Do Finasteride and Minoxidil work?

On this blog, I have purposely limited discussion about the two main approved existing medications (Finasteride and Minoxidil) for treating hair loss. I consider those treatments to be subpar in the modern world considering the tremendous progress that has been made in science and technology over the past several decades.

Although this post may seem anti-hair-loss-medication thus far, it is also important for readers to take a look at the best case scenarios. For that, I leave you with a collection of before and after patient photos showing success with Finasteride and/or Minoxidil.

Do Propecia and Rogaine Work to Grow Hair?

The problems with Finasteride (brand name Propecia) and Minoxidil (brand name Rogaine) can be summed up as follows:

  1. Neither of the two medications work on everyone.
  2. Even when they work, they tend to rarely ever grow lengthy robust hair strands. And they almost never grow decent quality 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 else any gains go away. Besides the significant expense involved, this is a nuisance since you have to regularly replenish supplies. If you travel away from home, you have to remember to take an appropriate quantity of these medications with you.
  6. In the case of Finasteride you need a doctor’s prescription, which is yet one more expense and hassle. I used to get my prescription from a hair transplant doctor. 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. Luckily, I only take one pill every two days, and won’t need another prescription for a while.

Moreover, even I have seen some success in hair growth with Finasteride and Minoxidil. This despite only taking a quarter tab of 5mg Finasteride (Proscar) every two days, and not using Minoxidil every day as recommended.

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 2 inches anymore, and I am sure neither of these two medications will give me back most of the hair that I have already lost for more than a few years.

What Happened to Ernie Primeau and Arfy?

This post is obviously unrelated to hair loss cures or hair loss science and research. After the recent demise of Bryan Shelton, I could not help but wonder: whatever happened to Ernie Primeau and Arfy?

From when I first started reading hair loss forums in the early 2000s, I remember ten or so people/usernames quite vividly. Ernie Primeau was probably the craziest person ever seen on hair loss message boards, and no-one will surpass or even match him in that regard. Hair loss forum veterans are unlikely to ever forget that name, especially considering that he probably holds the world record for most number of hair loss forum/discussion group posts. Ernie was obsessed with his theory that permanently removing all your body hair via plucking would grow back scalp hair.

Update: Ernie is still alive and replied in the comments section to this post, and he actually even sounds sane! There is also a picture of him here, but I can’t vouch for its veracity.

Arfy was damaged by a hair transplant surgeon during the time when they used pluggy grafts and older surgical techniques. He was quite an advocate for those who had been disfigured, and went out of his way to help people about to get surgery. He was probably as prolific a poster as Bryan Shelton for a few years. I have not read any posts by Arfy in many years it seems, although my frequency of visits to hair loss forums has varied significantly over the past decade.

Update: Arfy is also still alive and has been posting on various hair loss forums again as of 2016.