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How Effective Are Rogaine and Nizoral in Treating Hair Loss?- Monday, July 27, 2009


I have been doing my research for over a year now. I am 22 and have thinning hair at my temples and I also have receded past a mature hairline. I have consulted with two of the top hair restoration physicians in New York. Coalition member, Dr. Feller prescribed me Propecia. I am a little uneasy about the side effects and wanted your opinion. How do you feel about Rogaine and Nizoral only and what have you heard about their results? Also, how do you feel about taking .25mg of finasteride daily?.

Your story was a real help to me and thanks for taking the time.


Because surgical hair transplantation does nothing to stop the progression of male pattern baldness, I believe non-surgical hair loss treatments like finasteride and minoxidil should be considered as part of any man's long term hair restoration plan.

In rarer instances, these two hair loss treatments may stimulate hair regrowth however, are usually better at slowing down or stopping balding from continuing.

Nizoral shampoo is considered a weak DHT inhibitor due to its active ingredient ketoconazole. Thus, it may be a helpful as an adjunct treatment to stronger treatments like Propecia (finasteride) and Rogaine (minoxidil). But I wouldn't expect it to do much on its own. Rogaine by itself can be effective however, since Rogaine doesn't stop the core problem DHT that attacks the hair follicles, combining it with a treatment that inhibits DHT like Propecia can only enhance its effectiveness.

There's been some discussion as to whether or not lesser quantities of finasteride are just as effective as the recommended 1mg daily. Honestly, it's hard to say. However, I do know that some hair restoration physicians recommend smaller dosages to patients whose hair loss isn't accelerating that quickly or to patients who experienced side effects with higher dosages.

Side effects of the above medications, though reported as rare, are a very real possibility. Thus, be sure to read up on each medication and become familiar with the benefits, limitations, and possible side effects of each one. Personally, I've been taking 1mg of finasteride daily for over 4 years with no problems with side effects.

Bill Seemiller - Associate Publisher of the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q & A Blog.
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