KEEPING Finasteride Growth After Stopping Treatment

JohnnySeville

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It is common for a percentage of Finasteride users to discontinue therapy for numerous reasons, mainly sexual sides. A number of guys are rightly concerned about the loss of any hair growth that may result from cessation of Finasteride. I have come across this study which indicates Aminexil, can be used successfully to retain the resultant hair growth in a high percentage of users. Something to consider if you must stop using Finasteride. This may even be applicable to Dutasteride users, though no study has been made as of yet.

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Colombina Vincenzi, Alfredo Rossi*,Carmen Cantisani*, Massimiliano Pazzaglia, Antonella Tosti

Department of Dermatology, University of Bologna, Italy, * Department of Dermatology , University La Sapienza, Rome, Italy

The aim of this study was to evaluate whether topical treatment with Aminexil lotion would prevent or reduce hair loss which usually occurs after discontinuation of oral finasteride treatment.

The study involved 18 male patients aged from 20 to 43 years (median age 30.03) affected by androgenetic alopecia (Hamilton/Norwood classification scale IIv – IV) who had been successfully treated with finasteride 1 mg for at least 1 year. All these patients had decided to stop finasteride intake because of side effects or personal reasons. They all applied Aminexil lotion once daily for one year until completion of the study. Assessment was carried out using hair counts (obtained from color macrophotograph of an area 2,2 cm2 in diameter) and standardized global photograph of the anterior/mid region of the scalp taken at the baseline (phase 0), after 6 months (phase 1) and at the end of the study (phase 2). After 1 year of Aminexil treatment, the mean hair count decreased by 30 ± 44 hairs. However an increase in hair count was found in 3 patients. Evaluation from global photographs showed a moderate decrease in 3 patients, a slight decrease in 6 patients and no changes in the remaining 9 patients.

The present study suggests that Aminexil may be helpful in preventing hair loss after stopping finasteride treatment. Further studies on a large number of patients are needed to confirm these preliminary results.
 

Bryan

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That study is interesting for at least a couple of different reasons.

1) My understanding is that aminexil is rather similar to minoxidil, in which case I would expect aminexil to have the same "offset of growth" that minoxidil has. If that's correct, then the sparing effect of aminexil would be only temporary; you couldn't expect to quit finasteride permanently and then use aminexil to maintain your haircount indefinitely. Notice that the aminexil had been used for a period of 1 year when the haircounts were taken; that would be right at the point of maximum response, assuming that it works in a way similar to minoxidil. After that, you could reasonably expect results to start going downhill, as they do with minoxidil.

2) This study also provides a golden opportunity to make a reasonably direct comparison of aminexil and minoxidil! :) They say that after 1 year of aminexil, haircounts dropped by an average of 30 hairs. They don't say whether that's relative to the start of finasteride treatment or relative to the start of aminexil treatment, but I'm going to assume that it's the latter. In the large Propecia phase III trial, subjects who were switched over to placebo after 1 year of finasteride lost about 115 hairs after an additional year, so it seems reasonable to assume that the guys in this study probably saved about 115 - 30 = 85 hairs while on aminexil. If this is reasonably accurate, then this doesn't speak very well for aminexil, since minoxidil performance (based on haircounts) is generally much better than that!!

Bryan
 

Beethoven

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According to what's written on the box of Vichy, Aminexil reverse the fibrosis of the follicles - prevents the scarring and hardening of the follicle tissue.

Even if the results aren't so great, this added research give me hope that what I'm using actually contribute something.

I'm doing excatly what they did: I added Aminexil after I quit finasteride, but Im still using minoxidil and I also added other stuff: Prox-N, AA(spironolactone for 3 weeks and since 6 weeks fluridil) and recently I added Foltene.

I Hope I can maintain my hair...

johnnyseville: I believe you found it here:
http://www.ehrs.org/conferenceabstracts/2004berlin/researchabstracts/P9-118-Vincenzi.htm
right? or do you have another source?
What I'm trying to find is what was the percentege of Aminexil in that lotion.
Vichy contains 1.5% and DNC contains 1%
(Vichy is very very expensive and I'll probably switch to DNC soon)
 

JohnnySeville

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Bryan said:
That study is interesting for at least a couple of different reasons.

1) My understanding is that aminexil is rather similar to minoxidil, in which case I would expect aminexil to have the same "offset of growth" that minoxidil has. If that's correct, then the sparing effect of aminexil would be only temporary; you couldn't expect to quit finasteride permanently and then use aminexil to maintain your haircount indefinitely. Notice that the aminexil had been used for a period of 1 year when the haircounts were taken; that would be right at the point of maximum response, assuming that it works in a way similar to minoxidil. After that, you could reasonably expect results to start going downhill, as they do with minoxidil.

2) This study also provides a golden opportunity to make a reasonably direct comparison of aminexil and minoxidil! :) They say that after 1 year of aminexil, haircounts dropped by an average of 30 hairs. They don't say whether that's relative to the start of finasteride treatment or relative to the start of aminexil treatment, but I'm going to assume that it's the latter. In the large Propecia phase III trial, subjects who were switched over to placebo after 1 year of finasteride lost about 115 hairs after an additional year, so it seems reasonable to assume that the guys in this study probably saved about 115 - 30 = 85 hairs while on aminexil. If this is reasonably accurate, then this doesn't speak very well for aminexil, since minoxidil performance (based on haircounts) is generally much better than that!!

Bryan

Bryan,

Though the molecule of Aminexil is similar to that of Minoxidil, its mode of action is not. All studies indicate Aminexil works by exerting its influence on perifollicular fibrosis. Studies concerning Minoxidil's antifibrotic influence have found little effect, though its hydroxy derivatives may have an impact on collagen crosslink formation.

On the other hand, studies on Finasteride show it serves as an anti-fibroticum, through its inhibitory effects on T-induced procollagen and TGF-beta1 expression.

Making a comparison between Aminexil and Minoxidil is inappropriate due to these facts, and any conclusion one can draw from such comparison is flawed.

A comparison of Aminexil to Finasteride, as the researchers did, has a sound basis due to similarity of action. IMO, the data presented speaks well for Aminexil, showing its efficacy in retaining a good percentage of Finasterides gains, this in light of lack of side effects from previous studies make it a very attractive addition to one's arsenal against hair loss.
 

JohnnySeville

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Beethoven said:
According to what's written on the box of Vichy, Aminexil reverse the fibrosis of the follicles - prevents the scarring and hardening of the follicle tissue.

Even if the results aren't so great, this added research give me hope that what I'm using actually contribute something.

I'm doing excatly what they did: I added Aminexil after I quit finasteride, but Im still using minoxidil and I also added other stuff: Prox-N, AA(spironolactone for 3 weeks and since 6 weeks fluridil) and recently I added Foltene.

I Hope I can maintain my hair...

johnnyseville: I believe you found it here:
http://www.ehrs.org/conferenceabstracts/2004berlin/researchabstracts/P9-118-Vincenzi.htm
right? or do you have another source?
What I'm trying to find is what was the percentege of Aminexil in that lotion.
Vichy contains 1.5% and DNC contains 1%
(Vichy is very very expensive and I'll probably switch to DNC soon)

Seems like you have quite a comprehensive regime, covering all bases. Do you mind me asking your impressions on Aminexil, I am considering it as an addition to my gameplan. Thanks for the input and info.
 

Bryan

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johnnyseville said:
Making a comparison between Aminexil and Minoxidil is inappropriate due to these facts, and any conclusion one can draw from such comparison is flawed.

Why do you feel that way? For the time being, I'll accept your claim that aminexil and minoxidil work in different ways, but I was simply comparing the PERFORMANCES of the two drugs. Minoxidil seems to have a strong advantage over aminexil, for the reason I cited above.

As far as I know, there's no data for the long-term use of aminexil, which makes it impossible to test my hypothesis about an "offset of growth". Do you know otherwise?

johnnyseville said:
A comparison of Aminexil to Finasteride, as the researchers did, has a sound basis due to similarity of action. IMO, the data presented speaks well for Aminexil, showing its efficacy in retaining a good percentage of Finasterides gains...

So what's your response to what I posted above about the data? Judging simply by haircounts, aminexil would appear not to stimulate nearly as much growth as minoxidil.

Bryan
 

JohnnySeville

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Bryan said:
Why do you feel that way? For the time being, I'll accept your claim that aminexil and minoxidil work in different ways, but I was simply comparing the PERFORMANCES of the two drugs. Minoxidil seems to have a strong advantage over aminexil, for the reason I cited above.

I have no argument with Minoxidil performing better than Aminexil, hell...Minoxidil outgrows everything tested so far, including Finasteride and the mighty Dutasteride. minoxidil is a hypertrophic agent, it literally forces growth, whereas the other drugs merely create a favorable enviroment that allows growth to naturally occur. I only do not agree with your comparison of the two since they work by differing mechanisms.

Bryan said:
As far as I know, there's no data for the long-term use of aminexil, which makes it impossible to test my hypothesis about an "offset of growth". Do you know otherwise?

I have not found anything along those line either. Not an abundance of available studies on aminexil, unfortunately.
 

Beethoven

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johnnyseville said:
Seems like you have quite a comprehensive regime, covering all bases. Do you mind me asking your impressions on Aminexil, I am considering it as an addition to my gameplan. Thanks for the input and info.

I quit finasteride 2.5 months ago, so it's too early to evalute if my intense topical regimen is working or not - next 3-4 months will be the real test, I really hope I won't need to crawl back to finasteride... Unfortunatly I only took pictures 3 weeks ago, so all my observations now are totally subjective. So far I think that I'm holding ok, I even think that I'm seeing some nice regrowth in my right temple (which is bigger than my left one), but again it's very subjective, should have taken those damn pictures...
I have good belief in Aminexil, I started it 2 weeks before Prox-N, Nizoral and the AA(spironolactone and then fluridil) and yet I can't tell which one is the more dominant and I also have to admit that I'm not interested in deciding what individual product is working better - I'm interested to evaluate if my complete regimen is maintaining or not.
I'm sure most people will say that the minoxidil is what actually working for me now, but during the 10 months I was on finasteride and min, I didn't see any kind of regrowth (also didn't get the famous min shedding in the first two months), only slowing of the shedding due to the finasteride, so I think I'm low respondent to minoxidil, but I'm still using it because maybe I'm totally wrong and it actually helping me.
I will continue to update about my "war", it will continue to be hard for me to decide which product is doing the work (in case of success), but at least I will be able to testify if my complete regimen is strong or not.

btw: your avatar is great! maybe the best actor ever.
 

JohnnySeville

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Thanks for following up. I had sides with finasteride and made the decision to drop it beginning of Feb07. So far so good, Revivogen and topical spironolactone have not only maintained, but I actually have increased growth since then, so there is life after Finasteride. I am sure you will be successful also. I believe I will give Aminexil a try, there is always room for improvement :lol:

Yeah...Jack is cool!
 

Dave001

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Beethoven said:
I quit finasteride 2.5 months ago, so it's too early to evalute if my intense topical regimen is working or not - next 3-4 months will be the real test, I really hope I won't need to crawl back to finasteride...

Use finasteride topically to avoid side-effects. IMO, the combination of topical finasteride and topical spironolactone represents the best topical antiandrogenic treatment that is presently available, as determined by the information presently available, including human and animal studies, the physical/chemical properties of the steroids, and taking into account safety and cost-effectiveness in addition to effectiveness.
 

Beethoven

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Dave001 said:
Beethoven said:
I quit finasteride 2.5 months ago, so it's too early to evalute if my intense topical regimen is working or not - next 3-4 months will be the real test, I really hope I won't need to crawl back to finasteride...

Use finasteride topically to avoid side-effects. IMO, the combination of topical finasteride and topical spironolactone represents the best topical antiandrogenic treatment that is presently available, as determined by the information presently available, including human and animal studies, the physical/chemical properties of the steroids, and taking into account safety and cost-effectiveness in addition to effectiveness.

Thanks for the advice, the problem is that I read evidences from users that claimed that the finasteride absorbed, and had influenced systemically - same side effects.
 

JohnnySeville

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Beethoven said:
Dave001 said:
Beethoven said:
I quit finasteride 2.5 months ago, so it's too early to evalute if my intense topical regimen is working or not - next 3-4 months will be the real test, I really hope I won't need to crawl back to finasteride...

Use finasteride topically to avoid side-effects. IMO, the combination of topical finasteride and topical spironolactone represents the best topical antiandrogenic treatment that is presently available, as determined by the information presently available, including human and animal studies, the physical/chemical properties of the steroids, and taking into account safety and cost-effectiveness in addition to effectiveness.

Thanks for the advice, the problem is that I read evidences from users that claimed that the finasteride absorbed, and had influenced systemically - same side effects.

That is true, topical finasteride is systematically absorbed, offering no real benefit over oral administration. There was even a study a few years back with hamster flanks that noted it, too bad.
 

JWM

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I heard the same exact thing about topical finasteride. Care to comment Dave?

Also, how would we obtain a topical spironolactone/finasteride product anyway?
 
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