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      learn Ketoconazole

      antifungal with some anti-androgenic benefits, often used as a shampoo

      learn Spironolactone

      powerful topical and oral anti-androgen used mostly by women

      learn Minoxidil

      An essential vasodilator with some anti-androgenic effects

      learn Azelaic Acid

      acid used for antimicrobial, anti-inflammatory and anti-androgenic properties

      learn Bicalutamide

      a nonsteroidal anti-androgen, most commonly used orally for women
      • Can bicalutamide stop DHT from shrinking your hair follicles? Bicalutamide blocks androgens at the receptor rather than lowering DHT, and some dermatologists prescribe it off-label for women with pattern hair loss. The published evidence is retrospective case series and one small pilot study, with no randomized trial; it is a prescription drug that requires liver monitoring and is contraindicated in pregnancy.

      learn Finasteride

      • Is Finasteride unbeatable or are there equally powerful alternatives? 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.