Senior Member Rossybop Posted July 15, 2023 Senior Member Share Posted July 15, 2023 Hi guys, I am down to my last finasteride pill. I will cut it into quarters and it will keep me going for a few days. However, I'm about to order my first subscription of dutasteride. I'm ordering 90 0.5mg dutasteride tablets. I am not ordering finasteride! I believe 1x0.5mg of dutasteride daily is the recommended dose, but I believe it has a long half-live, and a stronger effect than finasteride. I feel like finasteride has lost efficacy on me over the past year. I've been losing hair (again). I'm hoping dutasteride will have a good impact on my hair loss. So here's a few questions: - I will take my last hit of finasteride on Thursday, then my first hit of dutasteride on Friday. I have not weaned myself off fin, I am literally jumping straight off fin and straight onto DUT. Is this the best way of doing things? Will this induce side effects? - Might experience any side effects from dut; advanced shedding for a few weeks etc? - Should I expect awesome results with dut? A lot less hair loss? Perhaps thicker hair? - If I use dut 0.5mg x 4 weekly will that be strong enough, seen as it has a long half life, or should I just use it every day, or maybe even 5 days a week? Thanks Link to comment Share on other sites More sharing options...
Senior Member Big Rome Posted July 15, 2023 Senior Member Share Posted July 15, 2023 Following: I myself will be starting medication for the first time this month. DUT 3 x a week MWF as recommended by the doctor 1 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 15, 2023 Senior Member Share Posted July 15, 2023 You have lots of good questions relative to your decision to switch to DUT from low dose finasteride…the best truthful answers to any of them are: you won’t know how you will respond until you make the switch. Yes you could have new or more side effects however it’s less likely because you have a long ingestion period with finasteride…the same goes with the possibility of an acute shed cycle, you may have some shedding but IMHO, not acute. Most of the guys that I have dialogued with who have switched from FIN to DUT did not experience a drastic difference, a small percentage of them felt it made a huge difference in curbing their hair loss but most of them just maintained which was still a success…thicker hair?…nothing that was noticeable. In all honesty, we are lay people so your questions regarding the best path to make the transition regarding dosage and frequency of ingestion can only be answered by a licensed physician, a hair loss specialist who is experienced with the medicinal treatment side of hair loss. 1 Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted July 15, 2023 Senior Member Share Posted July 15, 2023 Just stop fin immediately and start taking .5mg dutasteride In terms of expectations, idk man. Regrowth is such a rarity with both Fin and Dut. If anything the meds are used to prevent hairloss, not regrowth. My guess is that Dut will likely be a stronger weapon for you in preventing further hairloss. But in terms of regaining already lost hair, including the hair you've lost over the last 2 years, idk man I would say that hair is lost for good People who experience regrowth from fin/dut really are miracle cases. 99% of the time these are preventative meds only 1 Link to comment Share on other sites More sharing options...
Senior Member Rossybop Posted July 15, 2023 Author Senior Member Share Posted July 15, 2023 4 hours ago, Big Rome said: Following: I myself will be starting medication for the first time this month. DUT 3 x a week MWF as recommended by the doctor Cool. Good luck with it. 3x weekly seems like an easy commitment. Wondering if I can use it a little less than every day myself. Link to comment Share on other sites More sharing options...
Senior Member Rossybop Posted July 15, 2023 Author Senior Member Share Posted July 15, 2023 3 hours ago, gillenator said: You have lots of good questions relative to your decision to switch to DUT from low dose finasteride…the best truthful answers to any of them are: you won’t know how you will respond until you make the switch. Yes you could have new or more side effects however it’s less likely because you have a long ingestion period with finasteride…the same goes with the possibility of an acute shed cycle, you may have some shedding but IMHO, not acute. Most of the guys that I have dialogued with who have switched from FIN to DUT did not experience a drastic difference, a small percentage of them felt it made a huge difference in curbing their hair loss but most of them just maintained which was still a success…thicker hair?…nothing that was noticeable. In all honesty, we are lay people so your questions regarding the best path to make the transition regarding dosage and frequency of ingestion can only be answered by a licensed physician, a hair loss specialist who is experienced with the medicinal treatment side of hair loss. Cool, thanks. I might message one of the licensed physicans here on this forum. I think I will need a 2nd transplant to bring me back to good density, if the dutasteride proves to be effective over the next few months. Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted July 16, 2023 Senior Member Share Posted July 16, 2023 7 hours ago, Rossybop said: - Might experience any side effects from dut; advanced shedding for a few weeks etc? - Should I expect awesome results with dut? A lot less hair loss? Perhaps thicker hair? - If I use dut 0.5mg x 4 weekly will that be strong enough, seen as it has a long half life, or should I just use it every day, or maybe even 5 days a week? - Potentially. Which will be a good indicator that you’re responding better to dutasteride compared to finasteride. - No. You should set the benchmark low and hope for maintenance (drastic slowing of hairloss) and let anything additional be a bonus. A higher dosage frequency will lead to a higher likelihood of benefits. -Using 0.5mg daily is optimum - especially if you are aiming for regrowth. You could taper yourself onto that dosage - however if you’re going from 1mg daily fin with no sides - swapping that to 0.5mg daily dut, you should be ok. 1 Link to comment Share on other sites More sharing options...
Senior Member gillenator Posted July 18, 2023 Senior Member Share Posted July 18, 2023 On 7/15/2023 at 5:11 PM, Rossybop said: Cool, thanks. I might message one of the licensed physicans here on this forum. I think I will need a 2nd transplant to bring me back to good density, if the dutasteride proves to be effective over the next few months. I sincerely hope you have good success with it. Gillenator Independent Patient Advocate I am not a physician and not employed by any doctor/clinic. My opinions are not medical advice, but are my own views which you read at your own risk. Supporting Physicians: Dr. Robert Dorin: The Hairloss Doctors in New York, NY Link to comment Share on other sites More sharing options...
Regular Member ThePerseverantWarrior Posted July 19, 2023 Regular Member Share Posted July 19, 2023 (edited) I was on finasteride 1 mg daily for 18 months without much significant results. Then, on a doc's suggestion, I added 0.5 mg dut once a week for 1.5 months, and have been on fin 5 times a week and dut twice a week for the past 3-4 weeks. Haven't seen any significant result yet. I don't feel my hairloss has been completely stabilised yet. It could also be a case of weak hair cycles. I am also on 2.5 mg oral minoxidil daily (since Feb 2023) and hair fact multivitamin tablets (for the past two months). Hoping for the best 🤞 Edited July 19, 2023 by ThePerseverantWarrior 1 Link to comment Share on other sites More sharing options...
Rahal Hair Transplant Posted July 19, 2023 Share Posted July 19, 2023 (edited) @Rossybop, First, I want to say that I strongly advise speaking to a physician before jumping from finasteride to dutasteride though they are two different medications and dutasteride is clearly more potent than finasteride. Even though dutasteride technically wasn’t studied specifically for the treatment of male pattern baldness, it does block both type 1 and type 2 5-alpha reductase enzymes, inhibiting the production of even more DHT. In comparison, finasteride only blocks type 2. As a result, dutasteride is likely going to be more potent and effective than finasteride at slowing down, stopping or reversing the effects of male pattern baldness. But also, the possibility of side effects may also be increased. This would be true whether or not you weened off finasteride. Moreover, there may be an additional hair shedding phase after the first couple of months use, similar to finasteride. This is an indication that the medication is working. I hope this helps Rahal Hair Transplant Edited July 19, 2023 by Rahal Hair Transplant Rahal Hair Transplant Institute - Answers to questions, posts or any comments from this account should not be taken or construed as medical advice. All comments are the personal opinions of the poster. Dr. Rahal is a member of the Coalition of Independent of Hair Restoration Physicians. Link to comment Share on other sites More sharing options...
Senior Member Rossybop Posted July 19, 2023 Author Senior Member Share Posted July 19, 2023 48 minutes ago, Rahal Hair Transplant said: @Rossybop, First, I want to say that I strongly advise speaking to a physician before jumping from finasteride to dutasteride though they are two different medications and dutasteride is clearly more potent than finasteride. Even though dutasteride technically wasn’t studied specifically for the treatment of male pattern baldness, it does block both type 1 and type 2 5-alpha reductase enzymes, inhibiting the production of even more DHT. In comparison, finasteride only blocks type 2. As a result, dutasteride is likely going to be more potent and effective than finasteride at slowing down, stopping or reversing the effects of male pattern baldness. But also, the possibility of side effects may also be increased. This would be true whether or not you weened off finasteride. Moreover, there may be an additional hair shedding phase after the first couple of months use, similar to finasteride. This is an indication that the medication is working. I hope this helps Rahal Hair Transplant That does help. Thanks for your response why would you recommend talking to a physician before switching to dutasteride. I plan on taking my last hit of finasteride tomorrow, and then my first hit of dutasteride on Friday. Link to comment Share on other sites More sharing options...
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