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Thinking about hair loss medication after 60? This clear, senior-focused guide explains the drugs people use, the real safety risks for older adults, and the exact checklist you should follow before starting anything. What we cover: Common options and how they work: topical minoxidil, oral finasteride and dutasteride, and popular supplements. Why seniors face extra risk: more medications, different liver and kidney function, changes in skin absorption, prostate and heart concerns, and greater sensitivity to side effects. Key safety checks to do first: review all current medications with your doctor or pharmacist, check blood pressure and heart history, discuss prostate screening and PSA changes, and consider baseline liver tests if you are on interacting drugs. Side effects to watch for: dizziness or low blood pressure, scalp irritation, sexual side effects, mood changes, swelling, and unexpected interactions. Learn exactly which symptoms require stopping the drug and calling a clinician. Practical monitoring plan: start low or try topical first, schedule a follow-up at 4–12 weeks, keep a symptom log, and do regular medication reconciliations. Safer alternatives and complements: cosmetic options, thicker hair styling, low-level laser therapy, and treatments you can pair with medical care. How to talk to your clinician: exact questions to ask and what to request from your primary care doctor or dermatologist. This episode gives seniors the knowledge to protect health while addressing hair loss.