r/tressless • • 17m ago

Ketoconazole Any good alternatives to Nizoral ketoconazole shampoo that is not as drying?

• Upvotes

Nizoral 2% gives me a chemical burn and leaves my scalp red and extremely painful after just one use, and 1% fries my hair completely.

I used to use RegenepureDR, but it's out of stock everywhere, so I guess it has probably been discontinued. Looking for an alternative.

Thanks in advance!


r/tressless • • 3h ago

Treatment fin 3 months and min 1 month no shed, could i have been misdiagnosed

0 Upvotes

I've had no shed from oral min 2.5mg and oral fin 1.25 mg yet at all. To be fair, I lost all my hair within one month which was the month of april this year. Literally all my hair disappeared in a month. I'm wondering if I could have something else and have been misdiagnosed or is it fine that I haven't shed?


r/tressless • • 4h ago

Treatment Anybody using Clascoterone 5% off-label

3 Upvotes

Is anybody using Clascoterone off-label for hair loss? If so for how long and are using it in conjunction with other medications (oral minoxidil, finasterise, dutasteride)? I have read that a dermatologist could prescribe it and it could be filled at a compounding pharmacy.


r/tressless • • 5h ago

Product M25, anyone who has legit source for RU58841

0 Upvotes

as written in the title, I'm from INDIA i need a legit person who could source me ru54881, could be mixed solution or even compund !


r/tressless • • 6h ago

Product Question regarding topical duty

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1 Upvotes

Is the L’Oréal stemoxyl serum a good carrier? Given it has stemoxydine and other carrier compounds?
I have the gel caps, and I’d like to create a topical protocol to add to the oral dose I take.
Tia.


r/tressless • • 7h ago

Technology Derma Pen Replacement Cartridges

1 Upvotes

I just received the Korabeauticals V2 Pro pen and it’s been great so far but I’m about to run out of needle cartridges. I was wondering if anyone knew if I there are replacement ones on Amazon or elsewhere that are compatible before going through the Korabeauticals website.


r/tressless • • 7h ago

Finasteride/Dutasteride Topical Finastride recommendations in Australia

3 Upvotes

Hi,

I’ve been on 1mg of oral finastride for about 1 year now, but I’m looking to get off it and move to a Topical solution. This is due to not being able to donate blood and plus concerns over long term health effects.

I’m looking for advice and how that went for you if you’ve done something similar

I’m also looking for recommendations on topical finasteride products in Australia to help reduce hair thinning and hair loss.


r/tressless • • 8h ago

Finasteride/Dutasteride Guys here who switched from fin to dut after one year. see an increase in gains? Any side effects? Shed differences?

1 Upvotes

I've been taking min/fin for 9 months and I seem to have stabilised however I've had very small gains and mostly just maintained and thickened what i already have, I'm considering switching to dut if I'm still unhappy at 1 year. Has anyone had any success in gains after doing this? I've had no sides from fin/min, and my shed cycle is pretty much 3 months of shedding then 3 months of resting, so I'm not sure how dut will change my shedding, any advice?


r/tressless • • 8h ago

Treatment Is 1mg oral finasteride daily + 0.1% topical dutasteride twice daily too much?

2 Upvotes

Hi guys, I’m just wondering if my current routine which is 1mg oral finasteride daily and topical minoxidil (PG free) with 0.5% minoxidil, 0.1% dutasteride, and 0.1% tacrolimus 2x daily overkill?

I’ve heard 0.1% dutasteride on its own is more potent than 1mg oral finasteride so is doing both plus actually using the dut twice a day too much? Is that very risky for side effects? It def seems like it is but my derm said it’s nothing to worry about. I am especially confused because she doesn’t even describe my hair loss as moderate and thinks I have a great shot of regrowth (I’m a diffuse thinner for 6 years now, from age 16 to now at 22)

Has anyone seen good results on a similar stack?

So far I’ve been on the finasteride for a little over a month and started the min/dut/tacro 2 days ago. I also feel like I noticed far less hair shedding on finasteride days or weeks into it so is the dutasteride even needed?? Thanks for the comments in advance.


r/tressless • • 9h ago

Treatment Progressive shedding despite 13 months of oral minoxidil and Finasteride

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1 Upvotes

I have been on oral minoxidil and finasteride for 13 months now, but I am experiencing progressive, severe shedding. Every single time I wash my hair, I see a massive clump like the one pictured in the post. This is in addition to the hair I constantly find on my bed, on the floor, and pretty much everywhere else just from lightly touching my head.

I also have seborrheic dermatitis, which means my scalp has dandruff and flakes almost all the time. Lately, I have been using Flakes dandruff shampoo. I’ve only washed my hair with it three times so far, so I’m not entirely sure how well it’s working or what else I should be doing to manage it.

I know people frequently talk about experiencing a second or third shedding phase even after finding stability on minoxidil, but this feels like a prolonged shed. Instead of stabilizing, my hair loss has accelerated. My frontal scalp is thinning out rapidly. I noticed this acceleration became significantly worse after I recently moved to America from a South Asian country.

Has anyone else experienced a prolonged shedding phase around the 13-month mark while on this regimen? For those who have dealt with active seborrheic dermatitis alongside hair treatments, what did your scalp care routine look like to keep inflammation down? Additionally, has anyone else experienced an increase in shedding after a major geographic move or climate shift? I am looking to hear about similar personal experiences or coping strategies while I wait for my upcoming dermatologist appointment.


r/tressless • • 9h ago

Finasteride/Dutasteride Long time fin user wanting to add or switch to dut

1 Upvotes

Is there an expected shed if I’ve been on fin for 10+ years . ? My Hair loss is progressing , wondering if a. Little dut to my routine would help ?

Anyone have experience? Perhaps 0.5 a couple days a week?

I’m on min as well


r/tressless • • 10h ago

Finasteride/Dutasteride Is the significntly reduced hair loss is considred good for 1 mg finasteride?

1 Upvotes

I have been on finasteride for like 7 months and only finasteride. I couldnt tell from the pictures weither my hair have grown better or no but it is defintely not getting worse i am recently concerned if it is worthy continuing in it or no


r/tressless • • 10h ago

Finasteride/Dutasteride My Journey w/ Dutasteride: Question on shedding phase

1 Upvotes

I started my transition to Dutasteride after taking Finasteride for 2 years. I made the decision to switch because I wanted more hair growth and also because I wanted to see how Dutasteride would compare.

I didn't quit Finasteride "cold turkey" I was taking both at the same time while gradually increasing my Dut intake until I was no longer taking Fin.

I have been taking Dut since mid April this year, so it has been a little over 6 months and feel like my hair is thinning again. Is it normal to experience a shed after 6 months?


r/tressless • • 10h ago

Chat Did anyone experienced more frequent urination on fin/dut?

0 Upvotes

Since I started dut (7 months) Ive noticed that I seem to need to urinate more often and have a harder time holding it in and Ive seen many people reporting urinary problems while taking finasteride or dutasteride so has anyone managed to resolve these issues and if so how?

(Ive seen many people having this problem and Im planning to see a doctor so please dont tell me to see one I just want to know if anyone has managed to resolve this issue)


r/tressless • • 11h ago

Finasteride/Dutasteride Doctor on Strut says to switch from 1mg fin every day + 0.5 Dut every other day to just taking 0.5 Dut every day without any fun.

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1 Upvotes

I took fin every day for about 6 years, and eventually started losing some ground.

Was recommended to start adding 0.5mg dut once per week, then lost some more ground, and was recommended to up the dut to 2x then 3x per week.

I was still slowly losing ground, and asked my doctor on Strut what to do.

They said to just make the switch without any taper. But isn't that exactly how you get a gnarly shedding phase?

Is 0.5 mg of dut 7x per week really stronger than taking it 3x per week with 1mg of fin 7 times per week?

Has anyone else dealt with this?


r/tressless • • 11h ago

Finasteride/Dutasteride Loss of penile sensitivity on fin

3 Upvotes

Hey all,

I took fin for a week around 3 weeks ago and developed penile numbness. Libido and erections were largely the same. I stopped and sensitivity returned around 12 ish days after thankfully.

Definitely not a placebo. Has anyone had this specific side effect or other and had relief on dut?

It will unfortunately be a dealbreaker for me as it was quite severe.

Thanks


r/tressless • • 11h ago

Minoxidil Oral Min 2.5mg, one month in and experiencing sides.

1 Upvotes

I’ve been on oral min for almost a month now and over the past week I’ve noticed a lot of fluid retention in my face as well and I’ve been having some chest pain when I sit down and lean forward. I was previously applying topical %5 at night in addition to the oral because I switched from topical to oral and have leftovers. However obviously these side effects are not negligible and I need to switch up what I’m doing in one way or another. Debating on either splitting the dose to 1.25mg 2x daily, switch to 1.25mg daily, or just full stop for a while and see if the symptoms subside. Would like to know what other people in my situation have done. I’ve started shedding heavily and would really hate to stop taking it now just as my hair is getting wrecked.


r/tressless • • 11h ago

Treatment Persistent scalp itching and dandruff despite trying multiple treatments — Any advice?

1 Upvotes

Hi everyone,
I’m 21M and I’ve been struggling with hair loss and scalp issues for over a year.
It started with telogen effluvium, likely triggered by major surgery and severe iron deficiency (ferritin around 2 ng/mL). My iron levels are now normal, but I still experience some hair shedding and thinning.
Over time, I developed severe scalp itching, dandruff, and occasional yellowish crusts.
I’ve tried several shampoos:
Ducray Kelual DS: Worked extremely well initially, then became less effective.
Head & Shoulders Clinical Strength (selenium sulfide): Helped with dandruff but eventually caused itching and burning.
Ketoconazole: Significant improvement after the first wash, but itching returned after the second.
Ducray Sensinol: Sometimes helps, but can also trigger itching during application.
Garnier Ultra Doux: No lasting improvement.
Currently, my scalp looks almost completely normal, but I still have intense, random itching and tiny yellowish, sometimes waxy particles attached to the base of my hairs.
I’m wondering whether I have persistent seborrheic dermatitis, an irritated scalp barrier, or something else.
Has anyone experienced severe itching despite having a visually healthy scalp? What finally worked for you?
Any advice or similar experiences would be greatly appreciated!


r/tressless • • 11h ago

Finasteride/Dutasteride Been on Fin/Dut since 2019 and Libido Nuked

13 Upvotes

I used Fin from 2019 to mid 2024 and then swapped to Dut until current day. Finally starting to hit me that my libido is simply not the same as it was when I was on Fin. Everyone is on here raving about how Dut has a better side effect profile and I agree for the first 6ish months but onwards it has been difficult. I can still get hard but get soft during the performance.

Any long-term users experiencing the same, considering switching back?

33m


r/tressless • • 12h ago

Finasteride/Dutasteride Month 4 into Fin/Min & Looking Rough

1 Upvotes

Been on 1.25 mg of Fin and 3mg of Min with 2% ketoconazole shampoo as well. About to hit month 4 and have never looked worse with hair loss. Im a diffuse thinner and now notice that my crown is thinning compared to just my temples and sides in the beginning. I know shed is normal but is it normal almost 4 months in for me to now notice the crown going as well while this far into treatment?


r/tressless • • 13h ago

Treatment 1.5 years after my hair transplant - losing more than half my density despite finasteride and minoxidil. Has anyone experienced this?

5 Upvotes

I'm starting to wonder whether continuing finasteride and minoxidil even makes sense in my case, considering that I'm still losing hair at an alarming rate despite consistently using both treatments.

I've posted about my situation here a few times before, but I'll try to summarize everything.

I had my hair transplant in April 2025. Up until February 2026, everything was going really well, and I was extremely happy with the results. However, around February/March, I started experiencing significant hair shedding, which has continued pretty much nonstop until today.

I haven't noticed any regrowth or improvement in density. Quite the opposite. At this point, I have less than half the hair density I had back in December/January.

Since my transplant, I've been taking 1 mg of finasteride daily, applying 5% topical minoxidil foam twice a day, doing microneedling, taking supplements, and regularly taking care of both my scalp and hair. Despite all of this, things have only gotten worse over the past several months.

I also considered telogen effluvium (TE) as a possible explanation, since I went through several stressful situations earlier this year. However, those stressors were pretty much gone by April. It's now been over six months, and I'm still shedding heavily, with no visible signs of recovery. I know TE can sometimes last longer, but I'm struggling to understand why my hair keeps getting progressively thinner.

What confuses me the most is that even my transplanted hair seems to be falling out. Transplanted follicles are generally supposed to be more resistant to DHT, especially when taken from a stable donor area. My grafts were taken from good donor areas, so I assumed that at least the transplanted hair would remain relatively stable.

This brings me to my main question: what's the point of continuing these medications if they haven't even managed to slow down the shedding over the past several months?

I haven't experienced any significant noticeable side effects from finasteride, but I'm aware that it's not a completely risk-free medication.

And before someone says, "It would be even worse without finasteride," here's something I think is worth mentioning.

I've been dealing with androgenetic alopecia for almost 14 years, and my hair loss progressed significantly more slowly during those years than it has over the past six to eight months while taking finasteride.

In just a few months, I've lost more than half of the density I had after my transplant, despite being consistent with both finasteride and minoxidil. That's why I find it difficult to believe that stopping them would necessarily make things dramatically worse.

I also want to mention that I'm not particularly interested in switching to dutasteride. I've discussed it with several dermatologists, and they advised against it, mainly because of concerns about its long-term safety data compared to finasteride.

I'm also concerned about its potential effects on fertility. From what I've read, some studies have reported changes in semen parameters, although I'm not entirely sure how much greater the risk actually is compared to finasteride, or how persistent those changes might be.

For these reasons, I'm hesitant to switch to a stronger DHT blocker, especially when I don't even know what's causing my current hair loss.

At this point, I'm starting to think that another hair transplant might be my only option. However, I honestly don't understand what happened or why the results of my first transplant deteriorated so quickly. And even if I went for another transplant, who's to say the same thing wouldn't happen again?

Has anyone here experienced anything similar, especially after a hair transplant?

I'm particularly interested in hearing from people who initially had great results, only to experience sudden and prolonged shedding months later, including their transplanted hair.

If you've been through something similar:

  • Did you eventually figure out what was causing the shedding?
  • Did your hair recover or regain its previous density?
  • How long did it take before you noticed any regrowth?
  • Did you make any changes to your treatment, or did the shedding eventually stop on its own?
  • Has anyone experienced this despite consistently taking finasteride and minoxidil?
  • Did anyone end up stopping the medications or getting a second transplant? If so, how did things turn out in the long run?

I'd really appreciate hearing about your experiences or any suggestions on what else might be worth investigating.

I'm especially interested in people who went through something similar and eventually managed to reverse the situation, because right now, after months of continuous shedding and no improvement, I'm honestly running out of ideas.


r/tressless • • 13h ago

Progress Pictures Crazy 4 months crown comeback.

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44 Upvotes

Started daily oral 1mg fin last week of june 2026.

1.5mm micro needling every 2 weeks.

Added daily oral 2.5mg min 2 weeks ago.

The comeback is real guys.


r/tressless • • 13h ago

Finasteride/Dutasteride 23M on finasteride for 1.5 years but hairline keeps going back

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2 Upvotes

Am i a non responder? Or should i give it even more time? First 2 pictures are today, the last one is when i started finasteride. Im almost sure that my hairline progressed way faster then before taking fin. Someone had the same experience?


r/tressless • • 13h ago

Progress Pictures 1 year progress, dut, fin and min

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5 Upvotes

Pic at the top is now, 1 year after starting . Bottom pic is 1 month from starting treatment. I get the pics aren't great, bottom pic hair is longer, not the exact same angle, but I'm happy with how things are going so far.

I plan to keep going for another year then go for a HT to the hairline.

Dut 3 x week 0.5mg mon/weds/fri. 2.5mg oral min daily. Topical min and fin twice daily.


r/tressless • • 13h ago

Treatment Should i do something else? Min+fin

1 Upvotes

Im using minoxidil for a long time without seeing big results or no results idk but i start fin 77days and I think its getting better should I wait like 6 months to know if im minoxidil responder and fin was aggressive before or start to take topical minoxidil orally 0.05 or use dermstamp I heard its make itchy scalp (irritation)