Use of Finasteride and Minoxidil for the Treatment of Androgenetic Alopecia: A Review

    January 2026 in “ Revista Colombiana de Ciencias Químico Farmacéuticas ”
    Bruno Francelino Da Silva, Rafael Gomes Firmino, Sarah Rebeca Dantas Ferreira, Francisco Patrício de. Andrade Júnior
    TLDR Combining Minoxidil and finasteride is more effective for hair growth but may cause side effects.
    This review investigates the efficacy of Minoxidil and finasteride in treating androgenetic alopecia (AGA). Minoxidil, available in topical (2%-5%) and oral (0.25-5.0 mg) forms, promotes hair growth but may cause skin irritation and cardiovascular effects. Finasteride, used topically (0.25-1.0%) and orally (1 mg/day), is effective but has potential sexual and reproductive side effects, limiting its use to men. Combining Minoxidil and finasteride, whether topical or oral, shows superior efficacy compared to using either alone. The review concludes that while these treatments are effective, they have potential adverse effects, and combined therapy may enhance outcomes and adherence, suggesting a comprehensive approach to AGA treatment.
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      community Why nobody uses 0.25% (2.5mg/ml)?

      in Treatment  66 upvotes 2 years ago
      The conversation is about the effectiveness of 0.25% topical finasteride compared to other concentrations and forms. Users discuss its potential for better scalp DHT reduction and fewer side effects, with some preferring topical over oral treatments.

      community About 9 Months on Topical Fin/Min

      in Progress Pictures  585 upvotes 4 years ago
      User shares 9-month progress using topical Fin/Min formula (10% Min, 0.1% Fin) for hair loss, with significant improvement in crown area. Others discuss experiences, side effects, and application methods for the treatment.

      community This shedding phase is brutal man…

      in Is this regrowth?  589 upvotes 1 year ago
      The user is experiencing a difficult shedding phase after starting a hair loss treatment with oral finasteride, topical minoxidil, and microneedling. Despite the shedding, they remain hopeful for regrowth and plan to continue the treatment, encouraged by others' positive results.

      community My change after 14 months of treatment. Oral propecia 1 mg per day and oral minoxidil, today I add minoxidil and topical propecia to the protocol

      in Finasteride/Dutasteride  244 upvotes 1 year ago
      The user experienced significant hair recovery after 14 months using oral Propecia (finasteride) 1 mg daily and oral minoxidil, and recently added topical minoxidil and topical Propecia to their regimen. The doctor recommended this combination to maximize results, and the user reported no side effects, noticing improvements by the third month.

      community I have tried many treatments but it's getting worse. 23M.

      in Treatment  86 upvotes 1 year ago
      A 23-year-old male experiencing worsening hair loss has tried topical Minoxidil, Finasteride, Progesterone, Hydrocortisone butyrate, and Ketoconazole. He is considering switching to oral Finasteride due to concerns about side effects and lack of improvement.

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