Will Dutasteride work better for me if I didn't see much results after being on Finasteride for 2 years?

Greetings, Great question to ask!Dutasteride theoretically has more potency for hair preservation than Finasteride but a higher side effect profile as well.  The use of dutasteride for hair loss is an off-label use according to the FDA.  Typically regrowth of both agents occurs in areas where the hair is miniaturized and not where slick baldness occurs.  Consider the use of regenerative techniques such as PRP and others and the use of nutraceuticals such as Nutrafol which have a much better side effect profile.Best, Dr. Anil Shah

Dutasteride probably will not be any better than Propecia but if you are concerned you should see a doctor for these issues.  Some doctors may have different opinions.

There have been reports of dutasteride helping with hair loss, however, I do not know of any study showing any improvement over finasteride.  I would suggest pursuing other treatments such as PRP which has been shown to decrease hair loss and help hair growth rather than trying dutasteride.  Also it is important to realize that when you say you have not seen much results after being on finasteride, if you have not had further hair loss, it is probably working well for you. 

Thanks for this interesting question. Does dutasteride help individuals with Androgenetic alopecia if finasteride did not? Well, for men, the answer appears to be yes.In fact, last year, Jung and colleagues from South Korea studied 31 men with male balding who took dutasteride after finasteride did not help them.  Interestingly, 77.4 % of these men improved their hair density (17 improved slightly, 6 moderately, 1 markedly). This study suggested that dutasteride could be a good option for men if finasteride does not help.Reference:Jung et al. Effect of .dutasteride 0.5 mg/d in men with androgenetic alopecia recalcitrant to finasteride. Int J Dermatol. 2014 Nov;53(11):1351-7

Can Dutasteride work better? Dutasteride is not FDA approved and it can produce more side effects including sterility (not common). It may be slightly more effective than finasteride and you would have to find a doctor willing to prescribe it. Not all doctors will do this.