Should I Be Using 2% or 5% Minoxidil with Propecia?

Hi Doc, what a wealth of information this blog is so many thanks. I have recently started propecia for vertex thinning and am thinking that i should also probably use minox in conjunction with it. Do you have any thoughts on wether it should be the 2% or 5% dosage or if i should use it at all. Im 7 months into my propecia regime. thanks

In my practice, I generally recommend one change at a time. Wait out the full 8-12 months on Propecia before you add minoxidil. You should be using a good metric on this treatment (mapping out your hair for miniaturization) so that you know what is really happening and what you really need.

Higher concentrations of minoxidil have a greater risk of potential side effects such as dizziness and fainting from low blood pressure. Minoxidil and Propecia have different mechanisms of action and do not have any significant interactions.