Been on Finasteride for 19 years
    10/16/2025

    From the encyclopedia
    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💊 Finasteride (oral) 1.25mg inconsistently 19 years
    💧 Minoxidil (topical) twice daily
    the tone is 😀 positive with arrested hair loss and regrew hair results.

    Other terms

    A 49-year-old has used finasteride for 19 years to manage hair loss, experiencing some libido changes but no major side effects, and plans to continue. They found minoxidil inconvenient but are considering restarting it with micro-needling.
    View this post in the Community →

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    5 / 5 results

      community 18 months of finasteride and 3 months of minoxidil, 34 years old.

       407 upvotes 1 year ago
      A 34-year-old has been using finasteride for 18 months and minoxidil for 3 months, along with ketoconazole shampoo, supplements, and microneedling, to address hair loss. They report stabilized hair loss, thicker hair in previously miniaturized areas, and new hair growth along the hairline.

      community 11 months on fin + min. Thoughts?

      in Progress Pictures  918 upvotes 2 years ago
      A user shared progress pictures after 11 months on finasteride and minoxidil, with intermittent microneedling. The community responded positively, noting significant hair regrowth and encouraging continued treatment.

      community What to do if fin is still not working after 2.5 years

      in Finasteride/Dutasteride  22 upvotes 1 year ago
      The user is experiencing increased hair loss despite using finasteride and oral minoxidil and is hesitant to switch to dutasteride due to side effects and family planning concerns. Alternatives suggested include dutasteride, microneedling, and addressing stress or nutrient deficiencies.

    Related Research

    6 / 6 results

      research Male androgenetic alopecia

      January 2025 in “Anais Brasileiros de Dermatologia”
      This review examines male androgenetic alopecia and reports no new clinical results, offering insights to aid dermatologists in making informed therapeutic decisions.
      Molecular Mechanisms and Therapeutic Advances in Androgenetic Alopecia

      research Molecular Mechanisms and Therapeutic Advances in Androgenetic Alopecia

      June 2026 in “MedScien”
      This study systematically reviewed androgenetic alopecia's clinical features, mechanisms, and treatments, highlighting that current drugs have limitations but emerging therapies and personalized treatment strategies could enhance efficacy and outcomes.
      Safety Concerns When Using Novel Medications to Treat Alopecia

      research Safety concerns when using novel medications to treat alopecia

      23 citations , October 2018 in “Expert Opinion on Drug Safety”
      This review discusses the safety concerns associated with new treatments for non-scarring alopecias, highlighting that while these therapies such as JAK inhibitors and oral minoxidil show efficacy in hair regrowth, their safety profiles vary significantly, requiring careful consideration of benefits and risks.
      A Review of the Treatment of Male Pattern Hair Loss

      research A review of the treatment of male pattern hair loss

      53 citations , February 2020 in “Expert Opinion on Pharmacotherapy”
      This review discusses pharmacologic and non-pharmacologic treatments for androgenetic alopecia, noting that current medications like finasteride and minoxidil can slow hair loss but only partially restore hair growth, with early treatment offering better outcomes.
      Androgenetic Alopecia: Therapy Update

      research Androgenetic Alopecia: Therapy Update

      May 2023 in “Drugs”
      This comprehensive review analyzes androgenetic alopecia treatments, discussing the mechanisms, costs, efficacy, and safety of FDA-approved drugs like minoxidil and finasteride, as well as newer non-FDA-approved options that have shown effectiveness across various studies.
      Androgenetic Alopecia: Update on Etiology, Pathophysiology, Diagnosis, and Treatment

      research Androgenetic Alopecia: update on Etiology, Pathophysiology, Diagnosis and Treatment

      March 2024 in “International journal of pharmaceutical sciences and drug research”
      In this review, the authors explored current and novel treatment options for androgenetic alopecia, noting both FDA-approved pharmacologic treatments like Minoxidil and Finasteride and various non-pharmacologic and surgical methods, including hair transplantation and scalp micro-pigmentation.