Comparing Minoxidil-Finasteride Mixed Solution With Minoxidil Solution Alone for Male Androgenetic Alopecia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

    October 2025 in “ Frontiers in Medicine
    Yulong Li, Qianqian Huang, Zhongbao Zhou, Yong Zhang
    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

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    Studysummary This meta-analysis found that the combination of topical minoxidil-finasteride was more effective than minoxidil alone in improving hair density, hair diameter, and global photographic assessment for male androgenetic alopecia, though larger standardized trials are needed to confirm long-term outcomes.
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    This systematic review and meta-analysis evaluated the efficacy of a topical minoxidil-finasteride combination (MFX) compared to minoxidil monotherapy (MNX) for male androgenetic alopecia (AGA) across seven randomized controlled trials with 396 participants. The study found that MFX significantly improved hair density, hair diameter, and global photographic assessment scores compared to MNX alone, suggesting its superior efficacy and supporting its clinical adoption. Despite the favorable safety profile, limitations such as observed heterogeneity and sample size call for larger, standardized trials to confirm long-term outcomes and optimize treatment protocols.
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