Category Archives: Finasteride

Dutasteride works when Finasteride fails

An interesting study by South Korean scientists was recently published in “The International Journal of Dermatology” .  They took 35 balding people who did not see any improvement while on Finasteride 1 mg/day for 6 months. They then put those same people on Dutasteride 0.5 mg/day for 6 months.   31 of those patients completed the 6 months of treatment.  **Hopefully, the 4 who stopped treatment were just tired/bored/worried/paranoid, and did not stop due to experiencing significant side effects.

Over three-quarters of these 31 patients saw at least some increase in hair count.  Only 1 patient had a marked improvement, while 6 patients had a moderate improvement and 17 patients had a slight improvement.  The remaining 7 patients did not see any improvement or worsening.   “Side effects included transient sexual dysfunction in six patients (17.1%)”.

Link to study summary –>  Dutasteride works when Finasteride fails.

Do Finasteride (Propecia) and Minoxidil (Rogaine) work?

On this blog, I will try not to discuss the two main existing medications (Finasteride and Minoxidil) for hair loss too much, since I consider those treatments to be subpar in the modern world considering the tremendous progress that has been made in science and technology in the past several decades.  The problems with Finasteride (most well known brand being Propecia) and Minoxidil (most well known brand being Rogaine) can be summed up as:

1)  Neither of the two medications works on everyone.

2) Even when they work, they tend not to grow lengthy hair, and they almost never grow hair on totally bald regions of the scalp.

3) They can both cause side effects, with Finasteride being the more dangerous of the two in that regard.

4) It seems that for most people, the medications stop working after a number of years.

5) You have to keep buying and using these medications permanently (or more accurately, till they lose their positive effects), or else any gains go away.  Besides the expense involved, this is a nuisance since you have to regularly replenish supplies, and if you travel by air, you have to take them with you.

6) In the case of Finasteride, you need a prescription, which is one more expense and hassle.  I get my prescription from a hair transplant doctor, and the last time I had to renew it, he charged me $50 for the visit plus wasted one hour of my time trying to convince me to get a small hair transplant in my frontal area.  Luckily, I only take one pill (= 1.25 mg) every two days, and won’t need another prescription for a while.

Although this post has been very anti-medication thus far, it is also good for readers to take a look at the best case scenario, and for that I leave you with the a collection of links to before and after patient photos showing success with Finasteride and/or Minoxidil.

Moreover, I think I have myself seen some success with Finasteride and Minoxidil, despite only taking a quarter tab of 5mg Proscar every two days, and sometimes missing a day.  However, I think that these medications are only giving me some short hair and an appearance of coverage in certain lighting.  Overall, almost none of my hair can grow more than an inch or two anymore, and I am sure neither medication will give me back the hair I have already lost.