Medications
Evidence-based guides to the prescription medications used for hair loss: how they work, how they compare, and how physicians use them in practice.
Prescription hair loss medications fall into two families: those that reduce the hormonal signal driving follicle miniaturization, such as finasteride and dutasteride, and those that act on the follicle itself, such as minoxidil. Most of the evidence base rests on these few active ingredients, so understanding how each works, what the trials actually measured, and how clinicians combine them is the foundation for everything else on this site. The guides below cover each medication on its own and the questions that come up when they are used together.
- Medications

Spironolactone for Hair Loss in Women: How It Works and Who It Helps
How the anti-androgen spironolactone may help female pattern hair loss, who tends to benefit, typical dosing and timeline, and the monitoring involved.
- Medications

Topical Finasteride: A Newer Alternative for Pattern Hair Loss
Topical finasteride delivers the medication directly to the scalp. How it works, what the evidence shows, and how it compares with the oral version.
- Medications

Combining Minoxidil and Finasteride: Why Pairing the Two Works Better Than Either Alone
Minoxidil and finasteride act on pattern hair loss through different mechanisms. What research shows about using them together as combination therapy.
- Medications

Dutasteride for Hair Loss: How It Works, Dose, Side Effects and Who It Suits
Dutasteride lowers DHT more than finasteride and is used off-label for male pattern hair loss. How it works, the usual dose, timeline, side effects, PSA tests and who should not take it.
- Medications

How Finasteride Treats Hair Loss: The Science, the Evidence, and What to Expect
Finasteride is one of two FDA-approved medications for pattern hair loss. How it lowers DHT, what trials show, and what to weigh before starting it.
- Medications

How Minoxidil Treats Hair Loss: The Science, the Evidence, and What to Expect
Minoxidil is one of the most widely studied hair loss medications. How it acts on follicles, what clinical trials show, and what to expect when you start.

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