transplant stay on this drug for life, provided that they don’t have negative side effects. In addition, the drug has value in reducing the risk of prostate cancer (the # one cancer in men) and also reduces the risk of heart disease by lowering cholesterol and possibly directly impacting atherosclerosis. To get the benefits of finasteride to avoid the shock loss, you should be on it at least 2 weeks prior to the transplant.
Hello Doctors
I am 20 years old and Ive been using 5% Minoxodil foam for 4 months now (on a recommendation from my practitioner), and im seeing little in the way of progress (been losing hair and receeding since I was 18). I am going to see my practioner next week about getting a prescription for Propecia (im not worried about the side effects).
Would you recommend continuing the use of 5% Minoxidil along with Propecia, or stop using the foam whilst using Propecia?
Many patients use minoxidil (foam or liquid) while taking Propecia. If your doctor prescribes the Propecia, you can continue the minoxidil daily. There is no problem with this. Keep in mind that if you see positive results, you won’t know which medication was the reason (or if both were) — so you’ll need to continue using both for life or risk losing the benefits by stopping one.
I wouldn’t have expected much progress at only 4 months of minoxidil use, particularly if you’re looking to treat a receding hairline. These medications work best at the crown.
If you have been on minoxidil for a while, don’t stop it prior to the transplant and pick up its use 1 week after the transplant so that you don’t lose the minoxidil dependent hairs you may have developed.
According to the National Institutes of Health, minoxidil is most effective in stimulating growth and slowing balding in people with recent hair loss who are under the age of 40.
I’m 50. Using minoxidil for 20 years. Never thought it was doing much but was never sure what would happen if I stopped. It can’t still be effective after all these years can it?
If you stop it, your minoxidil dependent hair can fall out. After 20 years of use, I would stay on it.
2012-07-12 08:46:092012-07-11 09:48:51Should I Stop Minoxidil Now That I’m 50 Years Old?
I only really have hair loss on my hairline. I was debating whether I should start out with applying minoxidil to my hairline to see if I respond to it and then maybe add in fin after 4-6 months. That way, I have a gauge on whether I should keep using minoxidil or not rather than start both at the same time and never truly know if minoxidil is doing anything for me.
The only possible exception that might make this idea invalid is maybe minoxidil won’t regrow anything but perhaps it will help slow the recession on the hairline especially if you are under 25.
What do you all think of this?
Finasteride is better for early hair line loss
2020-11-12 03:30:382020-11-04 08:34:35Should I start minoxidil first?