Switched from Finasteride to Dutasteride – could the increase in scalp testosterone make hair loss worse
    9/29/2026

    From the encyclopedia
    Finasteride →

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

    Dutasteride →

    5-alpha reductase inhibitor that blocks both enzyme types, a stronger DHT blocker than finasteride

    At a glance
    In this question or advice post, the primary subjects mentioned are
    💊 Finasteride (oral) 1 mg daily 5 years
    💊 Dutasteride (oral) 0.5 mg daily since the beginning of August
    the tone is 😐 neutral.
    Switching from finasteride to dutasteride may lead to increased scalp testosterone, which some fear could worsen hair loss despite lower DHT levels. Experiences vary, with some seeing improvement and others experiencing more shedding or worsening hair, suggesting individual sensitivity and the need for patience.
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