Topical Finasteride For Hair Loss?

In this Video, I discuss the Safety & Efficacy of Topical Finasteride to help you decide whether you should include it in your hair loss protocol!
I'm Dr Parissis I work in London, UK in partnership with Feller and Bloxham Medical in Great Neck, New York.
To book a consultation with me, get in contact: [e-mail]

[@danialrahimi5004]

Great video, concise, to the point and evidence based. Thank you!

[@tomhayward3796]

Hi Dr Parissis, very impressed with your degree of scientific rigour when evaluating the relative efficacies of the two forms through the various studies, and you picked out all of the key information that I was looking for on topical finasteride and delivered it in a concise and clear way. Great video!

[@DrParissis]

I’m glad it helped! Thank-you

[@mikecronin6265]

As someone who got nasty mental sides from finasteride, I am now using topical and oral fin'. Low dose topical fin', and then oral a couple times a week seems to be working. The reality is you have to really find out what works for you, and then monitor the progress. Or the lack of progress.

[@robertthekingful]

How much and how often do you take it orally? Like .5mg every 3 days or something?

[@TheRhythmicRambler]

I feel a greater point is behind missed here. Topical finasteride would need to applied to the whole scalp not just thinning areas, to stop hairloss from proceeding. It's hard enough applying minoxidil with small volumes available to balding regions, let alone whole scalp with very similar volumes in ml of topical finasteride without overdosing

[@Jim-oc3sp]

For the studies you reviewed where patients had good outcomes, what delivery vehicle was utilized? And what do you think would work best between Ethosomes, Alcohol/Ethanol, Propylene Glycol, Liposomes, or something else?

[@risenphoenix4893]

Great video!! So I did oral fin for 2 years from a derm. I had sides pressed through added minox at 1 year mark. Liked my progress. Currently on a compounded .1% and 6 % minox. I also run oral .25 3 times a week. My question is simple if topical goes systemic if I apply to hairline only will I get full head covering? If so I would give up the oral .25 I cant find anyone to answer this.

[@turtlewaxed68]

Hi Dr. Parissis. Would like to switch from oral to topical finasteride due to sides, but the topical liquid solution of minoxidil made my scalp very sensitive and pruritic in the past. Now I use foam minoxidil without issues. Do you know if they make topical finasteride with a carrier that is gentle on the scalp?

[@bennybenny7382]

would slowly building up be a good approach? such as using saw palmetto for a few month, then changing to topical, then eventually maybe 0.5mg oral?

[@jetlibe]

Great video 👍 I have a question, I did a trichotest (Fagron )and they told me i am immune for finasteride and that i only respond to dutasteride. I never heard someone is immune or no responder for finasteride? Is this true or false ? Grtz

[@jetlibe]

Hello dokter, I did a trichotest from Fagron and they told I don’t respond to finasteride and I have to take topical dutasteride, is theire such a thing as a non gene Responder to finasteride? I never heard of such a thing? I only have very mild hairlos in the temples.Thanks with kind regards

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@trumpnation4198]

I was looking at the combination of topical finasteride minoxidil combo from HIMS. What do you think? Is this the best route with the least amount of sides?? Thanks for the video. Keep up the great work.

[@avpthegreat]

I’ve been using it for a month. Thinning has stopped and I have more baby hairs growing along the temples. It’s worked pretty well for me.

[@trumpnation4198]

@@avpthegreat that’s interesting, thank you. I started oral finasteride with minoxidil. I had a hair transplant almost a year ago and trying to keep the original hairs I did have.

[@ActerX1]

@@avpthegreatplz tell me how to make this solution at home🏠

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@avpthegreat]

@@ActerX1 This is prescription medication. You need to go to a doctor, receive a prescription, and buy it at a pharmacy. Easiest way is to go to online retailers (I use HIMS) that allow prescriptions online and will send it directly to your home.

[@lt7099]

Hi great video! I got bad lasting sides with oral finasteride that have only got better over two years off. I want to stop my hair loss. Is 0.005% topical finasteride 1ml or 2ml a day safe?

[@MohammedAlfaleh]

What is more important for hair loss, finasteride or minoxidil with micro-needling ? Thank

[@DrParissis]

5-alpha reductase inhibitors like finasteride target the root of the problem better.

[@Jim-oc3sp]

I had used oral Fin in the past and I was able to maintain for several years before it started losing efficacy. I switched to oral Dut and my testosterone went up, my libido increased but my hair loss continued. Is it possible that some people might have better results with Fin than Dut?

[@DrParissis]

Interesting Question - I haven't seen this clinically but I will keep a look out for any future cases in which this has happened.

[@tugweltp]

Is topical less effective if you still have some hair and find it difficult to apply to the scalp through the existing hair?

[@DrParissis]

This is a valid concern. Having existing hair in the way could affect how much liquid reaches the scalp. Properly massaging the solution into the scalp & perhaps using a little more in the areas where the hair is thicker usually helps some people.

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@MartinDiamondMC]

If creatine increases DHT, does creatine potentiate hair loss? If so, if you take finasteride is this DHT spike mitigated?

[@DrParissis]

The idea that creatine causes hair loss came from one study of 20 rugby players who showed a small but statistically significant in DHT levels after creatine use. There have been other small studies showing that creatine mildly increases testosterone and there is a theory that this extra testosterone could be converted to DHT -> causing hair loss. However it’s unlikely to be a ‘needle-mover’, ie unlikely to have a big effect on hair loss. If someone is very sensitive to DHT and very prone to hair loss it could have a minor accelerating effect. But really further studies are needed on the topic!

[@MartinDiamondMC]

@@DrParissis Thanks for the reply!

[@kartik1366]

Does finestricide solution will have any side effect on sexual health?

[@sansui77]

You obviously know something of this to ask the question. Why would you think otherwise?

[@davidzimara4540]

Is 1ml of 0.025 solution (so 0.25mg fin) sufficient?

[@DrParissis]

1ml of 0.025 solution per application is mostly used. Most papers include 2x of these applications per day to show effectiveness. More studies are needed into whether 1ml (1 application) is sufficient per day versus 2ml (2 applications).

[@davidzimara4540]

So, 0.5mg per day is probably more effective or the threshold?

[@davidzimara4540]

How to switch from topical to oral fin?

[@DrParissis]

I will make a video on this in the future but slow & gradual changes are always best!

[@davidzimara4540]

Any update?

[@ashishjha7361]

So i have been taking oral finasteride for 5 years now, will switching to topical cause me to lose any gains i have made?

[@DrParissis]

This shouldn’t happen according to the data!

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@ActerX1]

@@DrParissis​​⁠plz tell me how to make this solution at home🏠

[@AP0LL0420]

Hi Sir, are you an MD ?

[@DrParissis]

Hello there, yes I am a Medical Doctor.

[@AP0LL0420]

@@DrParissis thanks for the response doc

[@LastNameName-jr8hx]

How to find a topical finasteride ? I Google it but there was no clear product.

[@Polite_Cat]

Keeps and Hims sell it in the US. Alternatively you can make your own. I crush my finasteride tablets into a powder and mix it into my 60ml minoxidil bottle. I use six 5mg tablets for a 0.05% solution that I apply twice a day. If you want once a day you can use 12 5mg tablets for a 0.1% solution or more. There are topical finasteride calculators online that can help you figure out how much you need for a given concentration. The solvents in minoxidil (alcohol and propylene glycol) are suitable to make it dissolve.

[@michaels999]

Essengen f

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@rickarda9232]

@@ActerX1 Haircafe title "How to make topical finasteride"

[@dalerorex1416]

I have been taking oral Finasteride for 6 months and have observed no improvement.

[@akilbarboni4198]

Ofc u havent, finasteride takes at the very least 6 months to see any improvement, most people need a year if not 2 to see he full benefits of finasteride. Remember finasteride peaks at 2 years.

[@Jacob-nu4nd]

Add minoxidil

[@Jasper1364G]

Results vary from person to person. Best give it 12-18 months and then evaluate. You are fortunate if you regrow hair on fin alone, it's good for maintaining what you have. Also how far advanced MPB plays a part, because they say once you notice hair loss from the naked eye it has already miniaturised a fair bit. I attribute that to one of the reasons I didn't regrow hair on fin! But it does work at stopping, so keep taking!

[@Death.is.our.Salvation]

The sad part is that I can't find topical Finasteride🤔

[@ActerX1]

⁠plz tell me how to make this solution at home🏠

[@Nick-et2pb]

Are the side effects of topical finasteride reversible once you stop using it?

[@DrParissis]

The side effects from topical should be just as reversible as oral if not more reversible due to less systemic absorption.

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[@Macorelppa]

so naive to just read results of the studies and not the entire study and not looking at current balance of evidence.

[@welfareleech1525]

topical is BS just take the damn pill. These "side effects" are complete BS. I've never experienced one in 5 years.

[@mitya6568]

I agree, no sides in 3 years

[@xxo5294]

I don’t know why everyone doesn’t know by now that one persons experience is absolutely indicative of everyone else’s experience! It’s like, if one person doesn’t get side effects from a medication, the medical community should know that no one else could possibly ever experience any side effects. Duh! Why do they even use multiple people in clinical trials? So dumb they should just use one person

[@dfrancis9939]

Just because you haven't experienced them yet, doesn't mean they don't exist.

[@welfareleech1525]

@@dfrancis9939 I’m sure they do. But if you’re a healthy man and under 50. You’ll experience no side effects. I can’t tell the difference between taking finasteride or my flint stones vitamin?

[@ghostraider4312]

I use topical and works well for me 🤷‍♂️