Hi. Thanks for writing to us at healthcaremagic You seem to have androgenetic alopecia. You previously had been using topical Minoxidil alone. Minoxidil alone may not be sufficient. If I was the treating doctor I would have also started you on oral finasteride. Minoxidil and finasteride have approval for use in this type of alopecia. While Minoxidil is a non-specific hair growth promoter, oral Finasteride once daily is specific for androgenetic alopecia in males. Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit in this type of hair loss. Results are usually noticeable over a period of 6-8 months of regular minoxidil use and oral treatment. Discontinuing treatment would reverse the improvement achieved. Therefore, treatment is long term and once the desired results have been attained, the patients may be switched on to a maintenance regime wherein once daily or alternate days minoxidil is continued life long along with life long finasteride. A biotin supplement once daily would also be useful. Biotin supports hair growth though it is not specific for androgentic alopecia. These are all prescription medications. I would suggest that you revisit your dermatologist for a review of your treatment. Regards