Patient-Reported Outcomes of Topical Finasteride/Minoxidil Treatment for Male Androgenetic Alopecia: A Retrospective Study Using Telemedical Data

    Finn Abeck, Inga Hansen, Julian Kött, Florian Schröder, Edward Garrahy, Juliana Veneroso, Alessandra Rünger, Leopold Torster, Stefan W. Schneider, Johannes von Büren
    TLDR Topical finasteride/minoxidil is effective but not better than oral finasteride for hair loss.
    This retrospective study examined patient-reported outcomes of 1545 men with androgenetic alopecia treated with topical finasteride/minoxidil compared to oral finasteride. Of the 238 participants who completed follow-up questionnaires after 6 weeks, 62.2% reported positive changes in hair appearance, and 44.1% noted improved self-esteem. Adverse events were reported by 11.8%, and 74.4% adhered fully to the treatment. The study found that while topical finasteride/minoxidil is effective and well-tolerated, it is not superior to oral finasteride, with lower adherence and higher local adverse events. Further real-world data are needed to evaluate its efficacy and safety comprehensively.
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