Options After Propecia Loses Effectiveness?

I’ve used propecia for about 5 years (28 now). I started really at the first signs of trouble, as there is a lot of baldness in my family- my older brother was about 21 when he started thinning very quickly. The propecia worked well (1 mg) up until about 1 year ago, when I started losing quite a lot, so I bumped up to 2mg, which stopped it for another 6 months, but now it is really coming out again- I guess the effectiveness is just wearing off. I’ve also used 5% minox 2xday as well (the whole time). My question is: what options are available for me? I see that legally you cannot recommend avodart since the FDA has not approved it, but do you know whether its mechanism is similar enough to propecia that a resistance to propecia would also imply a resistance to avodart? I’m not looking to regrow really, just to stop the shedding and keep what I have. Thanks!

Avodart is a more effective DHT blocker than finasteride (Propecia) and in the hands of those who prescribe it, it does work in situations like you describe. Find a doctor who understands this medication and consider its use.