April 11th 2025

Finasteride or Dutasteride: Which is better for alopecia?​

Alopecia is a disease that currently has no cure, but we do have effective drugs to curb its effects. The most used and known are Finasteride and Dutasteride. Both are indicated for patients with androgenetic alopecia, the most common of all, but what differentiates one from the other? Is it better to take Finasteride or Dutasteride to stop hair loss?

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REVIEWED BY MEDICAL COMMITTEE

Man undergoing mesotherapy treatment with Dutasteride
Doctor Amaro de Hospital Capilar Pontevedra

Dr. Raquel Amaro Silva
SURGEON PONTEVEDRA
Collegiate No. 362607457

Graduated in Medicine and Surgery from the University of Santiago de Compostela with a Master's Degree in Aesthetic Medicine and Trichology and Hair Micrograft. She currently works as a doctor and hair surgeon in Hospital Capilar as head of the headquarters Hospital Capilar Pontevedra.

Differences between Finasteride and Dutasteride

To understand the differences between the Finasteride and the dutasteride It is necessary to know the causes that cause hair loss in patients with androgenetic alopecia or androgenic. To a greater extent due to genetic factors, the enzyme 5 alpha reductase, naturally present in the body, converts testosterone into dihydrotestosterone, which attacks the Hair follicles causing them to atrophy and hair to fall out. That is, it is due to the action of this enzyme by which the destruction of hair follicles on the scalp occurs.

Finasteride and Dutasteride are drugs aimed at inhibiting the action of this enzyme responsible for irreversible hair loss.. The substantial difference between both medications is that Finasteride only inhibits the type II 5 alpha reductase enzyme, while Dutasteride inhibits types I and II. Therefore, it could be said that Dutasteride is a more powerful drug against androgenic alopecia than Finasteride.

Both drugs are for oral consumption, although Dutasteride is usually applied through oral treatments. hair mesotherapy directly on the scalp.

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What is the best drug against androgenic alopecia?

Although Dutasteride is more powerful than Finasteride in that it inhibits both types of enzymes that cause hair loss, Both drugs are effective against androgenic alopecia. Choosing one or the other will depend in all cases on a prior medical evaluation in which specialist doctors determine and adjust the most appropriate treatment in each case.

Therefore, when choosing the best drug between Finasteride or Dutasteride, guidance from a medical professional is necessary. At the beginning it is usually recommended that oral Finasteride is recommended and, depending on progress, Dutasteride ends up being prescribed. Furthermore, these drugs are currently usually combined with biological treatments such as Platelet Rich Plasma to achieve greater results.

Are anti-alopecia drugs compatible with hair grafting?

Both Finasteride and Dutasteride, in addition to other widely used drugs such as Minoxidil, are perfectly compatible with the hair graft. Even patients with androgenic alopecia who undergo a hair implant must continue with their medical treatment to maintain the implanted and native hair. Otherwise, the action of dihydrotestosterone will cause the hair to fall out again, generating baldness, therefore worsening the result of the hair implant.

Before and after a hair transplant in Hospital Capilar

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Nowadays, putting an end to baldness is possible thanks to advances in hair medicine. In Hospital Capilar We work to achieve the best results. Request your medical diagnosis at no cost and put yourself in the hands of professionals. 

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