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Is Finasteride, Oral Minoxidil and Spironolactone okay to use if one has early on-set of Androgenic Alopecia?

July 23, 2018
Asked By:my3squids in Pittsburgh, PA

I am a 58 year old female who was diagnosed w/ CTE which unmasked AGA. I am concerned because I have been prescribed 5 mg of Finasteride, 2.5 mg of oral minoxidil, and 100 mg of Spiro. I just started the oral minoxidil a week ago. I have been on the Spiro for BP issues prior to the TE(2 years), and have been on the Finasteride since July 10th. How effective is all of this, and should I be concerned about possible health dangers?

Answers (2)

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

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Answer: Use of medication for treatment of female Androgentic alopecia

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Answer: Use of medication for treatment of female Androgentic alopecia

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Stopping minoxidil after 10 months: How to?
Jeanette Straga, DO says:

Most likely when you stop minoxidil you will eventually revert back to where you would have been had you not used minoxidil at all.  That's called "catch-up" hair loss.

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Safest way to take Finasteride?
Jeanette Straga, DO says:

The side effects everyone talks about with fear on their mind occur less often than you think.   Of course you may try a half dose but likely it will be less effective.  Generic versions of finasteride technically have the same amount of active ingredient so they should be equal. 

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Is it true that excessive sebum production reduces the effectiveness of minoxidil? Will minoxidil work if scalp is oily?
Jeff Donovan, MD, PhD says:

Minoxidil is least effective when it is not used. Oil may reduce effects slightly but only slightly. You might consider treatments for seborrheic dermatitis to counteract oiliness. Be sure to see your physician to review such treatments.

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