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      learn Fluridil

      a topical anti-androgen with less systemic involvement

      learn Spironolactone

      powerful topical and oral anti-androgen used mostly by women

      learn Clascoterone

      a novel topical treatment that inhibits DHT on androgen receptors

      learn RU58841

      a potent but unapproved and potentially problematic topical anti-androgen

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      community DHT Harms Scalp Microbiome: DHT Itch is REAL

      in Research/Science  411 upvotes 1 year ago
      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

      community Anyone had success with topical Finasteride

      in Finasteride/Dutasteride  7 upvotes 2 weeks ago
      Topical finasteride can be effective for some, especially if oral finasteride causes side effects, but results may vary and can be slower. Combining topical finasteride with minoxidil is common, though some users switch to oral treatments for better results.

      community Topical Hyper-responder not responding to oral

      in Finasteride/Dutasteride  127 upvotes 3 weeks ago
      A user experienced significant hair loss after switching from topical to oral finasteride and minoxidil, despite initially seeing great results with the topical treatment. They are seeking advice on whether to return to topical treatments or increase their oral minoxidil dosage.