Best Finasteride Alternatives in 2025
Best Finasteride Alternatives In 2025 for treating hair loss. It may include natural DHT blockers, over-the-counter supplements, and prescription-free solutions. When it comes to treating hair loss, finasteride is one of the most popular options for men looking to regrow their hair. While it can be effective, some people may avoid finasteride and consider alternative treatments for various reasons.
Whether you’re considering using finasteride or simply looking for hair growth options, it’s important to explore all of the treatments available to you before deciding. Knowing your options can help you make an informed decision that fits your goals and lifestyle.
In this blog post, we’ll take a closer look at finasteride, why you might consider an alternative treatment, and a closer look at some common alternative treatments.
What is Finasteride and what is it used for?
Finasteride is classified as a 5-alpha-reductase inhibitor, commonly known as a DHT blocker. It is known as an effective treatment for hair loss and is often used to treat male pattern baldness (MPB). Finasteride works by blocking the body’s production of dihydrotestosterone (DHT), a hormone that inhibits natural hair growth.
Finasteride 1 mg is the usual dose for treating hair loss and is only available without a prescription. It must be taken once a day at approximately the same time, with or without food. It will take at least three months to a year to see results. Finasteride only works if taken regularly.
In a clinical trial, 86% of men who took finasteride to treat mild to moderate male pattern baldness maintained or increased their hair growth. Ongoing studies also show that finasteride slows hair loss or promotes hair growth in 9 out of 10 men who take it daily over the long term.
In addition to relieving hair loss, 5 mg of finasteride is also the usual daily dose for the treatment of benign prostatic hyperplasia (BPH), also known as an enlarged prostate. The 5 mg dose contains enough active ingredients to maintain DHT levels, shrink an enlarged prostate, and reduce discomfort during urination. Higher doses are generally not prescribed to men with male pattern baldness because they can increase the risk of side effects.
Reasons to Look for Alternatives to Finasteride
Although finasteride has shown good results, some people avoid taking it and seek alternative medications to combat hair loss. The reasons for this are as follows:
- Generally, Not Recommended for Women
Finasteride is primarily prescribed to men and is not usually recommended for women with female pattern hair loss. This is because its mechanism of action is to inhibit the enzyme that converts testosterone into dihydrotestosterone (DHT), a hormone associated with hair loss. Finasteride is generally less effective in women because women naturally produce less testosterone and DHT. However, in rare cases, it may be prescribed off-label to women under strict medical supervision.
- Unwanted Side Effects
Some people avoid using finasteride due to fears of unwanted side effects. Like any other medication, finasteride has common side effects such as decreased libido, erectile dysfunction, and depression. These side effects occur in more than 1 in 100 people but may diminish over time.
- Other Types of Alopecia
Finasteride was specifically developed for the treatment of male pattern baldness (MPB). It is not approved for the treatment of other types of hair loss, such as alopecia areata or telogen effluvium. If you suffer from other types of hair loss, you may need to consider alternative medications for more effective results.
- Allergic Reactions
Some people experience severe allergic reactions to finasteride, so alternative medications should be considered. Symptoms of an allergic reaction may include swelling of the lips, mouth, throat, or tongue, a rash, itching, difficulty breathing or swallowing, and dizziness. Finding alternative treatments for alopecia can help you avoid the risk of allergic reactions and offer safer options.
Alternatives to Finasteride for Treating Hair Loss
Fortunately, if finasteride doesn’t suit you, there are several alternative treatments for male pattern baldness and female pattern baldness. Each of these treatments promotes hair growth in a different way, and the best treatment for you will depend on your personal needs and preferences. Let’s take a look at these alternative treatments and how they may help your hair growth.
Minoxidil
Minoxidil is a popular and effective treatment for mild to moderate hair loss in both men and women. It is available over the counter in 2% to 6% concentrations as a liquid or foam. For best results, apply to affected areas of the scalp twice daily. It is also available as a prescription oral tablet.
Minoxidil is known to be a relatively safe and well-tolerated treatment that, when used correctly, shows results within 3 to 6 months. Although minoxidil’s mechanism of action is not yet fully understood, studies suggest it works by increasing blood flow around the hair follicle, stimulating and prolonging the growth phase of hair.
It is important to note that dutasteride’s effectiveness has only been scientifically proven in the treatment of hereditary hair loss, not hair loss caused by stress or illness.
Dutasteride
Dutasteride is a prescription medication used to treat male pattern baldness. It belongs to the same class as finasteride (a 5-alpha reductase inhibitor) and works in a similar way by blocking the enzyme that converts testosterone to DHT. Several studies have compared the effectiveness of dutasteride and finasteride. In one study of men with male pattern baldness, dutasteride significantly increased hair count, width, and growth compared to finasteride after 24 weeks of treatment.
Regaine is the brand name of a medication containing the active ingredient minoxidil. Clinically proven to treat male and female pattern baldness and promote hair growth. Applied topically to the scalp, it works by increasing blood flow to hair follicles and lengthening the anagen phase of the hair growth cycle. Three to six months of regular use are required before results are visible, and continued use is often necessary to maintain hair growth results.
Propecia
Propecia is the brand name of a prescription medication containing the active ingredient finasteride. It is widely used to treat male pattern baldness by reducing the production of dihydrotestosterone (DHT). DHT is a hormone that shrinks hair follicles and ultimately inhibits hair growth. Propecia works by blocking the production of DHT, slowing and potentially reversing hair loss in men. Its use is not approved for women and should not be used by pregnant women due to the risk of birth defects.
Hair Transplant: Surgical Treatment
For those seeking a more direct solution to hair loss, hair transplants can be an effective option. Modern techniques such as follicular unit extraction (FUE) and follicular unit transplantation (FUT) harvest hair follicles from different parts of the body and transplant them into the scalp. This can be a permanent solution but requires proper consultation with a specialist to understand the potential benefits and side effects.
Can finasteride be used with other hair loss medications?
Yes, finasteride is safe to use with other hair loss medications, including minoxidil. In fact, it is common to use the two together to enhance their effectiveness. Finasteride works internally by inhibiting the conversion of testosterone to DHT, a hormone associated with hair loss, while minoxidil acts externally by stimulating hair follicles and improving blood flow to the scalp.
Because they approach hair loss from different angles, using them together can enhance their overall effectiveness. However, we always recommend consulting a medical professional before starting or combining any treatments to make sure they are right for your condition and to learn about potential side effects.
Natural Alternatives to Managing Hair Loss
Taking Supplements to Fight Hair Loss
While medications are widely used to combat hair loss, certain vitamins and minerals also play an important role in maintaining healthy hair. Here are some key nutrients to consider for a more natural approach:
- Vitamin D: Often associated with seasonal hair loss, vitamin D is essential for the hair cycle, especially for those who don’t get enough sun exposure.
- Biotin (vitamin B7): Often recommended for hair health, biotin contributes to keratin production and stimulates hair follicle growth.
- Zinc: Zinc supplements may help reduce hair loss by supporting hair shaft structure and cell renewal.
- Iron: Iron deficiency due to the menstrual cycle is common in women and can worsen hair loss. Adequate iron intake is essential for healthy hair and can be assessed with a blood test.
- Vitamin A: Vitamin A is essential for cell growth, including hair, the fastest-growing tissue in the body. However, excessive intake can cause hair loss, so it’s important to maintain a balanced intake.
Always consult with a medical professional before starting any complementary therapy to make sure it suits your needs.
Improve your diet for hair health
Diet plays an important role in hair health. Consuming lean proteins, fruits, vegetables, unsaturated fats, and whole grains can promote hair growth. Omega-3 fatty acids, found in fish such as salmon and sardines, nourish hair, and antioxidants help protect hair follicles. Drinking enough water is equally important, as dehydration has a direct impact on hair growth.
Proactively manage stress
Stress is a big factor in hair loss and thinning. Managing stress through techniques such as mindfulness meditation, regular exercise, and adequate sleep can help prevent hair loss. Yoga and deep breathing exercises are also particularly effective in reducing stress.
Key points
Finasteride treats male pattern baldness, but alternatives include minoxidil, hair transplants, and laser therapy. Understanding the different options, from prescription medications such as dutasteride to lifestyle modifications, can help you make an informed decision tailored to your health needs and personal preferences. It’s important to always consult with a medical professional before starting any new treatment to make sure it’s safe and appropriate for your situation. Being informed and proactive will help you better manage your hair loss and feel confident in your treatment plan.