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Prospective Longitudinal Analysis of Finasteride and Minoxidil Combination Therapy: Comprehensive Hair Density Outcomes and Safety Profile


Authors : Samuel Filima; Victor Benoit

Volume/Issue : Volume 11 - 2026, Issue 8 - August


Google Scholar : https://tinyurl.com/ycxbveyc

DOI : https://doi.org/10.38124/ijisrt/26aug1599

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Androgenetic alopecia (AGA) is the primary driver of progressive pattern hair loss and is characterized by androgenmediated follicular miniaturization. Non-surgical stabilization of hair density relies on established pharmacological agents with documented long-term evidence.  Objectives: To evaluate the 6-to-12-month change in hair density, gender-stratified response, adverse-event incidence, and treatment adherence in patients receiving a combined finasteride and minoxidil protocol.  Methods: A single-arm, prospective, longitudinal observational cohort of n = 443 patients receiving combination therapy was followed over 12 months. Hair density per cm² was measured by standardized digital phototrichogram analysis at baseline (T₀), 6 months (T₁), and 12 months (T₂). Group comparisons are descriptive; no inferential statistics were performed.

References :

  1. Kaufman KD, Olsen EA, Whiting D, et al. Finasteride in the treatment of men with androgenetic alopecia. J Am Acad Dermatol. 1998;39(4):578-589.
  2. Olsen EA, Dunlap FE, Funicella T, et al. A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. J Am Acad Dermatol. 2002;47(3):377-385.
  3. Suchonwanit P, Thammarucha S, Leerunyakul K. Minoxidil and its use in hair disorders: a review. Drug Des Devel Ther. 2019;13:2777-2786.
  4. Adil A, Godwin M. The effectiveness of treatments for androgenetic alopecia: a systematic review and meta-analysis. J Am Acad Dermatol. 2017;77(1):136-141.e5.
  5. Chen L, Zhang J, Wang L, Wang H, Chen B. The efficacy and safety of finasteride combined with topical minoxidil for androgenetic alopecia: a systematic review and meta-analysis. Aesthetic Plast Surg. 2020;44(3):962-970.
  6. Vera Clinic Academy. Clinical Efficacy of Regenerative Hair Therapies and Combined Hair Transplantation Outcomes: A 12-Month Prospective Observational Cohort. Unpublished data / manuscript in preparation.

Background: Androgenetic alopecia (AGA) is the primary driver of progressive pattern hair loss and is characterized by androgenmediated follicular miniaturization. Non-surgical stabilization of hair density relies on established pharmacological agents with documented long-term evidence.  Objectives: To evaluate the 6-to-12-month change in hair density, gender-stratified response, adverse-event incidence, and treatment adherence in patients receiving a combined finasteride and minoxidil protocol.  Methods: A single-arm, prospective, longitudinal observational cohort of n = 443 patients receiving combination therapy was followed over 12 months. Hair density per cm² was measured by standardized digital phototrichogram analysis at baseline (T₀), 6 months (T₁), and 12 months (T₂). Group comparisons are descriptive; no inferential statistics were performed.

Paper Submission Last Date
31 - October - 2026

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