Finasteride vs. minoxidil: which is the best hair loss treatment for you?

By

Editorial Team

|

September 5, 2024

A man with thinning hair exercising outside, contemplating his hair loss treatment options, such as finasteride and minoxidil, while considering the best approach for effective results.

Medical Review by Heidi Moawad MD

Summary:

  • This guide explores the two popular hair loss treatment finasteride and minoxidil to help determine which best suits your specific needs.
  • Finasteride is a medication that can slow down hair loss and promote hair growth by blocking the action of 5-alpha reductase. It is generally well-tolerated, but it may cause some common side effects, such as decreased libido and erectile dysfunction.
  • Minoxidil is a medication that helps stimulate hair growth by widening blood vessels and increasing blood flow to hair follicles; it is available in a topical solution and foam but may cause side effects such as scalp irritation, dryness, itching, unwanted facial hair growth or cardiovascular effects.
  • Finasteride and minoxidil are both effective in preventing hair loss and promoting regrowth, but individual responses and potential side effects may vary. Finasteride is available only through prescription, and minoxidil is available over the counter.
  • When considering hair loss treatment options, it is essential to evaluate factors such as the severity of hair loss, age, potential side effects, and personal preferences and to consult with healthcare professionals for personalized advice.

Navigating hair loss treatments: finasteride & minoxidil

Experiencing hair loss can be challenging and overwhelming, affecting one’s self-esteem and confidence. Whether you’re dealing with male or female pattern baldness, it’s essential to find the right treatment that works best for you. This guide will explore two of the most popular options available finasteride and minoxidil—and help you determine which one is most suitable for your specific needs.

Understanding finasteride

Finasteride is a medication that prevents hair loss by blocking the action of 5-alpha reductase. This enzyme converts testosterone into dihydrotestosterone (DHT), the hormone responsible for hair follicle miniaturization. Finasteride is highly effective in slowing down hair loss and may even promote hair growth in the crown area.

The medication is generally well-tolerated, but some common side effects may include decreased libido and erectile dysfunction. Less common side effects may include breast tenderness or breast enlargement and depression. Finasteride is taken as a once-daily oral tablet, and visible results are usually observed within three to six months of consistent use.

Understanding minoxidil

Minoxidil is a vasodilator. It helps widen the blood vessels and increase blood flow to the hair follicles, stimulating hair growth. This medication is available in topical and foam form, and effectively promotes hair regrowth.

However, minoxidil may cause some side effects, such as scalp irritation, dryness, and itching. Less common side effects can also occur, such as unwanted facial hair growth or cardiovascular effects.

You can choose between a liquid or foam version when using minoxidil, depending on your preference and scalp sensitivity.

Comparing finasteride and minoxidil

Studies suggest that finasteride may be more effective in preventing hair loss and promoting regrowth than Minoxidil. However, individual responses may vary. Results with both treatments may take several months to become noticeable, and continued use is required to maintain benefits.

While finasteride and minoxidil have potential side effects, the nature and severity may differ between individuals. It’s essential to weigh the risks and benefits carefully. Finasteride is available as a prescription medication, while Minoxidil is available over the counter. Cost and accessibility may vary depending on insurance coverage and location.

Combining both treatments

Before combining finasteride and minoxidil, it’s essential to consult with a healthcare professional to ensure safety and effectiveness.

Making the right choice

When deciding between finasteride and minoxidil, consider factors such as the severity of hair loss, age, potential side effects, and personal preferences. Set realistic expectations and consult with healthcare professionals for personalized advice.

Consult with our online medical team

Our team of licensed healthcare practitioners at Lemonaid Health is here to guide you through hair loss treatment. Schedule a virtual consultation to discuss your options potential risks, and receive personalized advice.

FAQ

Which treatment is more effective for hair loss: finasteride or minoxidil?

Both finasteride and minoxidil are medications that have been proven effective in treating hair loss. However, their effectiveness may vary from person to person. Research suggests that Finasteride is more effective in preventing hair loss and promoting regrowth, especially in the crown area, than minoxidil. However, it is essential to note that individual responses can differ, and some people may find Minoxidil more effective for their specific hair loss pattern.

How long does it take to see results with finasteride and minoxidil?

Results from using both finasteride and minoxidil may take some time to become noticeable. Typically, you may see visible hair growth improvements within three to six months of consistent use. However, individual response times can vary; some may experience faster or slower results. To maintain the benefits, it is essential to continue using the treatments as directed by a healthcare professional.

What are the potential side effects of finasteride and minoxidil?

Finasteride and minoxidil are generally well-tolerated medications that may cause side effects. Common side effects of finasteride include decreased libido, erectile dysfunction, and breast tenderness. minoxidil may cause scalp irritation, dryness, and itching. Unwanted facial hair growth and cardiovascular effects are possible but less common side effects of both medications. Discussing any concerns or unusual symptoms with a healthcare provider is essential.

Can finasteride and minoxidil be used together?

Some people may choose to use finasteride and minoxidil simultaneously to treat hair loss more effectively. Combining treatments allows hair loss to be targeted from different angles. Finasteride addresses hormonal factors, while minoxidil stimulates hair follicles directly. However, seeking advice from a healthcare professional before combining treatments is essential. They can provide personalized guidance based on individual needs and medical history to ensure safety and effectiveness.

  1. U.S. National Library of Medicine. (n.d.). Finasteride: Medlineplus Drug Information. MedlinePlus. https://medlineplus.gov/druginfo/meds/a698016.html
  2. Arca E; Açikgöz G; Taştan HB; Köse O; Kurumlu Z; (n.d.). An open, randomized, comparative study of oral finasteride and 5% topical minoxidil in male androgenetic alopecia. Dermatology (Basel, Switzerland). https://pubmed.ncbi.nlm.nih.gov/15316165/
  3. Patel P, Nessel TA, Kumar D D. Minoxidil. [Updated 2024 Jun 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482378/

By

Editorial Team

|

September 5, 2024

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment or medication.