My hair loss no longer is responding to treatment

Dr, if my condition is not just stabilizing but actively accelerating would that indicate the treatment is ineffective? Should I be considering upping the dose of finasteride?

Many times when genetic hair loss accelerates, it can not be impacted by increasing the dosage of medications. Adding options might help. The choices are 1) finasteride dosed at 1mg (higher dosages are not better), 2) minoxidil 5%, 3) add microneedling if you are not doing it. Unfortunately, we don’t have the answer to many of those whose hair loss is moving fast to balding. Keep in mind that the genetically impacted hairs have a genetic life time which is defined by the number of hair cycles they can go through. Balding is the consequence at this time. Maybe soon there will be better drugs or approaches, but unfortunately the hair transplant seems to be the last stop on that train.