does spironolactone work by itself or does it need....

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does spironolactone work by itself or does it need to be used in conjunction with minoxidil in order for it to be effective? i was wondering this because i was reading dr. lee's site about spironolactone and it basically said...hold up...this is it...

In studying the anti-androgenic effects of topical spironolactone at the Department of Dermatology at New York University School of Medicine, researchers established that spironolactone concentrations of 0.01% to 5% produced a dose responsive decrease [23]. When both topical 5% spironolactone and topical 5% minoxidil are used daily in the treatment of male pattern baldness, the effects of the medications are synergistic. Whereas neither medication alone is particularly effective for the majority of patients, the success of the combination has been experimentally proven. Our own success rate with this formulation has been approximately 75-80%. -www.minoxidil.com


anyways...does that mean that you have to use both spironolactone and minoxidil for it to be effective?? I have already been using minoxidil for about 8 months but soley on the frontal areas of my scalp, hairline, and temples where i have suffered recessioin...it has helped slowed down the recession but not halted it which i would wish to do with the spironolactone.

furthermore, i have noticed that i am slowly diffusing all over on top of my head. it's not that bad yet but soon it could be and i am deathly worried. i was thinking of applying spironolactone 5% lotion all over on top of my head for precautionary measures and to maintain what i have but it seems that wouldn't be effective after reading what dr. lee said. Do i have to now apply minoxidil all over on top of my head as well? confusion is a b**ch. thanks a lot.
 
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Using both works better than either one alone.

Just like using minoxidil and propecia together works better than using either one alone.
 
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