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Which hair loss medication is more effective: Rogaine or Propecia?

Rogaine and Propecia are different hair loss medications (with Rogaine being over the counter and Propecia requiring a prescription), but they make similar claims in regards to hair growth… which one is better?

These medications both work to improve the fullness of your hair and treat hair loss, but one isn’t necessarily better than the other. Rogaine and Propecia work in different ways, and the effectiveness of each medication depends on the stage and type of hair loss you are experiencing.

Propecia is a prescription drug used to treat male pattern baldness, and in higher doses is also used to treat enlarged prostate. Propecia works by inhibiting the production of dihydrotestosterone (DHT), which is the hormone that triggers genetic male pattern baldness. It is not yet known if using Propecia has any effect on hair loss occurring on the sides of the head or the area just above the forehead (receding hairline).
Unlike Propecia, Rogaine works by stimulating the hair follicle itself to help encourage hair regrowth. Originally used to treat high blood pressure, Rogaine is now used primarily to stop the advance of hair loss and also to increase blood flow to the scalp by widening the blood vessels. It is believed that this increase in blood flow, oxygen, and nutrients to the scalp is what stimulates the growth of new hair. However, if there has been damage to the hair follicle itself, Rogaine will not help.

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Figure 1: Rogaine foam vs Propecia

So although Propecia might slow down hair loss and balding and Rogaine could slow down balding and stimulate minor hair regrowth, but neither is effective for advanced stages of hair loss. Hair loss also continues once either medication is stopped; the only proven permanent hair loss solution remains to be hair transplantation or restoration.
If you would like to learn more about effective hair loss medication and additional options for hair loss treatment, Bosley offers a free consultation. For the vast majority of patients, virtually all transplanted hair lasts a lifetime. Hair restoration at Bosley is a relatively simple outpatient procedure. A Bosley physician can determine your candidacy and discuss your hair restoration goals with you.

Dr. Ken Washenik Explains Propecia vs. Rogaine Effectiveness

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