Finasteride shed at 3 months

Recently I’ve been shedding a lot of these really fine, almost invisible hairs, as well as some normal looking ones and others with different textures than my natural hair. I’ve been shedding for at least a few weeks, and the shedding has kinda increased in intensity over time. I’ve been on 1.25 mg finasteride daily for 3 months and I’m definitely below baseline, so that kinda sucks. I went to a dermatologist a month or so ago and got diagnosed with MPB, Telogen effluvium, and Seborrheic dermatitis.

For treatment, I’ve been doing prescription Ketoconazole 2% shampoo 1x week, Free & Clear Anti-Dandruff Shampoo (has Zinc Pyrithione 2%) 1-2x week. I typically shampoo every other day or every 2 days, and on the off days I do nothing or just rinse my hair with cool water. So far the treatment for the dandruff hasn’t really helped, so I don’t know what to do about that.

I also have recently, like in the last few days, started using minoxidil on my temples and hairline because they’ve always been pretty bad, and I don’t want them to recede any farther lol.

So besides all that ,my question is: is prolonged shedding at 2-3 months finasteride, and to go below baseline, normal? I just want it to stabilize at this point lol it’s a rough situation. Maybe I should lower my finasteride dose? It’s hard to tell what’s making the shedding worse because there’s a lot of variables like diet, new medications other than fin., and telogen effluvium (which will go away with time, but I’m around 2-3 months post-op from surgery so I could be getting hit with another wave of it).

Another question: is there anything else I can do at this point? It just feels kinda helpless and bums me out. I don’t have another derm. appointment for a while so I don’t know what to do about the dandruff not going away.

There is no normal for a finasteride shed, but that usually stops in less than 3 months. Your hair loss may be your genetics run wild. You should not reduce your dose and you are correct to go back to see your doctor. The shed from finasteride suggests that it is working