My ADN test (trichotest) say Spironolactone would be much efficient than fina for me

[arthurSam]

Hello,

I passed an adn test (trichotest) and the result say that spironolactone would be more efficient for me than finasteride. So they proposed me a topical solution with spironolactone. The test say I am receptive to igrantine-F1 too. Do you know what it is ?

Do you know if spironolactone if really efficient ? Because nobody seems to use it ... that weird no ?

I know orally it is very dangerous for men because it block testosterone and not only alpha R2 like finasteride so man cannot take it. But what about topical ? Can it be more efficient than fina ?

My test said that I am not responsive to alphaR1 so dutasteride is not needed for me.

Thanks for help

Edited October 20, 2022 by arthurSam

[Melvin- Admin]

Topical spiro isn’t nearly as effective as finasteride. Oral spiro is effective, but not advisable for men. 

[V2.Schneider]

I've worked in compounding pharmacy and I can say it's been extremely rare to get scripts for topical spironolactone, maybe say 5 scripts in 8 years. I'm not saying it won't work but just that it's not something doctors in Australia are prescribing.

I'm very interested in doing this TrichoTest but my dermatologist hasn't heard of it. What country are you in, and how can I get one done from Australia? Can it help predict if i'd be more responsive to finasteride or dutasteride?

 

[arthurSam]

Hello I live in France,

 

Thanks for answering me.

There is paper from 2020 saying topical spironolactone give  better result than topical fina for men and women  : https://www.researchgate.net/publication/344973262_Topical_Finasteride_versus_Topical_Spironolactone_in_the_Treatment_of_Androgenetic_Alopecia

The trichotest is from fagron: https://www.fagrongenomics.com/fagron-trichotest

It cost me 200eur and got result in 3 weeks from a dermatologist.

 

It can be done in Austria (see the website)

The test say if you are responsive to fina or duta, to minox, to insulin,  to biotin etc... for example my test say I have no need for duta but more for fina. It said also that insuline igrantine-F1 will work great for me so I will try to add it... (they propose me 0.5% topical). My test say also that biotin is not needed as my genetics have not deficiency to make that vitamin...

In France there is a lot of people with this prescription (spironolactone) in forum when doctor try other androgen than fina because people had side effect with fina... but not a lot of feed back yet...

In France doctors are not very clear about fina some say that topical is ok, some say the opposite... my doctor do not even know spironolactone in topical form for alopecia! 

If you want I can post pictures of my PDF report results...

Edited October 22, 2022 by arthurSam

[wrzasowic]

Hi, if you can, send us the results, I would love to see what it looks like

[Alfred]

Hello, there are my result (but it's in french)

 

 

 

 

 

 

Edited October 23, 2022 by Alfred

[Grzegorz641]

5 hours ago, Alfred said:

Hello, there are my result (but it's in french)

 

 

 

 

 

 

Hi where i can make this test 

[Melvin- Admin]

There’s only one study comparing the two and the sample size is really small. There’s way more studies comparing the efficacy of topical finasteride, so there’s a lot more data. 

[arthurSam]

Yes you are right I will continue on finasteride thanks for advise