Q: What time should I take the Propecia? Does it work better if I take it at night as opposed to the morning and should I take it with meals? A: It doesn’t matter what time of day you take Propecia and the time can very each day. The absorption of Propecia (finasteride) is not [...]

Q: I started thinning and saw more hair in the tub. I began Rogaine and stopped shampooing every night and is seems that there is now more coming out every time I shower. What is going on? A: Rogaine can cause shedding at the beginning of treatment (i.e. in the first 3 months) but this [...]

Q: I am having hair thinning and retreating from the front part of the scalp. According to Norwood’s classification I rank a category III. From what I see on the Rogaine pack it is used in hereditary hair loss on the (vertex) on top of the scalp. Any recommendations? A: Minoxidil does work on the [...]

Q: Do you think there is a difference in the efficacy between the 5% Rogaine foam or liquid formula? A: In theory, the foam should be as effective as the original solution (liquid). However, an important part of the efficacy is getting the medication directly onto the scalp – rather than just on the hair. [...]

Q: I am interested in a hair transplant, but am turned off by the apparent side effects of follow up Propecia. Could herbs serve the purpose of Propecia? Regarding laser treatments, do they work on their own, or do you need drugs to supplement? Can laser damage in some cases, rather than benefit? It seems odd that laser therapy has been undertaken in Europe for 10 years, yet there are no published studies on the results. Might this be because it doesn’t work in the longer term?

A: Finasteride is the best medication. Herbs are not particularly effective for hair loss. You should consider trying finasteride.

If you are in the 2% group that has side effects with Propecia, just stop taking the medication. If you do not experience side effects, then there is no problem taking the medication long-term. Hair transplant surgery doesn’t prevent the progression of hair loss. That is why it is used in conjunction with medication.

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