Q: I have been using Rogaine and Propecia, but recently purchased a bottle of Nioxin Cleanser/Shampoo. However, I am reluctant to apply it because I have noticed that the Nioxin website recommends against mixing Nioxin products with Rogaine products. Do you think that it is safe or advisable to use the Nixon shampoo? Is there any indication that this product is even effective? Any advice?

A: Nioxin has no active ingredients that can grow hair. There is an increased incidence of scalp irritation when used with Rogaine – i.e., the likely reason for their warning. I would stick with the medications that are proven to work, i.e. finasteride and minoxidil.

Q: Is using Minoxidil combined with Retin-A better than regular Minoxidil for Hair Loss?

A: Minoxidil has been prescribed (off-label) in combination with other medications, such as topical retinoic acid (Retin-A), to enhance its penetration into the skin and thus increase its effectiveness. This combination of medications, however, can significantly increase the absorption of minoxidil into the bloodstream and may increase the risk of potential side effects.

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: I have thinning hair and have heard about Low Level Laser Therapy (LLLT) for hair loss. I know that I can either buy a machine over the internet or go to a doctor’s office or medical spa for treatments. Which one should I do? A: The advantage of the in-office LLLT systems are that [...]

Q: If I stop the treatment will any benefit that I had be lost? A: As with other medical therapies for hair loss, once the treatment is completely stopped, any benefit should subside. It is anticipated, therefore, that periodic treatments will be needed after than the initial treatment course.