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Treatment for androgenic alopecia and hair thining.
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Skin & Hair Concerns
Question #11371
221 days ago
286

Treatment for androgenic alopecia and hair thining. - #11371

Navdeep Singh

have used 5% minoxidil multiple times for 2 years and finasteride 1 mg for 2 years, but they didn’t work. I also use scalp ketoconazole shampoo. I have androgenic alopecia, and at the age of 29, I’m experiencing heavy hair loss and thinning. I still have hair, but it is getting worse. I cannot go for expensive treatments like PRP or a hair transplant. Is there any medicine, serum, homeopathy, or any other treatment that actually works and can improve my condition permanently not just improve when use then quite so condition get even worse. Also, please suggest a cream for acne scars and anti-aging that can help me achieve glowing skin. Currently, I am using tretinoin 0.025%, but I don’t see any results.

Age: 29
Chronic illnesses: I have stress and overthinking.
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
221 days ago
5

Hello dear See as per clinical history it seems stress induced hairfall Medications you are already taking. However iam suggesting some replacement for the current medication Kindly follow them for 1 -2 months and in case of no recovery or improvement Consult dermatologist in person for better clarification Rosemary oil instead of minidoxil Topical Treatments -Benzoyl Peroxide (2.5–5%) Kills bacteria and is anti-inflammatory in action. Salicylic Acid, Adapalene 0.1% can also be given as additive medications. Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day use aloevera - tulsi solution to apply topically for 1 month Lastly Use bhringraj or onion oil for hair gain Hopefully you recover soon Regards

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With androgenic alopecia, it can be frustrating when the standard treatments like minoxidil and finasteride aren’t giving you the results you hoped for. These are typically the backbone of treatment and work for many, but they don’t for everyone. At this stage, given your experience with both medications, it might be worth revisiting your approach with a healthcare professional to ensure you’ve optimized your regimen - this includes considering possible dosing adjustments or reviewing how consistently and correctly you’re applying these treatments. Sometimes subtle changes can make a difference. Other over-the-counter options are rather limited; however, topical caffeine solutions and certain peptide serums are being researched and can be explored. For a more holistic approach, ensuring a diet rich in nutrients that support hair health like iron, zinc, and biotin may help, though it’s important to keep expectations realistic. Redensyl and procapil also have some emerging evidence supporting them, but results can vary widely. Concerning less costly and less invasive methods, low-level laser therapy devices have some support, though the evidence is not as robust as for medications and can be quite inconsistent.

Regarding your skincare concerns, if tretinoin 0.025% isn’t showing results, discuss with a dermatologist whether a higher concentration might suit you better, or if another retinoid such as adapalene or tazarotene could be more effective. Combining with alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) could enhance the treatment’s effects on acne scars and anti-aging, but should be introduced gradually to avoid irritation. Niacinamide or products containing it may help improve skin texture and tone over time. Consistency and patience are key with all these treatments as visible results often take several months. It’s crucial to avoid using too many active ingredients at once, as that can lead to irritation and further complicate your regimen. Avoiding sun exposure without protection is critical when using retinoids. Always consult your doctor or dermatologist before making any significant changes to your treatments, as they’d provide you with insight tailored to your specific needs.

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