Lowering DHT can improve skin quality and reduce scalp issues. Finasteride is effective for hair regrowth and improving skin texture, while dutasteride may increase oiliness and shedding for some users.
Finasteride can cause oilyskin and acne due to increased testosterone or sensitivity of androgen receptors. Some users find dutasteride results in less oilyskin compared to finasteride.
Minoxidil can cause flaky skin, and users suggest using ketoconazole 2% shampoo three times a week and a pH-balanced shampoo on other days to help manage it. Argan oil was considered but may leave hair oily.
The conversation discusses using isotretinoin (Accutane) to reduce scalp oiliness and manage scalp issues like seborrheic dermatitis, inflammation, and chronic itch. A user shares that taking 20mg of Accutane every other day effectively reduces oily hair and skin.
The user experienced increased shedding and side effects like oilyskin and acne after switching from finasteride to dutasteride, despite initially having success with finasteride. They also tried oral spironolactone, which reduced libido but didn't help with hair loss, and are considering returning to finasteride only.