Pls advice needed. 17-20 yo. Not seeing the progress I hoped for on finasteride + minoxidil. Any advice?
    Progress Pictures 2/26/2026

    From the encyclopedia
    Minoxidil →

    Vasodilator used on the scalp and, at low doses, as a tablet

    Finasteride →

    Popular 5-alpha reductase inhibitor that lowers DHT, taken as a pill or used topically

    Ketoconazole →

    Antifungal, best known as a dandruff shampoo

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💧 Minoxidil (topical) 2x a day 3 years
    💊 Finasteride (oral) 1mg 1x daily 2 years
    💧 Ketoconazole (topical) 2% everyday
    the tone is 😞 negative with no growth results.

    Other terms

    A user is experiencing hair loss despite using topical minoxidil, oral finasteride, and 2% ketoconazole shampoo, and is seeking advice on further treatments. Suggestions include switching to dutasteride, trying oral minoxidil, addressing scalp inflammation, and considering dietary changes and supplements.
    View this post in the Community →

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    5 / 5 results

      community Any chances of my hairloss being inflammatory?

       5 upvotes 2 weeks ago
      A 20-year-old male has been experiencing hair loss since age 15-16 and is using oral minoxidil, dutasteride, and ketoconazole shampoo, with previous use of oral finasteride and topical minoxidil. He has stabilized hair loss but seeks to rule out inflammatory or immune-related causes, considering a scalp biopsy, and is supplementing with vitamin D3, B12, and iron.

      community 14 months fin, losing ground and hope.

       52 upvotes 1 month ago
      A 22-year-old is experiencing hair loss despite using 0.8mg oral finasteride for 14 months and 5% topical minoxidil consistently for 6 months. Suggestions include switching to dutasteride, trying oral minoxidil, using ketoconazole shampoo, and consulting a dermatologist for scalp inflammation.

      community Still have itchy scalp after 6 months on fin + keto

       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.

    Related Research

    6 / 6 results

      research Managing patterned hair loss – a hair raising task!

      October 2021 in “Cosmoderma”
      This review summarizes existing knowledge on diffuse and patterned alopecia, emphasizing recent advancements in treatment beyond FDA-approved options, but it reports no new clinical findings.

      research Androgenetic Alopecia: An Update on Pathogenesis and Pharmacological Treatment

      August 2025 in “Drug Design Development and Therapy”
      This review article examines current drugs for androgenetic alopecia, focusing on their mechanisms and clinical efficacy, noting that while finasteride and minoxidil are commonly approved treatments, new drugs targeting different pathogenic pathways have emerged, offering a broader understanding and reference for AGA treatment options.

      research Hair Loss in Women

      81 citations , March 2009 in “Seminars in Cutaneous Medicine and Surgery”
      This review discusses the classifications, diagnostic methods, and treatment strategies for female pattern hair loss, but reports no clinical results.

      research An Update on Hair Restoration

      1 citations , January 2015 in “Journal of Aesthetic & Reconstructive Surgery”
      This review discusses techniques for harvesting follicular units, medical treatments for androgenetic alopecia, and potential future advancements in hair restoration therapy, but it reports no new clinical results.