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Topical Finasteride, Or Oral Finasteride...? Topical Minoxidil Or Oral Minoxidil? Combination?

Discussion in 'Treatments for Androgenetic Alopecia' started by electra, Feb 8, 2019.

  1. electra

    electra Established Member

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    Hi everyone. I have recession and diffuse thinning (hair falling out), due to (I believe) perimenopause.

    I haven't really started on something...I'm a little afraid of side effects.

    My doctor gave me oral finasteride, and oral minoxidil. I have topical minoxidil, too. I've been reading about combining the topical finasteride and topical minoxidil; I've also read about taking oral minoxidil and oral finasteride.

    Can someone help me with the best combo? Most effective, fewest side effects? Or is it a total crapshoot?

    Thanks for advice!!!
     
  2. eggplant

    eggplant Established Member

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    I don't actually know any specific stats on oral vs topical but it is my understanding that generally speaking oral medication is stronger than topical because it gets into your entire system (and doesn't have to be absorbed by your skin first). That would likely also mean more side effects. Personally I'm all about going for the big guns so I would choose oral over topical. If you have bad side effects you could always switch to topical.
     
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  3. electra

    electra Established Member

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    Thanks, Eggplant! Have you had success with anything?
     
  4. eggplant

    eggplant Established Member

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    Iron supplements -- didn't help, stopped using
    Topical minoxidil -- don't think it helped after trying it for a couple years, I've stopped using it recently
    Oral Spironolactone -- don't think it helped but I still take it
    Switched to Yasmin BC (supposedly a hair friendly pill) -- don't think it helped but I still take it
    Oral finasteride -- I think it's kinda helped with some receding at my temples but overall I still have continued diffuse thinning (I'm bad about taking it regularly though because I don't like how I feel on it)

    TL;DR: oral finasteride has helped a bit

    (ETA: I should note that I was already on Spironolactone for another hormone condition: I just had my endocrinologist increase the dose. On the upside it has pretty much obliterated my acne).
     
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  5. electra

    electra Established Member

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    Thanks for sharing that. Sorry that nothing has helped a lot. I know it's such a crapshoot. May I ask how old you are? I feel like peri/post menopause hair loss is harder to address...
     
  6. eggplant

    eggplant Established Member

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    33. Started in my late 20s.

    And yeah it really is a crapshoot so don't be discouraged by my results. I hear a lot of good reports on here about Spironolactone, minoxidil, and finasteride.
     
  7. electra

    electra Established Member

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    Thanks, Eggplant. Best wishes for hair recovery to you!!!
     

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