Finasteride vs Dutasteride
Finasteride and dutasteride are 5α-reductase inhibitors that reduce DHT. Finasteride inhibits type II 5α-reductase; dutasteride inhibits both type I and II, producing more profound DHT suppression. Finasteride is the modern default for androgenetic alopecia; dutasteride is reserved for select cases.
Finasteride is the modern default for androgenetic alopecia, available in topical and oral formulations under provider review.
Dutasteride is reserved for select cases where finasteride response is insufficient and is not currently in the oMeds formulary.
Educational. Final pathway selection is provider-reviewed via synchronous video consultation against your biomarkers, history, and goals.
Frequently asked
Is dutasteride more effective?
It produces greater DHT suppression on average; clinical hair-density outcomes are similar in most candidates.
Can topical finasteride reduce side effects?
Topical formulations reduce systemic exposure — that is a provider-reviewed conversation at consult.
Take the optimization assessment.
The adaptive assessment maps your symptoms, history, and goals to candidate pathways — and routes you into provider review.
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