22 year old male, doctor prescribed 50mg oral spironolactone instead of finasteride.
    10/21/2015

    From the encyclopedia
    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

    Ketoconazole →

    antifungal with some anti-androgenic benefits, often used as a shampoo

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💊 Spironolactone (oral) 50mg
    💧 Nizoral (topical) 1x weekly
    💧 Minoxidil (topical)
    the tone is 😐 neutral.

    Other terms

    A 22-year-old male has been experiencing hair thinning since 18 and was prescribed 50mg oral spironolactone for hair loss and high blood pressure, despite inquiring about finasteride. A reply suggests that spironolactone is less effective than finasteride and minoxidil for hair loss and recommends seeking a second medical opinion.
    View this post in the Community →

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      The conversation discusses a hair loss treatment regimen involving finasteride, dutasteride, spironolactone, bicalutamide, oral estradiol, microneedling, and minoxidil. The regimen aims to reduce androgenic alopecia by blocking DHT and androgens, with a caution about potential feminizing effects.

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       4 upvotes 3 years ago
      A woman with androgenetic alopecia is using a treatment of topical finasteride with 7% minoxidil, spironolactone, and supplements like iron, vitamin D, biotin, and zinc. She is considering additional treatments like PRP and laser therapy but has not seen significant hair regrowth yet.

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    Related Research

    6 / 6 results
      The Inflammatory Component of Androgenetic Alopecia

      research The inflammatory component of androgenetic alopecia

      3 citations , November 2021 in “Journal of The American Academy of Dermatology”
      This article discusses hormonal mechanisms underlying androgenetic alopecia but does not report any new findings; it reviews the roles of dihydrotestosterone and available FDA-approved treatments.
      Systemic Treatment Options for Androgenic Alopecia

      research Systemic treatment options for androgenic alopecia

      March 2026 in “Lithuanian University of Health Sciences”
      In this study, a systematic review found that for androgenetic alopecia, systemic treatments like finasteride, dutasteride, and oral minoxidil are effective at slowing progression and promoting hair regrowth, with additional antiandrogen therapy options for women.
      Management of Androgenetic Alopecia in Postmenopausal Women

      research Management of Androgenetic Alopecia in Postmenopausal Women

      1 citations , January 2008 in “Actas Dermo-Sifiliográficas”
      This review discusses clinical variations, laboratory testing, and treatments for female-pattern alopecia, including finasteride, but reports no new clinical findings; the authors emphasize managing stress and psychological impacts.