How to deal with mechanically induced shedding
    10/7/2025

    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 Minoxidil (topical)
    💊 Minoxidil (oral)
    💊 Finasteride (oral)
    💧 Ketoconazole shampoo (topical) 2x weekly
    the tone is 😐 neutral.

    Other terms

    Minoxidil can cause scalp dryness and flaking, leading to hair shedding when exfoliating. Alternatives like oral Minoxidil, finasteride, and ketoconazole shampoo are suggested to manage these issues.
    View this post in the Community →

    Similar Community Posts Join

    5 / 5 results

      community 4 months on finasteride and minoxidil

      in Progress Pictures  193 upvotes 6 months ago
      A 19-year-old is using 5% topical minoxidil and 1mg oral finasteride daily for hair growth, showing progress after 4 months. Users suggest adding ketoconazole shampoo to address scalp inflammation and dandruff.

      community 4.5 Months on Finasteride And Minoxidil

       562 upvotes 2 months ago
      The user experienced significant hair regrowth after 4.5 months using 5mg oral Minoxidil, 1.25mg oral Finasteride, weekly dermastamping, and 2% Ketoconazole shampoo. They reported increased body hair, thicker beard and eyelashes, and an itchy scalp.

      community Those that apply minoxidil twice a day

      in Chat  71 upvotes 1 year ago
      Minoxidil is typically applied once daily, with some users opting for foam to minimize irritation. Users often combine it with finasteride or use oral minoxidil for improved results, while managing scalp irritation with ketoconazole or salicylic acid shampoos.

      community Head itch even though I use keto shampoo

      in Ketoconazole  3 upvotes 1 year ago
      The user experiences scalp itchiness despite using ketoconazole shampoo and is also taking oral finasteride and minoxidil. Suggestions include trying different shampoos like Head & Shoulders, using salicylic acid products, considering allergies, and consulting a dermatologist for alternatives like Ciclopirox.

      community 2 months progress - Topical Dual Spray (5% Minoxidil / 0.1% Finasteride) - 35 years old.

       79 upvotes 2 months ago
      A 35-year-old user shared their 2-month progress using a topical spray containing 5% Minoxidil and 0.1% Finasteride, along with microneedling and Nizoral shampoo, to treat hair loss. They reported small progress and occasional side effects like headaches and dryness, aiming to transition to oral treatments in the future.

    Related Research

    6 / 6 results
      Telogen Effluvium: Comprehensive Overview and Treatment

      research Telogen Effluvium

      3 citations , February 2008 in “Basic and clinical dermatology”
      Telogen Effluvium is a hair loss condition where treatment involves identifying and managing its triggers.
      Atlas of Geriatric Dermatology

      research Atlas of Geriatric Dermatology

      2 citations , January 2014 in “Springer eBooks”
      The book details skin conditions in older adults, their link to mental health, cancer treatment importance, hair loss remedies, and managing autoimmune and itchy skin.
      Interventions for Female Pattern Hair Loss

      research Interventions for female pattern hair loss

      21 citations , May 2016 in “The Cochrane library”
      This review found that while topical minoxidil is effective for treating female pattern hair loss, finasteride showed no more effectiveness than placebo, and low-level laser therapy increased hair count but with inconsistent results.