Help! I’m a 36-year-old who has been on Propecia for about 8 years. Over the past couple of months, I have noticed a dramatic thinning of my hair. Interestingly, the thinning appears to have started just as I ended a 6-month Accutane treatment. What is happening? What can I do now that Propecia has stopped working? Am I a good candidate for Avodart?
I’ve written you three times on this matter. Please answer. I’m desperate!
You could have thinning secondary to Accutane build-up. Stopping Accutane may help. Avodart, as I have said over and over again, is not FDA approved for hair loss. Although it is used by some doctors, I have only prescribed it once and am not about to start going ‘off label’ for many reasons that I do not wish to discuss here. Simply put, safety and effectiveness have not been demonstrated for Avodart in the long term on young men with hair loss. I am not your doctor and you need to have a doctor who is vested in your condition. Between you and your doctor, you need to build a Master Plan to deal with your hair loss. You need to have your hair mapped out for miniaturization to see if the thinning you are seeing is ‘patterned’ or not. Pattern analysis of miniaturized hairs may help you distinguish the difference between genetic hair loss and Accutane effects. Give it some time and see what happens in the next 6 months.