Yet another topical finasteride study

Bryan

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I just posted this reply on another hairloss site. Even though it's slightly out-of-context, it'll be understandable enough:

What’s your take on Mazzarella’s (sp?) study on topical finasteride?

If I’m not mistaken this was an in vivo test of finasteride on humans, showing effectiveness against male pattern baldness, (without systemic absorption).

Yes. They claimed successful results, so it's one more for the positive side for topical finasteride. The score is now pretty balanced: a couple positive ones, and a couple negative ones.

Do you have any info on how effective topical finasteride was shown to be and what vehicle was used?

They used a typical vehicle of 50% ethanol, 25% propylene glycol, and 25% water. The results were measured (in part) by taking monthly photographs, and then comparing the photos at the end of the 16-month trial. The photos were graded on the following scale:

5 Complete restoration of hair density
4 Marked reduction of balding area(s)
3 Slight reduction of balding area(s)
2 No change compared to baseline
1 Slight enlargement of balding area(s)
0 Marked enlargement of balding area(s)

Here is the paragraph from their "Evaluation of hair regrowth" section:

"During the first 3 months of the trial, the clinical response was not significant. The scores for hair regrowth ranged from 1 to 2 with no significant difference between the two study groups. By contrast, throughout the subsequent course of the study a significant improvement in the status of the scalp hair was observed among the finasteride-treated patients. At the end of the study, the clinical results were scored 4 in 12 patients and 3 in the remaining 14. Response to treatment was substantiated by both an increase in the hair density at the periphery of balding areas and a progressive, though slow and incomplete retrieval of the hair texture within previously bare sites. Patients initially grew vellus-type hair that tended to change to thicker, pigmented terminal hair as the clinical response progressed. As for the group receiving placebo, only ten patients were evaluable at the end of the study. The high number of dropouts was a result of the lack of any improvement in the status of the scalp hair. These results were scored as follows: 2 in three patients, 1 in three patients and 0 in four patients."

On the issue of whether or not there was any systemic absorption of the finasteride, they write the following paragraph:

"Of the 52 patients enrolled, 36 (69.2%) completed the entire study period. Notably, all dropouts occurred in the placebo group after 1 to 10 months. Moreover, the overall tolerability of the treatment was excellent. No patient experienced any local or systemic untoward effect. In particular, in the finasteride group laboratory data indicated revealed no relevant change in plasma levels of total testosterone, free testosterone or dihydrotestosterone. On the basis of these findings any significant percutaneous absorption of the drug could reasonably be excluded."

Bryan
 

josephmhl

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"Yet another topical finasteride study"

how many of those do we have bryan?

i just got my hands on 4 in the last few hours, not full documentation though.

i got Rushton and Norris, Mazzarella, Huber and Price. Are you familiar with all four of them?
 

Boru

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I used multflorum topical for a while, and it was part of my regimen for a year, but I stopped several months ago. Was it a contributor towards my partial success? Hard to say. Now it looks like they have added topical finasteride to the mix. I tracked down "Multiflorum House" to a seedy house in Blackpool and the resident was a cousin of the owner. He said he didn't know what they were selling, and when I told him it was a hair loss treatment, he seemed bemused. I can find more info about this if anyone is interested, but if it is another elaborate scam please let us easily led fools know. Boru


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lordhair

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They don't seem to mention in that trial the strength of the finasteride in the topical from what I've read

That could be a reason why there are contradictory results from different studies

It may be the strength of finasteride is different or the vehicle used or how many times a day it is applied
 

Bryan

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lordhair said:
They don't seem to mention in that trial the strength of the finasteride in the topical from what I've read

Yes they do. They used a 0.005% solution of finasteride in a vehicle of 50% ethanol, 25% propylene glycol, and 25% water. 1 mL, two times a day to the thinning areas.

Bryan
 

lordhair

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Sorry I didn't see that

Sounds promising that such a low precentage could be so effective
 

Rage

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Bryan said:
They used a 0.005% solution of finasteride in a vehicle of 50% ethanol, 25% propylene glycol, and 25% water. 1 mL, two times a day to the thinning areas.

Amazing.. that's what I've been using the past 3 months!
 

CCS

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0.005% is 0.05mg twice a day.

not very much. And most importantly, finasteride only inhibits 5ar2, except at very high doses when it blocks 5ar1. This means the finasteride made it into the follicle.

I'm going to put dutas and octly salicilate in my minoxidil. I think 5 capsules is a month supply ought to do it.


I'm also thinking of diluting my minoxidil with ethanol to save money, get faster drying, at the price of 1/3 the minoxidil effectiveness. I just wish http://www.chemistrystore.com would get ethanol back in stock so i don't have to buy expensive ethanol.
 

LostWind

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So many studies out there...
Once I decide on something there is something new that is coming out, I wish one day there would be really something that worked .... hehehe and wouldn't have to try out new things all the time...but I guess some things dont work the same way on every each of us.
 

CCS

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I just want to clarify something:
I'm still taking dutas every day. I'm just going to add 5 dutas per month into my minoxidil as well, for an added effect.
 

LostWind

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collegechemistrystudent said:
I just want to clarify something:
I'm still taking dutas every day. I'm just going to add 5 dutas per month into my minoxidil as well, for an added effect.

Seems like you are fully covered man :D
Great Regimen :lol: :lol:
 

Bryan

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josephmhl said:
"Yet another topical finasteride study"

how many of those do we have bryan?

At least four that I can think of right now. I may be forgetting one or two others.

josephmhl said:
i just got my hands on 4 in the last few hours, not full documentation though.

i got Rushton and Norris, Mazzarella, Huber and Price. Are you familiar with all four of them?

It's good that you SPECIFIED that there are four in that list; otherwise, I wouldn't be able to tell if there were THREE or FOUR. It annoys the hell out of me when people omit the final comma in a list like that ("a, b, c, d and e", instead of "a, b, c, d, and e"). I wouldn''t have been completely sure if you were saying "(Rushton and Norris), Mazzarella, Huber, and Price", or if you were saying "(Ruston and Norris), Mazzarella, (Huber and Price)! :wink:

Yes, I was referring to (Rushton and Norris), Mazzarella, and Price. The fourth one I was referring to is the one using a finasteride cream for hirsutism in women (I don't recall the names of the authors). Yes, I've read the full text of all four of them.

Bryan
 

lordhair

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By the way Bryan do you use finasteride?

I notice that you don't mention it in your regime
 

Bryan

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I've never used finasteride.
 

Bryan

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I suppose you could say that.
 

lordhair

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I'm going to make my own topical finasteride using vodka and proscar

I was just wondering what how many tablets I should use to get the same percentage mixture as this study? I was thinking 6 x 5mg proscar tablets to 100ml of liquid?

Thanks for any advice
 

JWM

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I still wonder about the idea of dropping a Proscar pill into a bottle of Rogaine--would there be a benefit.
 

CCS

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I think if you currently are not on finasteride, putting that finasteride in your minoxidil could not hurt. I would not get off finasteride to do the topical though, and if you are on finasteride now, adding the topical would NOT improve you, just like taking a higher finasteride dose would not help you.
 
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