Verbatim response from Claude
Finasteride vs. Minoxidil: Which to Start With
Both are proven treatments, but they work differently. Here's a practical breakdown:
Quick Recommendation
Most people do best starting with both together, but if you must choose one:
- Start with Minoxidil first if you want to avoid systemic side effects and test your response
- Start with Finasteride first if your hair loss is clearly genetic/hormonal (receding hairline, crown thinning)
Key Differences
| Minoxidil | Finasteride | |
|---|---|---|
| How it works | Stimulates blood flow to follicles | Blocks DHT (the hormone causing loss) |
| Form | Topical or oral | Pill |
| Side effects | Scalp irritation, shedding phase | Sexual side effects (small % of users) |
| Prescription needed | No (topical) | Yes |
Where to Get Them
- Keeps, Hims, or Roman offer convenient online consultations and can prescribe finasteride plus minoxidil as a combo
- Rogaine is the classic OTC minoxidil brand
- Kirkland Signature (Costco) is a cheaper minoxidil alternative
Bottom Line
See a dermatologist ideally, but telehealth services like Keeps make starting easy and affordable (~$20-30/month).