Finasteride Alternatives: What to Try If Finasteride Isn’t for You

Worried about finasteride side effects or it just didn’t work? You’ve got options. This guide walks through realistic alternatives — what they do, who they suit, and what to expect.

First, a quick reminder: finasteride lowers DHT, the hormone that shrinks hair follicles. Alternatives either reduce DHT in different ways or help hair grow without touching hormones. Pick based on your goals, gender, and tolerance for side effects.

Top medical alternatives

Dutasteride — stronger than finasteride at blocking the enzymes that make DHT. It can work better for some men, but it may carry a higher risk of sexual side effects. It needs a prescription in many countries, so talk to a doctor.

Topical finasteride and topical dutasteride — these put the drug on your scalp instead of swallowing it. Early reports show fewer systemic side effects while still helping hair. Not every clinic or pharmacy offers these, and compounding is common.

Minoxidil — the non-prescription classic. It doesn’t block DHT; it widens blood vessels to stimulate hair growth. Works best for vertex thinning and often helps when combined with DHT blockers. Expect daily application and to keep using it or gains fade.

Spironolactone and other anti-androgens — mostly used in women. Spironolactone blocks androgen effects and can help female pattern hair loss. It’s prescription-only and not suitable for men due to hormonal effects.

Procedures, shampoos, and supplements

Ketoconazole shampoo — an antifungal that also reduces scalp inflammation and may lower local DHT. It’s cheap, easy, and worth adding to a routine.

Platelet-rich plasma (PRP) — a clinic procedure that injects your own growth factors into the scalp. Some people get noticeable thickening after a few sessions. Results vary and it’s a recurring cost.

Low-level laser therapy (LLLT) — at-home helmets or in-office devices that can boost hair density over months. It’s painless but needs regular use.

Hair transplant — the most permanent option for areas with stable donor hair. Modern techniques give natural results but expect a surgical recovery and a higher price tag.

Saw palmetto and other supplements — popular, low-risk choices that may slightly reduce DHT for some users. Evidence is weaker than for prescriptions, but people try them alongside other treatments.

So what should you do next? Start with realistic steps: try minoxidil and ketoconazole shampoo if you want an over-the-counter plan. See a dermatologist if you’re considering dutasteride, spironolactone, PRP, or a transplant. Keep a photo diary so you can track real changes over months.

If you want more guidance, BuyBestMeds.com has guides on buying meds safely and comparing treatment costs. And remember — a short chat with a clinician will save you time and help avoid wasted treatments.