What is a good affective brand for topical finasteride or dutasteride?

We do not recommend using any of the online companies that offer hair loss treatments. These companies often do not involve board-certified dermatologists. Even when they offer an online consultation with a provider, it is usually with a nurse practitioner or physician assistant who prescribes the same treatment for everyone. The concentration of the medication may be lower than what is prescribed by a physician, and the provider may not explain the indications and contraindications.

I strongly encourage you to see a board-certified dermatologist who specializes in hair loss. There may be situations where the diagnosis is incorrect. We see cases of telogen effluvium, diffuse alopecia areata, and even secondary syphilis masking as pattern hair loss. Therefore, it is essential to have a thorough evaluation by a qualified professional. Additionally, they may offer you much more - oral medications, in-office treatments, and give you the advise what to expect from your treatment.

As hair loss specialists, we do not use companies that offer hair loss treatments online. Instead, we use compound pharmacies that make compounded medications if we need to use the ingredients you mention. These medications are tailored to the individual patient's needs and are often much cheaper than the treatments offered by online companies.

Best regards,
Dr. Kazlouskaya

If you are getting these meds in the US, they will all be equally effective. For finasteride topical, most are 0.25% or 0.30%. concentrations and studies show that the results are similar to oral finasteride. You may find one product more irritating to your scalp than another as they likely have different carriers but this will be a case of trial and error. At this time, your choice for source can safely be entirely price driven, I hope this helps.