What Is Your Opinion of Replacing Propecia With Avodart?

Written by Filed under: avodart, hair loss treatment, propecia

I was wondering what your opinion is on the idea of replacing Propecia (finasteride) with the newer drug Avodart (dutasteride). Both Finasteride and Dutasteride have originated as Prostate medications. Dutasteride reduces the two enzymes responsible for the conversion of testosterone to DHT. Finasteride only blocks one enzyme. By blocking both with Dutasteride, could the results be better?

Thanks for your input,
Stephen
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Avodart the brand name for dutasteride does lower the DHT by 90% whereas Propecia only lowers it by 65% so it would seem there is no argument as to which one is better for protecting the hair from DHT. I routinely prescribe Avodart for men who are in the 15% who do not respond well to Propecia as well as to young men such as the 20 year old who is showing signs of extensive baldness with a father with only a one inch fringe of hair. That young man wants to do everything possible now to prevent the balding genes from being expressed. Even with Avodart a young man of 20 and with an inherited Norwood type VII pattern can expect to get thin just as his sister might with the same inherited balding genes but with less Testosterone and therefore less DHT.

DHT is the bad guy. Dutasteride works better to lower the DHT and gives better results for protecting the hair and increasing density.

Peter Panagotacos, MD
Member, International Alliance of Hair Restoration Surgeons
Member, American Hair Loss Association

For over 25 years Dr. Peter Panagotacos has specialized in both surgical and medical treatments for hair loss at his dermatology practice in San Francisco. He is well respected within the medical community for his technical skill, conservative treatment philosophy, and surgical artistry. Today, with improvements in surgical techniques and advances in medicine, he believes that nearly everyone, male and female, youthful and elderly, can do something about their hair loss. During the initial consultation Dr. Panagotacos gains an understanding of each patient's expectations, while at the same time he explains the limits of what can be done. Actually, he explains what he is willing to do, for some other hair restoration treatment providers are more willing to perform individual procedures that promise faster and greater results, but with a substantial increase in risk of immediate hair loss, or abnormal appearance 10 to 20 years into the future. Each patient has only a very limited supply of "permanent" hair follicles, and if some of these are lost following a risky surgical procedure, they are gone forever. Furthermore, it is very difficult to predict the extent of future hair loss a patient may experience. The best doctors plan their treatment programs with consideration for the worst-case hair loss scenarios. Dr. Panagotacos is a member of the International Alliance of Hair Restoration Surgeons and recommended by the American Hair Loss Association. Visit Dr. Panagotaco's Website: www.hairdoc.com

{ 2 comments… read them below or add one }

Alex February 17, 2009 at 6:22 pm

I’m 23 years old and have and I have inherited my hair loss from my grandfather (mother’s side). It started when i was 21 (2 years ago) but it has a rapid rate. I’m thinking of using Avodart (dutasteride), i understand it works better against the DHT. But what about the side effects?

Thank you in advance,

Alex

Reply

Spencer Kobren February 18, 2009 at 4:46 am

HI Alex,

I’m glad that you’re taking the time to do your research and that you’ve found our resources. I’m providing a link to our forum where the topic of switching to Avodart has been discussed.

http://www.baldtruthtalk.com/showthread.php?t=153&highlight=avodart

Hope this Help!

Spencer

Reply

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