I generally prescribe finasteride to most of my patients who have significant miniaturization whether they are getting hair transplants or not. There are many studies on using Rogaine (minoxidil) and Propecia (finasteride) as single therapy and in combination with each other or with other medications. Here at Los Angeles office of US Hair Restoration we tailor a master plan for patients who need hair transplant surgery.
Comparing minoxidil and finasteride for treatment of male pattern baldness clearly shows that treatment with only finasteride is more effective than treatment with only minoxidil. Combination of finasteride with minoxidil and with some other medications shows improved outcome, but the rate of improvement is not significant enough that I can convince myself to prescribe combination therapy to all my patients for the rest of their lives, considering difficulty of using topical minoxidil (topical spreading of medication twice a day on the balding area of scalp).
If you want to do everything possible to prevent or slow down further hair loss and maybe grow some, you can consider combination therapy, but remember when you start minoxidil you are committed to continue it for the rest of your life or until there are better alternatives. For more on hair loss treatment such as hair transplant surgery you can visit USHairRestoration.com.
