Best FFA treatment?

I am taking finasteride to treat my FFA. Recently I read that dutasteride might be a better option. Should I switch medications? I am female, age 43.

Doctor Answers 5

While there have been reports for Finasteride and Dutasteride working for some patients, better choices for treatment exist

FFA is an inflammatory condition believed to be autoimmune in nature and related to Lichen Plano Pilaris  (LPP). While there have been reports for Finasteride and Dutasteride working for some patients, better choices for treatment would be anti-inflammatories, and oral steroids. A dermatologist or hair restoration specialist would be best equipped to treat you and follow your progress. 


West Hollywood Hair Restoration Surgeon
4.8 out of 5 stars 13 reviews

Hair Loss Prevention

You should switch to an organic shampoo. You can also consider a natural DHT blocker like Saw Palmetto. There are also medications like Finasteride (a DHT Blocker) and Minoxidil (Rogaine) that can be very helpful in maintaining you existing hair, helping to prevent future loss and even regrow some hair. Before taking any medications you should discuss this with your general physician.

Baubac Hayatdavoudi, MD
Beverly Hills Physician
5.0 out of 5 stars 42 reviews

Understanding Hair loss and hair loss treatment options: hair transplant, prp and progesterone

 I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone that work well with finasteride. Hair transplantation is an alternative See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Frontal fibrosing alopecia

I don't believe that Frontal fibrosing alopecia responds very well to either finasteride or dutasteride

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

FFA - finasteride or dutasteride?

Finasteride and dutasteride are by far the best known treatments for FFA. But no, we really don't have any good evidence to support finasteride 5 mg being "better" than  dutasteride 0.5 mg. You could speak to your dermatologist about the change but likely a better option would be to add another anti-inflammatory medication (doxycycline, hydroxychloroquine, methotrexate) to the current plan. 

Jeff Donovan, MD, PhD
Vancouver Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.