A few other tidbits, that I wanted to include: 1. Topical minoxidil is extremely toxic to cats. 2. Topical minoxidil can be added to hair loss treatments that work through other mechanisms of action, such as five alpha reductase inhibitors, for improved efficacy. 3. Topical minoxidil may be effective for other types of hair loss as well, including alopecia, areata, and alopecia from chemotherapy. 4. The most recent evidence suggests that oral five alpha reductase inhibitors, like finasteride, and dutasteride as well as oral minoxidil are more effective than topical minoxidil for treating androgenic alopecia. 5. Topical minoxidil may interact with salicylates, such as low-dose aspirin. Salicylates made downregulate the sulfonyltransferase enzyme rending topical minoxidil less effective. Thanks for watching! Isaac

love the breakdown, very refreshing being able to hear a pharmacist's perspective on treatments/medications. It helps provide a much better picture when you hear a medical practitioner's perspective and other people that are highly informed yet not officially educated in the medicine such as derek(not hating at all). Keep up the good work, if have time you should delve into ADHD medications next such as Stimulants vs non stimulants. Differences in MOA and interactions with antidepressants.

amazing and very informative video. Keep up the good work. Thank you so much.

@isaacwadepharmd3969

Жыл бұрын

thanks, appreciate it!

Any idea if Minoxidil can be used while having Scalp Micropigmentation procedure or can it be used alongside it?

Kx-826 currently seems to be not progressing very well, and perhaps we will continue to use finasteride and minoxidil to retain our hair in the next decade,Thank you for your informative video, doc

Sup doc. . Thats all thanks for the vid

@isaacwadepharmd3969

Жыл бұрын

Thank you for watching, appreciate it!

Does it matter what brand of Minoxidil you use ?

Many patients in our alopecia clinic prefer 5% topical minoxidil as part of their medication regimen.

Thoughts on microdosing topical finasteride? I'm considering using the 0.005% concentration as suggested by Mazarella et al. (1997) (equivalent 0.091mg daily exposure) and then working my way up to 0.25% (equivalent 0.2275mg daily exposure) (Caserini et. al (2015) showed comparable scalp DHT reduction with oral 1 mg fin but 3x less systemic DHT production reduction). Note: I'm more interested for avoiding sexual sides than losing hair and don't really buy the "small percentage" of people getting sides statistic. Currently norwood 2ish with some thinning on one side of my head.

@isaacwadepharmd3969

Жыл бұрын

Interesting. I believe that there is more evidence for topical finasteride nowadays. The only issue I have with topical finasteride is that there isn’t a standardized formulation. Topical finasteride is usually made on its own at a compounding pharmacy. There could be differences between formulations, there’s no way to ensure that the formulation that you’re applying is the same one that was used in the study. that aside, if you don’t feel comfortable, taking oral finasteride, topical finasteride is definitely a good alternative. And I would say that what you’re suggesting to do is reasonable. And if systemic DHT is suppressed at the very least you’re getting a good psychological benefit.

@BedBoiii

Жыл бұрын

@@isaacwadepharmd3969 I definitely agree that formulations especially from companies like Hims or Keeps (who add way too much fin) often vary. My bet is to just make my own solution with oral fin diluted with the vehicle of my choice (likely alcohol) and making sure to keep it away from any women. Rob English has a pretty good article about topical fin on his perfect hair health website which basically goes into more detail of what I noted and also a calculator on making topical fin which is useful. Additionally other youtubers like Haircafe and Let's Get Hair also made their own vids on making topical fin (Matt also goes into microdosing). I guess the question then becomes how do I go about progressing? Should I start with my 0.091 daily exposure 1x a week and increase frequency until its basically everyday (as in the study), then move up a dose incrementally and increase frequency (rinse and repeat) until I get to 0.2275mg daily exposure as I suggested? My aim is to avoid PFS (whether real or not) with the least amount of fin exposure possible so if I ever feel symptoms like low libido, ED, watery semen, etc., I'll just drop it. Also side note: forgot to mention I'm 24 with a Norwood 2. Also slight TMI, I've tried a Ketoconazole/Saw palmetto shampoo with a pumpkin seed oil conditioner which I think kinda killed my morning wood (no controls for other variables so not sure) but no ED thankfully. hence the apprehension with fin. I know you're not giving medical advice and I definitely will talk to my docs about things before I even begin this microdosing experiment but thought I'd get your thoughts if you'd like to share them. No biggie if not. Have a good day

Idk why my comment didn't go through. Was wondering your opinion on microdosing topical finasteride ( starting with 0.005% per Mazzarella et. al. 1997 = 0.091 mg daily exposure) and then gradually going up to Caserini et. al. (2015) 0.25% solution (0.2275 mg daily exposure) which showed comparable scalp DHT reduction to 1mg oral fin with 3x less systemic DHT reduction. Note: More interested in reducing the risk of sexual sides than actually saving my hair. Currently Norwood 2ish with some thinning on the side. Also I don't really buy the whole "small percentage" of people getting sides at this point.

@isaacwadepharmd3969

Жыл бұрын

Interesting. I believe that there is more evidence for topical finasteride nowadays. The only issue I have with topical finasteride is that there isn’t a standardized formulation. Topical finasteride is usually made on its own at a compounding pharmacy. There could be differences between formulations, there’s no way to ensure that the formulation that you’re applying is the same one that was used in the study. that aside, if you don’t feel comfortable, taking oral finasteride, topical finasteride is definitely a good alternative. And I would say that what you’re suggesting to do is reasonable. And if systemic DHT is suppressed at the very least you’re getting a good psychological benefit.

You can get any one of these without a prescription.

Lol bro you just missed the new minoxidil booster that came out from Jupiter wellness🤣

@isaacwadepharmd3969

11 ай бұрын

What minoxidil booster? Lol

@boblully5053

11 ай бұрын

@@isaacwadepharmd3969 look up Jupiter wellness

@kevinlimpert8523

11 ай бұрын

​@@isaacwadepharmd3969only things that I found to make you a responder are either pre coating the scalp with tretinoin or hydrocortisone cream .a lot of those telemedicine companies have that in their topical formulas

Your info is always partial it’s been proven that minoxidil does not actually need to be applied twice a day because of how long it stays in the body to get the same effect

Thanks for thé vidéo ! I use minoxidil since a year now with good résults until april/may of this year, i don't know why but m'y haïr get worse week After week since april even with thé minoxidil daily.. thiner but realy ... I added finasteride 2 months ago, i Hope good résults cause i have a great shedding since weeks now 😅😂 But i don't understand, why minoxidil efficacy suddenly stopped in my case ? I mean, i Lost a lot of hair density in 3 months without any change in my routine

@isaacwadepharmd3969

Жыл бұрын

Not sure why it stopped in your case as everyone is different. There’s a good chance you will see some great improvements from oral finasteride after 3-6 months. Good luck! Isaac

@shawnmendes11

8 ай бұрын

Its effectiveness reaches its peak after 1-2 years of use and then deteriorates

well,lets hope i don't grow a moustache

Say topical minoxidil one more time…

@TonyYesi

2 ай бұрын

😅

@isaacwadepharmd3969 Since roughly half of individuals lack the enzyme needed to convert Minoxidil to Minoxidil Sulfate, why isn't there a product to simply just apply Minoxidil Sulfate topically (so that everyone could benefit, even those without the needed enzyme to convert)?

@isaacwadepharmd3969

Жыл бұрын

Great question! It seems the main reason is that minoxidil sulfate is extremely unstable and degrades quickly. A minoxidil sulfate product would likely have a very short shelf-life. Another issue is that minoxidil sulfate is a bigger molecule compared to regular minoxidil and may have a harder time penetrating into the scalp to exert its effect. However, there seems to be some (low quality) clinical evidence for minoxidil sulfate 10% solution and it may be worth seeing if you can find a pharmacy that can compound the drug for you + a provider.that could prescribe it. Apparently minoxidil sulfate solution is relatively common in Brazil.

@silversmith333

11 ай бұрын

@@isaacwadepharmd3969MinoxidilMax if I’m not mistaken