Continued shedding despite minoxidil

Hello Dr Rassman, I have a question. I am on 5mg of oral Minoxodil a day. I have been told by a few people it may be too much. Thing is, my hair is not getting better. Been on it for 8 months, hairloss is rapidly increasing to the point I am nearing NW3 when I was barely even NW1 8 months ago (Shedding hundreds of hairs over the sink) My question is, if I lower my Minoxodil dose to 2.5mg every day, will that cause even more hairloss? I’m worried about being stuck on 5mg of minoxodil for the rest of my life

This is a balancing act between safety and effectiveness. Lowering the dose to 2.5mgs shouldn’t have an impact on you; however, with continued shedding, maybe finasteride is worth considering