Should You Take Finasteride or Dutasteride for Hair Loss?
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- เผยแพร่เมื่อ 3 ส.ค. 2024
- Finasteride and Dutasteride are commonly prescribed for men and women with hair loss and hair thinning. We will share the difference between these two popular hair loss medications and which one is right for you.
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Dr. Joel Kopelman
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Dr. Ross Kopelman
1112 Park Ave 1a
New York, NY 10128
(212) 831-8333
kopelmanhair.com
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Really nice explanation! You go deep and to the important stuff that other channels do not explain
Glad to hear you learned something ;)
Great discussion. It is just today that I found your channel and subscribed immediately since your programs are scientifically based and for me as a medical professional is the most valuable to listen to the accurate information not the business type or superficial knowledgeably produced information. I agree with your statements and discussions because I already knew most of them so I believe in your recommendations and your approach. I appreciate your effort and willingness to share your experiences and knowledge with us.
P.S: How great is that your son followed your footsteps because I definitely believe that medical insights are kind of talents which runs in families. Either genetic effects or environmental influence d can make great doctors in a family, generation after generation. God bless both of you. Lots of respect to you dr. 🙏🏻🙏🏻
Thank you for your support! Love the comment. Our goal is to be balanced and honest with our medical advice. We want to help anyone who watches our channel to be able to make the best decisions when it comes to plastic surgery, hair loss and hair transplants.
Hello, Thanks for the video. Do you prescribe oral minoxidil? And what is your opinion about the Post Finasteride Syndrome?
Love your videos! I am 61 years old. I had a hair transplant just before my 60th birthday and have been on oral finasteride 1 mg for 2 and 1/2 years and oral minoxidil 1.25 mg for 16 months. I have no side effects and my hair looks better than it has looked in 20+ years!
Love hearing that your results have been so great. And we are super happy that you are enjoying our content. If there are topics you want to hear more about please share.
Excellent video! Started medical therapy (in Canada) and this was very informative.
I have been on it three months and so far have seen limited changes here is hoping it improves. (Worst case keep what I have )
One area my doctor didn’t give me a clear answer was the hairline. Does it help improve hairlines in your experience or just build and thicken what is left ? (Norwood 3, vertex)
Thanks for the info Chooms!
sup my fellow choom!!!
Nova!
I think that you are in the wrong cinematic universe
No one on my mom's side experienced hair loss, but my father and his father have. So its still likely that you will experience hair loss even though your hair is great right now
How much more effective is the pill versus a topical treatment?
Thanks for the video! I know that dutasteride blocks all three isoforms of 5ar. I've been recently reading that type 1 is also inside hair follicles in the frontal and mid scalp. Have you read research regarding this?
Yes! Dutasteride blocks both type 1 and type 2 5 alpha reductase and that’s why it’s considered to be a stronger medication compared to Finasteride to treat hair loss. In our office we usually put patients on Dutasteride because of its ability to be more effective in addressing hair loss.
Please address more women's hair loss. And advice about treatments and psoriasis . Thanks
Great suggestion! We will create an extensive video discussing all the options for females tackling hair loss
I have been taking 1.25 mg oral minoxidil since November and have been very happy to see a significant regrowth around my hairline and all over my head. I spent a few years of different topical treatments that I had to keep putting on twice every night and then (supposedly) washing out every morning.
@@nannygoatj Wonderful to hear! We always prefer to tell patients to be on oral medication vs topical because it is much easier from a compliance standpoint and oral usually works better for hair stimulation. Regardless is is great to have the option to use topical.
@@drkopelmanHello. I'm on finasteride. My wife and myself are planning on having a baby. Should l stop finasteride ? If yes How long ?
@@drkopelmanl have some questions if you may ! 1- men on finasteride or dutasteride have to stop it for a year when planning on having a baby ? 2- I'm Norwood 5 and l'm planning on having a hair transplant, using finasteride or dutasteride can still be useful ?
Taking dutasteride for longer time is it safe or and side effects on liver or kidney disease
If you deeply wound a bald scalp and use a YAP or FAK inhibitor to prevent scar formation would it be possible to regrow hair in the bald area?
I started too late with my treatment in 40s, but I'm taking 5mg oral minoxidil and 0.5mg dutasteride to try to regain some hair.
I have thin hairs in the crown still there taking dutesteride will it get thicker been on it now for 4 months
Hello sir, Recently I have been on oral finastraide 1mg (3 days a week) and oral minoxdil 2.5 mg daily. So can i use dutastraide lotion 0.025% on scalp for better hair growth. Also, i am from Bangladesh this dutasteride lotion of 0.025% is available here. Also concern about possible Side effects of oral dutasteride so i want to use dutastraide lotion insted. And, i have suffering form androgenic alopecia.
Awesome video!
Question: what do you think about this specific regimen?
- 2.5mg oral minoxidil daily
- 1mg oral finasteride daily
- 0.5mg dutasteride twice a week, instead of finasteride (it could be thuesday and thursday, for example)
I'm a 34 YO male patient with hair transplant done on my 30's. I'm on minoxidil and finasteride already but wanna try adding some dutasteride to see how it goes. I never had any side effects.
Thank you very much, guys!
Greetings from Argentina
Hair greed.
@@jordantorres8038 Made the mistake of not taking medication the first two years after transplant. Native hair began to thin out behind the transplanted hair. Lesson learned: if you don't feel comfortable with the idea of taking pills, don't do a hair transplant. It's not greed; just trying to fix the mess.
@@jotaoaene Had HT for my NW4, my first 1 and half yr after HT I m taking oral fin 1mg with top min (here in our country we dont have oral min), w/o any SE issues, got much better result, and then I switched to dut .5 mg. I dont have any issues and my hair almost back to my late 20s. During the process, i dont experience shedding (or im not aware coz its not visibly notice) Im 43. just take dut every day and trust the process. consult your hair doctor for best positive result.
I am male of 23yrs, i have heredity hair loss problems, my hairline was going up at 19 so i was using minoxidil for 5 yrs at my hairline area, but recently my crown and middle part started thinning, and i went to derma but he suggested 0.5mg dutastride daily, I was little nervous but he said, we could stop if you start having side effect. Should i cobsult other derma or should i just take one or two times weekly
I see improvement on hairline and side of head I think but I’m still shedding extreme on top after 6 months on finasteride. Also am subclinical hypothyroid but shouldn’t make such an impact
Any thoughts on batana oil?
I'm currently on 0.5 mg of Dut and 2.5 of oral min. Is this stack good? I have mild diffuse thinning and some loss of crown density. It's only been 1.5 since I've upgraded to this current protocol. Should I expect superior results compared to my previous routine? I was on daily finasteride and topical minoxidil before, and I barely had any results. But it seemed to slow down further hairloss at least.
Dutasteride and Minoxidal is the combination I prefer to prescribe to patients. I would recommend staying on this. And exploring a hair transplant at some point if feel like you want more coverage.
I have hair loss issues and my doctor has put me on dutasteride mesotherapy sessions. I’m 26 years old. Is the medication safe for me?
At your age no. l would not put you on Dutasteride oral unless you are absolutely done having children. Mesotherapy with Dutasteride I would feel more comfortable but I would want to make sure again you weren’t getting pregnant at the time or breast feeding and no family history of breast cancer. If you are a male any age absolutely safe.
It would be interesting if they can talk about of difference dose of dutasteride. Many doctors prescribe it every other day because dutasteride have a ver long half life, can i expect the same results with that protocol ?
We prefer Dutasteride vs Finasteride a majority of the time for patients
i’m on dutesteride for a month, i had a question, if i don’t have much miniaturised hair then will i face the initial shed that comes with taking these drugs?
Dutasteride can cause shedding of miniaturized hairs but without a trichoscope you may not see the small hair growth therefore you may still have some shedding
Great videos guys. Nice to see some American drs promoting a drug that was proven in 2002 but have been too scared, paranoid and uninformed to prescribe it because it wasn’t FDA approved. What a shame for the poor patients who had to miss out simply because of drs insecurities and paranoia. Well done to the Dr Kopelands
Many doctors use drugs that are "off-label".That is how new indications for medicines are discovered.
@@drkopelman I think you missed the point Dr Kopelman. There are many Dr's in the USA to this day who A) have not heard of dutasteride and B) will NOT dare prescribe it even off label because of their own insecurities and fears. Japan had the foresight and intelligence to approve this agent for the treatment of a barbaric and life compromising condition called "hairloss". Many American Dr's are stuck in the past. I can't tell you the countless stories from patients who tell me their Dr will not prescribe dutasteride. Even Finasteride has proven difficult for them to obtain. Here in Europe we were more forward thinking and knew the benefits years ago. I'm delighted to see you are more modern and up with the times. Well done.
I've been on oral Minoxidil (5mg/day) and oral Dutasteride (.5mg/day) for a year and unfortunately I'm losing more hair than ever. My bloodwork is normal and my serum DHT is really low. Thoughts?
you probably have some other hair loss condition other than androgen alopecia
It’s possible you might be experiencing telogen effluvium which could be induced from stress. Losing more hair than normal would be a sign of this. Besides that I would have to take a closer look at your scalp to rule out anything else. I would stay the course with your medications and give it time. Hair goes through cycles.
My doctor has advised Dutasteride and minoxidil. I am thinking about it's side effects. I am 23 . Should i take it ?
take topical dutasteride and oral minoxidil... or both topical (see minoxidilmax site)
sir i am 18 yeqars old can i take finasteride my both side of family members are bald
Yes you can. We have patients that are younger than 18 years old who are on Finasteride. If you want to get a prescription you can get one through our telehealth service dermondemand.com
@@drkopelman sir I have started taking finastride is 0.5 mg per day is that ok for me? Or need to reduce or increase dosage please kindly answer my question?
A year if wanting to have kid!? My hair would be gone then!
4 months on finasteride and my hair still the same 😔
You can shed in the beginning, I recommend waiting at least 6 months and then reassess. I’m happy to also do a virtual consultation for you!
That’s a good thing, you should be happy that ur not losing further ground
If you're really serious about regrowing your hair this is what to do: oral minoxidil 5mg daily, oral finasteride 5mg daily, oral spironolactone 200 mg daily, estrogen cream (estradiol/estradiol) a penny size once a day, kenalog-10 shots 5mg once a month for 6 months to start, three months break and do another 3 each month, iron and vitamin-D3 supplementation. Sure the spironolactone and estrogen will cause feminization and potential sterilization but frankly if this doesn't bother you as a male then go for it! More dermatologists should prescribe this protocol to their patients who want their hair back at all costs. It's working for me. I went from a Norwood 3 to Norwood 1.5 doing this in a matter of months. The progress isn't done yet either. My hair continues to get longer and thicker. I have a ponytail which has become thick and long that would make too many women and men jealous. The level of happiness I feel having my hair back cannot be put to words.
simply put: There are drugs that remove blockages so your hair can grow.
BUT , no drugs can re-learn your hair to grow after it has lost this ability.
True. No drugs exist currently to regrow follicles that you no longer have. However there is promising clinical research being done on hair cloning where in the future you’ll be able to stimulate new hair follicle growth from stem cells. This will be very helpful during hair transplants.
@@drkopelmanWhen will cloning hair growth be available around the world ?
WHY DO DRUGS HAVE TO BE PRESCRIBED? WHY NOT USE A NATURAL WAY?
because that's maybe the things we have that actually works?
The only natural way is to accept the nature and be bald as nature intended you to be!!! or we go the unnatural route and we try/fight to hold back hair and gain back the lost hair via the unnatural way!!!!
the side effects are rare but can be devastating....depression, ED, permanent androgen resistance.There are are thousands of cases
Ive been studying hair loss for years as I went Norwood 7+ by 28 years old. I am now reversing over a decade of severe hair loss using natural foods and simple tools. Now I help men get their high school hair line back on my channel. Inflammation and Androgens are a large part and also the physical changes in and on the scalp.
hahaha yeah sure
@@moesibai4277 Preciate the support
@@moesibai4277 thanks for your support!
I think it is very important to target a more specific audience, or your scam won't work.
You need to find a way of narrowing your target audience to that specific group of people who believe anything they're told, desperately want the next miracle cure, and those who make a weekly grocery list which consists only of snake oil.
Good luck you dishonest creep. 🙂
Lair
Ive been on finasteride for 2 years and while I tolerate it just fine my hair loss is not stabilized sadly...Im a bit scared to use dutasteride. Is it likely I will tolerate it well because i had no perceivable side effects with finasteride?
It take 2-3 years for finasteride to stabilise . Dutasteride acts much faster