Does ketoconazole reduce systemic DHT by much?
    Treatment 6/25/2025

    From the encyclopedia
    Ketoconazole →

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

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 ketoconazole (topical) 2%
    💊 finasteride (oral)
    the tone is 😐 neutral.

    Other terms

    Ketoconazole shampoo does not significantly reduce systemic or scalp DHT levels and is mainly used for its anti-fungal and anti-inflammatory effects. It is not a replacement for finasteride, which is recommended by some users despite concerns about side effects.
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