Ketoconazole vs Ciclopirox which one was better for you ?
    4/26/2025

    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Ketoconazole →

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

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💧 Minoxidil (topical) 1ml daily 3 years
    💊 Finasteride (oral) 3x weekly 3 years
    Ketoconazole (shampoo) 3 years
    💊 Dutasteride (oral) 0.5 mg 4x weekly 4 months
    Ciclopirox + Zinc Pyrithione (shampoo) 1x weekly 2 washes
    💊 Vitamin D3 + K2 (oral) 2x weekly
    💊 Folic Acid (oral) 2x weekly
    the tone is 😐 neutral with hair fall dropped by about 98% results.

    Other terms

    Switching from ketoconazole to a ciclopirox and zinc pyrithione shampoo significantly reduced hair fall. The user is considering whether to continue using ketoconazole occasionally or combine both shampoos weekly.
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      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

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       29 upvotes 4 months ago
      The user experiences an itchy scalp despite using finasteride and ketoconazole shampoo for hair loss. Suggestions include trying different shampoos, switching to dutasteride, and using topical treatments for inflammation.

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