The solution for Topical Fin non responders?

Finasteride/Dutasteride 1/31/2026

A 23-year-old discusses their hair loss treatment using finasteride, dutasteride, oral and topical minoxidil, and topical tretinoin under medical supervision. They stress stabilizing hair loss before a hair transplant and plan to continue the regimen for at least 18 months.

The user experienced gradual hair thinning since 2021 and tried various treatments including topical minoxidil, rosemary oil, oral finasteride, oral minoxidil, RU58841, and oral dutasteride. They are considering switching to daily finasteride and adding topical dutasteride, tretinoin, and microneedling due to side effects from oral dutasteride.

The conversation discusses a prescribed hair loss treatment combining 12.5% minoxidil with tretinoin, azelaic acid, and topical finasteride, costing $55 a month. One user criticizes the packaging for degrading tretinoin, another suggests it's an overpriced option and recommends topical dutasteride as an alternative due to its higher molecular weight and lower systemic absorption.

The user is considering switching to oral dutasteride and oral minoxidil after being happy with their 4.5-month hair loss treatment progress using oral and topical finasteride, topical minoxidil, tretinoin, and microneedling. They thanked the community for information on medications.

Topical finasteride with minoxidil can be effective but may not match oral finasteride results, with less absorption into the bloodstream. Shedding is common when starting or stopping minoxidil and finasteride, and adding dutasteride and tretinoin can enhance effectiveness by improving absorption and DHT inhibition.

An 18-year-old is using oral finasteride, topical minoxidil, ketoconazole shampoo, and tretinoin for severe hair loss and is considering adding dutasteride. Despite concerns about starting finasteride at a young age, the user prioritizes preventing further hair loss over potential hormone issues.