What to do if fin is still not working after 2.5 years
    Finasteride/Dutasteride 6/13/2025

    From the encyclopedia
    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects, has excellent safety record

    At a glance
    In this treatment experience post, the primary subjects mentioned are
    💊 Finasteride (oral) 1mg 1x daily 2.5 years
    💊 Minoxidil (oral) 2.5mg 1x daily 2 years
    the tone is 😞 negative with initial improvement with oral minoxidil, but recent increased hair loss results.

    Other terms

    The user is experiencing increased hair loss despite using finasteride and oral minoxidil and is hesitant to switch to dutasteride due to side effects and family planning concerns. Alternatives suggested include dutasteride, microneedling, and addressing stress or nutrient deficiencies.
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      faqs Is Finasteride unbeatable or are there equally powerful alternatives?

      0 seconds ago
      Trials report finasteride as the single medication with the strongest measured effect in male androgenetic alopecia, while dutasteride, minoxidil, topical finasteride, PRP, LLLT and microneedling all have supporting studies and are often reported to work better in combination. Finasteride, dutasteride and oral minoxidil are prescription-only, and several of these uses are off-label.

      faqs Castor oil: Can I mix it with minoxidil or finasteride, or will they fight each other?

      0 seconds ago
      No study has tested castor oil together with minoxidil or finasteride. Oral finasteride works systemically and is not expected to be affected, but a thick oil left on the scalp could change how much minoxidil is absorbed, so the common advice is to keep the two applications hours apart and to ask a doctor or pharmacist first.

      faqs Are there really risks with topical finasteride?

      0 seconds ago
      Reports on topical finasteride describe scalp irritation and dermatitis as the effects specific to it, and blood levels lower than the oral drug; whether systemic side effects are genuinely rarer has not been measured in a trial powered to answer it. Both forms are prescription-only and contraindicated around pregnancy.

      faqs Is topical bicalutamide a safer alternative to finasteride?

      0 seconds ago
      There is no published human trial of topical bicalutamide for hair loss, and no licensed topical product exists, so it cannot be called safer than finasteride — or shown to work at all. Oral finasteride has decades of trial data with a documented side-effect profile, and topical finasteride has a phase III trial behind it.

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