Brief Answer: Kinldy provide details Detailed Answer: Hi, Welcome and thanks for posting your query to healthcare magic. I can understand the concern for the hair loss. I request you to please kindly elaborate your query in detail so that I can help you best regarding the health issues. Kindly elaborate the problem in terms of - - Since how long you are using mintop forte and finpecia. - Is there any itching and rash after suing mintop forte. - Are you sexually active. Hope to hear soon from your side to help and guide you best for your aunt's condition. With good health wishes, Dr Sanjay Kumar Kanodia MD- Dermatology

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Brief Answer: Kindly see the details below Detailed Answer: Hello, Welcome again to the forum and thanks for your follow up with important information. Before I come directly to you concern let me explain you some medical facts regarding hair fall. Medically the number of normal hair falling varies from few hair to up to 50-100 per day. Now if your hair falling more than 100s per day then it is definitely a problem. If it is not then you have to understand hair fall as normal process of day to day life. We have almost 1 lac hair on our scalp and amongst them around 5% of hair are in falling phase and then another 0.1% (around 100) of hair can fall everyday. In males this is super-added with hormonal influence of testosterone hormone ( the male hormone) which we call as "male pattern baldness" or Androgenic alopecia The most important thing is not to be worried about this normal physiological age related men's problem. Now correlating above facts with your query: There are innumerable products in the market claiming to be useful for hair growth. We dermatologists believe in application of Minoxidil lotion. It is one product which is unanimously used by all dermatologists. It is to be started with 2% lotion applied over the scalp once or twice in day. It is to be applied when the scalp is dry. Only 1 ml is sufficient to be applied at the root of hair in frontal region. If for one month there is no burning and irritation then we increase the percentage to 5 % to 10% gradually. The same we do to taper off the medicine. That means we do not stop the medicine at once and gradually taper it off to 5% and then 2% and then alternate day or off and application of lotion before stopping it completely. So in yourself also you can taper off the lotion by reducing the concentration first and then applying alternate basis before stopping it. DO not stop at once as can cause falling of hair abruptly. The dryness will be reduced once you are using less concentration. Finasteride is given along with this topical application to reduce the effect of male hormones. We generally do not prefer in married or sexually active males as can reduce your libido temporarily. It is not to be given beyond 9-12 months. You haven’t told in your query since how long you are taking finpecia. So if you are taking it from more than one year then you have to talk to your treating dermatologist to again replace with certain more advanced substitutes. I also suggest you to eat the best diet so that there can be good maintenance of the hair. I hope these information's will help you. If you have further queries I will be happy to help. With good health wishes, Dr Sanjay Kumar Kanodia MD- Dermatology

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Brief Answer: Kindly see the suggestion below Detailed Answer: Hi, Welcome again to the forum and thanks for your follow up with important information. I have gone through your series of problem since last 10 years and after thoroughly analyzing the complete situation I have made suggestions vide below: 1. Eat at least 3-4 different fruits saplings per day. Every fruit is good but you can make a combination of sour with sweet fruits such as oranges, papaya and other of seasonal fruits. 2. Pulses are good source of proteins. So everyday have a small bowel full of mixed pulses. Add green leafy vegetables additionally in the pulses which contain lot of iron and vitamins in it. 3. Sprouts are the best source of fibers, minerals especially iron, vitamins and proteins too. so add it at-least alternate day if you can not make in every-day's part of meal. 4. Over night soaked and peeled almonds will give you good vitamin E which is good for the hair growth. 5. Milk and milk products should be included in every-day's schedule. 6.Do light exercises, reduce your work stress as all these have bit impact on skin so also on scalp skin. 7.Stop any substance abuse such as smoking and alcohol if any!! 8. As said previously you can taper off the minoxidil lotion slowly once good effect is obtained then you stop it slowly as told before. 9. Rather than using finpecia you can use tablet containing Saw Palmetto tablets (Androanagen) which work like Finasteride but without the sexual side effects. All these things will help you as long term management of the problem. I hope these information will help you. If you have further queries I will be glad to help or if you do not then can close the query and rate the answer. In future if you want to ask me directly then can ask at : bit.ly/drsanjaykanodia "Wish you good health" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology)

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