Great video Killian. I've personally found that oral minoxidil 5mg a day has been a huge boost not only with my transplanted hair on top, but equally as important, in my donor region also (which has taken quite a hammering. Lol). Again great video and thanks for sharing!
@@oncall21 is 5mg not a lot? Any sides? Is it a safe drug? I'm thinking of trying it out then also easing myself back onto fin 1mg 3 times weekly. Doc told me that fin 3 times weekly can help avoid sides yet its almost as effective as the daily usage.
This can be helpful as it increases absorption and expression. However, it is not the most practical. It adds another element to the routine, which will increase probability of quitting treatment - it is already probable that most will discontinue on the topical alone without additional steps added. Most importantly though, it will not resolve the issue of having the product reach the scalp in it's entirety as there still exists the hair barrier itself. Oral Minoxidil is therefore more practical, and ultimately a more effective option as there is no percutaneous and hair barrier. There is also more bio-activation due to wider availability of sulfotransferase (Liver, platelet, and outer root sheath). This is why tretinoin is not worth considering, unless there is an aversion to oral therapy.
Thank you for the information. In the past, I used topical mino for 15 years, and about a year ago I switched to oral mino 2.5 mg. My doctor advised me to gradually increase up to 5 mg of mino, because there was no improvement, but she warned me that there would be side effects. My question: Is it worth combining Mino topical 5% once a day, with 2.5 mg Mino orally, instead of increasing to 5 mg orally, to improve the treatment, and also to avoid side effects?
It would be more effective to take 5mg alone. Combing topical and oral minoxidil is not wise as the hair becomes dependant on two actives. When you stop one inevitably there can be a shed.
Hi Killian. Hope you're having a great day. I had a few things boggling me and wanted to ask about your opinion. I'm worried about what people call "Post Finasteride Syndrome". I've seen many talk about how disastrous using fin was for them and that they've gotten a wide range of long-term side effects BUT I've seen many others including yourself not experience any side effects at all! I'm just feeling a bit lost. Which one is it? how can I measure the chances of me experiencing these side effects? My second concern is the effects of finasteride on my liver. If I should take this medication for presumably the foreseeable future, won't I eventually harm my liver after prolonged use? How should I go on about this? And one final concern. Is it possible to use finasteride forever? I am aware that it can't cure baldness, but how long can a person take it? Apologies for the long comment. I'm just feeling lost a bit...
If concerned I would recommend titrating it from .5 to 1mg over 6 months. You can always take it on Monday Wednesday and Friday for still very good, if not near the same benefit :)
Usually cold temperatures have no effect on the stability of the product. They do thermal cycling studies in the pharmaceutical sector to show this for transport of the product.
I am going to start on 1.25mg as well, whenever I can the medication. I live in Ireland and its such a struggle to get it here. My GP wont prescribe it and the cheapest consultation I can get here with a HT clinic here is €250, only then will they prescribe it, if they feel its necessary. I am contacting as many clinics within the EU to find a cheaper solution to getting a prescription for Loniten.
Hi man quick question if you’re able to answer, I’ve been on finasteride 1mg and oral minoxidil for around 4 and a half months, due to prescription problems I havnt taken finasteride for over 3 weeks and am now beginning to shed way way more hair than before I took the brief break ( btw I’ve got my prescription on it’s way) just wondering is this what would normally happen and when I start taking finasteride again after 3 and a half weeks how long will I be shedding for ? Thanks for the great content 👍
After 2 weeks DHT returns to baseline unfortunately. A shed usually begins after this. You will notice thinness beginning about 1-2 months post cessation.
Hi Killian, I was hoping you could give me a little advice. I've been on oral fin + min for a year or so now with good results. But I just got diagnosed with cancer and as a result will lose my hair due to chemotherapy. The doctors suggest me dropping my hair loss meds. Is there any point in continuing the meds through my chemo? Thank you
So sorry to hear that… I’d ask them if you are still able to use oral fin, i do see oral min mixing well with chemo meds so maybe topical is your best bet. Again ask ur doctor ur options and be prepared to need a transplant. Praying for you !
Oh my goodness I am so sorry. I honestly don't know the answer, I would imagine these medicines will still be postive to the dermal papillae and when you make a full recovery may your hair come back plentiful 🙏🙏
@@TheHairChemist Thank you for your reply! My doctors advised me to drop the meds to avoid complications with treatment, so that's what i will do. They say I can begin again in a couple months when I'm better =)
@@Philmoscowitz I may be too far down the rabbit hole of watching Haircafe. He's an avid critic of oral Minoxidil and thinks that it is dangerous. I'm meeting with my GP in a few days and will check with her then. I haven't bothered to actually look at the studies Haircafe references.
@@TheHairChemist We really need to see the rates to make the risk/reward assessment. Oral minoxidil s potentially lethal, so needs to be (an almost surely is) vanishingly small rate to be worth the aesthetic benefit. This goes for all prescription drugs. I wish the FDA would force pharma to put percentage risk next to each side effect - like say, the chance of occurring during a 6 month period for an average Caucasian. Shouldn't be up to the public to just try to piece it together from anecdotes. In the absence of good information, it behooves us to be more cautious than probably necessary.
@@TheHairChemist Thanks for answering. Couldn't the company have offered the tablet in the dosage people these days take it for hair loss?-i.e., 1.25 mg to 5 mg
I have the 1mg Finasteride but i am hesitant to take it. Mainly because of the stated side effect of infertility. If i ever want to have kids in the future i dont want to be infertile😂 Do you know any data that suggest otherwise? Do you yourself experience this? Or do you need to stop taking the medication prior to conceiving a child? Many thanks in advance!
1. Take it man, one pill won't really do damage, if you get any side effects, they will disappear after interrupting intake of the medicine. I would start at 0.25mg, take it for 3 Months to asses sides, than i would up the dose 2. Sides occur in only 2% of men, you got to be one of the unluckiest to get side effects 3. I read on a lot of forums that is best to stop taking it, 6 Months before trying to procreate, so that you make sure that finasteride is completely out of your system
Hi Killian, I have my 2nd transplant with Dr Saifi booked next Monday 26th August. Had 2040 FUE in December 2020. Used finasteride for 3 years but noticed it lost efficacy. While using fin I had lower libido and viscuous semen, I accepted it, it didn't botjer me much. When fin lost efficacy I swapped it for dutasteride. Quit dutasteride after 3 months because of devastating sides. Luckily it looks like I am recovering from those sides, however I do not want to use anti androgens again. Would you reccomend using oral minoxidil as a standalone treatment after my transplant next week, or is minox ineffective unless paired with fin/dut? Are there nasty sides with minox? Cheers.
@@TheHairChemist thanks mate. Seems to have gone alright. Just hope I didn't disturb any grafts on the way home, had to haul my heavy bag from Wroclaw to Brussels Charleroi, then bus from BC to Brussels City Centre, then train from BCC to Brussels Airport then finally home to Dublin. Long day with lots of moving around. Hopefully it didn't disturb any grafts.
@@TheHairChemist when I booked my flights, the only return flights from Wroclaw were too awkward. Think the direct flight from Wroclaw was late in the evening and 2 or 3 times the average price. Realistically I left it too late booking my return flights and thought it would not be too stressful if I just flew home through Brussels and saved myself a few bob in doing so.
👉 Hair Loss Consultation with me: hair-restoration-consultation.com/
Great video Killian. I've personally found that oral minoxidil 5mg a day has been a huge boost not only with my transplanted hair on top, but equally as important, in my donor region also (which has taken quite a hammering. Lol). Again great video and thanks for sharing!
Thanks Adrian, it's great to hear testimonials on this drug at low dosage 👍
@@oncall21 is 5mg not a lot? Any sides? Is it a safe drug? I'm thinking of trying it out then also easing myself back onto fin 1mg 3 times weekly. Doc told me that fin 3 times weekly can help avoid sides yet its almost as effective as the daily usage.
Before hopping over to oral minoxidil you can try adding tretinoin to topical minoxidil and boost the sulfotransferace. But you hadn't mention that?
This can be helpful as it increases absorption and expression. However, it is not the most practical. It adds another element to the routine, which will increase probability of quitting treatment - it is already probable that most will discontinue on the topical alone without additional steps added.
Most importantly though, it will not resolve the issue of having the product reach the scalp in it's entirety as there still exists the hair barrier itself.
Oral Minoxidil is therefore more practical, and ultimately a more effective option as there is no percutaneous and hair barrier. There is also more bio-activation due to wider availability of sulfotransferase (Liver, platelet, and outer root sheath). This is why tretinoin is not worth considering, unless there is an aversion to oral therapy.
Thank you for the information. In the past, I used topical mino for 15 years, and about a year ago I switched to oral mino 2.5 mg. My doctor advised me to gradually increase up to 5 mg of mino, because there was no improvement, but she warned me that there would be side effects. My question: Is it worth combining Mino topical 5% once a day, with 2.5 mg Mino orally, instead of increasing to 5 mg orally, to improve the treatment, and also to avoid side effects?
Good question!
Add tretinoin
It would be more effective to take 5mg alone. Combing topical and oral minoxidil is not wise as the hair becomes dependant on two actives. When you stop one inevitably there can be a shed.
What kind of side effects can you get from minoxidil?
Hi Killian. Hope you're having a great day. I had a few things boggling me and wanted to ask about your opinion.
I'm worried about what people call "Post Finasteride Syndrome". I've seen many talk about how disastrous using fin was for them and that they've gotten a wide range of long-term side effects BUT I've seen many others including yourself not experience any side effects at all! I'm just feeling a bit lost. Which one is it? how can I measure the chances of me experiencing these side effects?
My second concern is the effects of finasteride on my liver. If I should take this medication for presumably the foreseeable future, won't I eventually harm my liver after prolonged use? How should I go on about this?
And one final concern. Is it possible to use finasteride forever? I am aware that it can't cure baldness, but how long can a person take it?
Apologies for the long comment. I'm just feeling lost a bit...
If concerned I would recommend titrating it from .5 to 1mg over 6 months. You can always take it on Monday Wednesday and Friday for still very good, if not near the same benefit :)
Hey Killian, I accidentally froze my pack of Finasteride, do you think that I have to get a new one, or that frozen Finasteride is still effective?
Usually cold temperatures have no effect on the stability of the product. They do thermal cycling studies in the pharmaceutical sector to show this for transport of the product.
Odd question but what do you think about finasteride/minoxidil and spiritual growth man?
Well if a feeling of spirituality lowers stress this is beneficial. Stress increases hair loss.
Is 1.25mg too low a dose? Looking to start on that doseage.
I've seen many people respond great to this.
I am going to start on 1.25mg as well, whenever I can the medication.
I live in Ireland and its such a struggle to get it here. My GP wont prescribe it and the cheapest consultation I can get here with a HT clinic here is €250, only then will they prescribe it, if they feel its necessary.
I am contacting as many clinics within the EU to find a cheaper solution to getting a prescription for Loniten.
Hi man quick question if you’re able to answer, I’ve been on finasteride 1mg and oral minoxidil for around 4 and a half months, due to prescription problems I havnt taken finasteride for over 3 weeks and am now beginning to shed way way more hair than before I took the brief break ( btw I’ve got my prescription on it’s way) just wondering is this what would normally happen and when I start taking finasteride again after 3 and a half weeks how long will I be shedding for ? Thanks for the great content 👍
After 2 weeks DHT returns to baseline unfortunately. A shed usually begins after this. You will notice thinness beginning about 1-2 months post cessation.
Hi Killian, I was hoping you could give me a little advice. I've been on oral fin + min for a year or so now with good results. But I just got diagnosed with cancer and as a result will lose my hair due to chemotherapy. The doctors suggest me dropping my hair loss meds. Is there any point in continuing the meds through my chemo? Thank you
So sorry to hear that… I’d ask them if you are still able to use oral fin, i do see oral min mixing well with chemo meds so maybe topical is your best bet. Again ask ur doctor ur options and be prepared to need a transplant. Praying for you !
@@Lamb02 thank you, my doctors say its safe to take but a waste of money 🤣
You need to stay on Finasteride or you will lose your hair to androgenetic alopecia
Oh my goodness I am so sorry. I honestly don't know the answer, I would imagine these medicines will still be postive to the dermal papillae and when you make a full recovery may your hair come back plentiful 🙏🙏
@@TheHairChemist Thank you for your reply! My doctors advised me to drop the meds to avoid complications with treatment, so that's what i will do. They say I can begin again in a couple months when I'm better =)
i have a question if i’m not responding that much to 5mg oral what should I do
What about adverse effects? There is some concern as to oral minoxidil's effects on the cardiovascular system online.
It's probably has the same effect as topical minoxidil. It lowers your blood pressure.
This is why it must be physician assessed and a history obtained.
@@Philmoscowitz I'm not sure... Taking it oral means it goes systemic. A lot less of it goes systemic when it's applied topically, I'd imagine.
@@RedBar3D Sure, of course. But in pill form it's such a small amount.
@@Philmoscowitz I may be too far down the rabbit hole of watching Haircafe. He's an avid critic of oral Minoxidil and thinks that it is dangerous. I'm meeting with my GP in a few days and will check with her then. I haven't bothered to actually look at the studies Haircafe references.
Excellent video. Am looking to start on 1.25mg. just hope I don't get excessive body hair growth
Not at this dose, that's the great thing wait low dosage. You get the right balance.
@@TheHairChemist thanks very much. Keep up the videos. I really enjoy them and they are very educational. 👍👍
@@ittiazahmad8483 appreciate that a lot 🙏
The problem I’m scared of oral minoxidil side effects 😢
@@TheHairChemist We really need to see the rates to make the risk/reward assessment. Oral minoxidil s potentially lethal, so needs to be (an almost surely is) vanishingly small rate to be worth the aesthetic benefit. This goes for all prescription drugs. I wish the FDA would force pharma to put percentage risk next to each side effect - like say, the chance of occurring during a 6 month period for an average Caucasian. Shouldn't be up to the public to just try to piece it together from anecdotes. In the absence of good information, it behooves us to be more cautious than probably necessary.
What side effects? Do you mean lower blood pressure?
At low dose it is typically well tolerated, but you would need to see a doctor and get assessed for candidacy.
Why didn't the makers of Rogaine just offer minoxidil in tablet form instead of in solution?
Tablet form was prior to topical, however it was used at higher dosage for hypertension.
@@TheHairChemist Thanks for answering. Couldn't the company have offered the tablet in the dosage people these days take it for hair loss?-i.e., 1.25 mg to 5 mg
I have the 1mg Finasteride but i am hesitant to take it. Mainly because of the stated side effect of infertility. If i ever want to have kids in the future i dont want to be infertile😂
Do you know any data that suggest otherwise?
Do you yourself experience this?
Or do you need to stop taking the medication prior to conceiving a child?
Many thanks in advance!
1. Take it man, one pill won't really do damage, if you get any side effects, they will disappear after interrupting intake of the medicine. I would start at 0.25mg, take it for 3 Months to asses sides, than i would up the dose
2. Sides occur in only 2% of men, you got to be one of the unluckiest to get side effects
3. I read on a lot of forums that is best to stop taking it, 6 Months before trying to procreate, so that you make sure that finasteride is completely out of your system
Hi Killian, I have my 2nd transplant with Dr Saifi booked next Monday 26th August.
Had 2040 FUE in December 2020.
Used finasteride for 3 years but noticed it lost efficacy. While using fin I had lower libido and viscuous semen, I accepted it, it didn't botjer me much. When fin lost efficacy I swapped it for dutasteride.
Quit dutasteride after 3 months because of devastating sides. Luckily it looks like I am recovering from those sides, however I do not want to use anti androgens again.
Would you reccomend using oral minoxidil as a standalone treatment after my transplant next week, or is minox ineffective unless paired with fin/dut?
Are there nasty sides with minox?
Cheers.
I hope your surgery went well, good luck in your recovery.
@@TheHairChemist thanks mate. Seems to have gone alright. Just hope I didn't disturb any grafts on the way home, had to haul my heavy bag from Wroclaw to Brussels Charleroi, then bus from BC to Brussels City Centre, then train from BCC to Brussels Airport then finally home to Dublin. Long day with lots of moving around. Hopefully it didn't disturb any grafts.
How come you didn't fly direct to Dublin?
@@TheHairChemist when I booked my flights, the only return flights from Wroclaw were too awkward. Think the direct flight from Wroclaw was late in the evening and 2 or 3 times the average price. Realistically I left it too late booking my return flights and thought it would not be too stressful if I just flew home through Brussels and saved myself a few bob in doing so.
Ah kk, well hope you got home ok. Rest up!