Using oral Minoxidil .25mg, 14 weeks in, 26 yr old male, also on Finasteride daily, previously on Minoxidil topical 7%

Question

My question is, i was prescribed .25mg oral minoxidil for hair loss i was told it is more effective than topical 7% (dermetologist told me this) after 14 weeks i have lost over half my frontal area, my temples which i gained r now gone and there are no signs of things getting better, my concern is i have only seen tests done on women for .25mg, is .25mg really effective for Men, or is it equivelant to 2% topical, i am very concerned, i was better off before, granted its only been bit over 3mnths

Jeff Donovan, MD, PhD · Answer

We have no ability to correlate oral minoxidil doses to topical minoxidil doses yet. No studies have shown that 1 mg oral minoxidil is equivalent to a specific amount of topical and in my opinion it varies from patient to patient. If you are concerned, be sure to follow up with your prescribing physician.  Effective oral minoxdil doses range from 0.25 mg to 2.5 mg.

William Rassman, MD (retired) · Answer

Your post is an important post because it shows that the original approach to your treatment was far better for you than oral minoxidil.

Using oral Minoxidil .25mg, 14 weeks in, 26 yr old male, also on Finasteride daily, previously on Minoxidil topical 7%

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