9 months on oral and topical minoxidil (photo)

25 year old male has doubled up taking both oral and topical minoxidil.  There is NO GOOD REASON to do both, as this increases the incidence of side effects from systemic minoxidil overdosage.  The oral alone would have given this man the same effect without topical minoxidil. I just has a patient who got cardiac fluid buildup by doing just what was done here.  Risking death to get hair is not a good exchange.