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Minoxidil and finasteride are two of the most widely used treatments for hair loss, especially male pattern baldness—and they work in very different ways. Here's a breakdown to help you understand their roles and how they can complement each other: 🧪 How They Work Finasteride: A prescription oral tablet that blocks the enzyme 5-alpha reductase. This enzyme converts testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles and leads to hair loss. By reducing DHT levels, finasteride helps preserve existing hair and may even regrow some. Minoxidil: An over-the-counter topical treatment (foam, spray, or solution) applied directly to the scalp. It’s a vasodilator, meaning it improves blood flow to hair follicles, potentially extending the growth phase of hair. There’s also an oral version used off-label for hair loss in some cases. ⚠️ Side Effects Finasteride: May cause sexual side effects like decreased libido or erectile dysfunction. Rare cases of mood changes or persistent symptoms after stopping. Minoxidil: Commonly causes scalp irritation. Oral form may affect blood pressure and heart rate. 🔗 Can You Use Them Together? Yes! In fact, combining finasteride and minoxidil often leads to better results than using either alone. Studies show up to 94% improvement in hair regrowth with combination therapy. Finasteride tackles the hormonal cause, while minoxidil boosts follicle health and blood flow—a powerful duo.