Going Back to Finasteride from Dutasteride?

Bumblebee

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Hey,

After incorporating Dutasteride into my regimen during late summer 2022 (I started with it once a week while taking Finasteride on the other days and now use Dutasteride 3x a week and Finasteride 4x a week) I was hoping to regain some of the hair that had slowly receded after about seven years on Finasteride (I’m getting close to 9 years now). I can also add that I had very good reactions to finasteride when I started it - no sides and very good regrowth. I also started applying liquid Minoxidil a couple of months later (winter 2022). I’d never had so much hair as I did about half a year after starting taking min (around summer 2023; I was so happy and didn’t even think about my hair loss.

However, during the winter of 2023, I began experiencing an itchy scalp and started shedding hair – something I’d never encountered before. To this day I lose a lot of hair while showering and my hair appears much thinner than before, especially during the last week where the front of my hairline looks visibly thinner. I switched to foam Minoxidil about three weeks ago, thinking the alcohol in the liquid might be irritating my scalp, but the issue persists. I’ve just gone back to liquid minoxidil in case the accelerated loss lately is because of the minoxidil change (the itchiness hasn’t gotten worse after changing back to liquid min).

I’m starting to suspect that Dutasteride might be the problem. I think it started at the same time as Dutasteride reached full effectiveness in my body (taking it once a week, I guess a year makes sense). I continue to lose hair, my scalp itches, I have dandruff, my skin is drier and I occasionally get pimples on my forehead (I’ve never had any skin issues or pimples before). And here’s another weird thing; my eyebrows itch and shed. They’re so much thinner than they used to. If it’d worked, it shouldn’t haven’t gotten much worse as I’m getting close to three years starting dutasteride.

Has anyone experienced their hair looking worse after switching to Dutasteride and then improved it by going back to taking Finasteride daily? Did it work for you? I’m already planning to do it today as I’m getting desperate. Going fully (7x week) on dutasteride seems scary as 3x doesn’t seem to work at all.

Tl;dr: Added dutasteride 1x week with finasteride after I started to loose efficiency having been seven years on finasteride. Also started with Minoxidil a couple of months later. Had massive regrowth, but started losing hair again about a year in on dutasteride. I suspect it’s dutasteride that is the culprit and I’m thinking of going back fully to finasteride (and staying on Min).

Appreciate your help.
 

losingbattle88

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Did you go back to finasteride (if you were on it from earlier) and how did it work out?
I started with dutasteride not finasteride. But i did try finasteride after dutasteride and I was balding alot slower. This indicates that the T rise is the issue for me personally because finasteride rise T less than dutasteride.
 

Bumblebee

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I started with dutasteride not finasteride. But i did try finasteride after dutasteride and I was balding alot slower. This indicates that the T rise is the issue for me personally because finasteride rise T less than dutasteride.
I regret even going on dutasteride. Should have started with Min and stayed on finasteride. Well, I’m going back to finasteride today. It’ll take a while before I’ll see any results as dutasteride has a long half-life.
 

losingbattle88

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I regret even going on dutasteride. Should have started with Min and stayed on finasteride. Well, I’m going back to finasteride today. It’ll take a while before I’ll see any results as dutasteride has a long half-life.

I regret even going on dutasteride. Should have started with Min and stayed on finasteride. Well, I’m going back to finasteride today. It’ll take a while before I’ll see any results as dutasteride has a long half-life.
Im staying away from 5ar inhibitors from now on. They never ever worked for me. So im soloing oral minoxidill twice a day instead.
 

Bumblebee

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Im staying away from 5ar inhibitors from now on. They never ever worked for me. So im soloing oral minoxidill twice a day instead.
Finasteride worked wonderfully. Regained a lot of hair and didn’t even think about my hair until about three years ago. Adding minoxidil was extremely effective too, but I guess dutasteride just ruined it for me. Not including the hair shed, the itchiness, dandruff and even eyebrows getting affected is just awful. Let’s hope it goes the right way when I lay off with dutasteride now.

EDIT: I can also add that I’ve never had any shedding issues when on finasteride. Didn’t even understand what people meant with ”having a shed” on the web until I a year after starting dutasteride.
 
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losingbattle88

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Finasteride worked wonderfully. Regained a lot of hair and didn’t even think about my hair until about three years ago. Adding minoxidil was extremely effective too, but I guess dutasteride just ruined it for me. Not including the hair shed, the itchiness, dandruff and even eyebrows getting affected is just awful. Let’s hope it goes the right way when I lay off with dutasteride now.

EDIT: I can also add that I’ve never had any shedding issues when on finasteride. Didn’t even understand what people meant with ”having a shed” on the web until I a year after starting dutasteride.
Weirdly dutasteride removed itch 100% and reduced my shedding. Even more when I combined it with oral min. I lost very very little hairs. Despite this hair was alottttt thinner 1.5 years into treatments. Hair thinned alot slower after quitting everything.
 

Thinning Sucks

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I did similar in past added 1 dutasteride once per week with finasteride daily and got bad lower ab pains (for sure from that). Now I do finasteride 1.25mg daily and add 1 capsule dutasteride to minoxidil full bottle then applied twice daily. After 4 months I see less hair in shower drain which very encouraging and hair looks generally thicker.
 

glenn_livet

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I too just dropped dutasteride 1x / week after being on it for about 1.5 years. Hair shed a lot, receded, miniaturized.
I wonder if it will improve now after just going back to 1.25mg of finasteride or I will lose it all / lose it even faster than with dutasteride.
 

casenova7

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I regret even going on dutasteride. Should have started with Min and stayed on finasteride. Well, I’m going back to finasteride today. It’ll take a while before I’ll see any results as dutasteride has a long half-life.
Any update on this? How has it been since you transitioned back to finasteride?
 
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