Is Finasteride working for me after 13 months? (Photos)

I'm a 25 year old male and I've been on Finasteride (1.25mg/day), Minoxidil and Ketoconazole (2%) for 13.5 months. Lately, I feel like I'm shedding more hair than usual. I can still see gaps in my scalp under light or when my hair is wet. Based on these photos, would you say that Finasteride is working for me? Should I give it some more time before going back to a dermatologist for evaluation? What are my other options at this point? Also, is it safe to shampoo with Ketoconazole 2% every day?