Who Are They For?
Both medications are primarily used for androgenetic alopecia, the most common type of hair loss driven by genetics and hormones. This includes male pattern hair loss and, in some cases, female pattern hair loss.
Minoxidil is approved for both men and women. Topical minoxidil is available over the counter, while oral minoxidil requires a prescription.
Finasteride is primarily prescribed for men. It is used off-label in some post-menopausal women with female pattern hair loss, but it is not appropriate for women who are pregnant or may become pregnant due to risks associated with fetal development.
Side Effects: What to Know
Minoxidil side effects are generally mild and may include:
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A temporary increase in shedding in the first few weeks (this is actually a sign the treatment is working, not a sign to stop)
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Scalp dryness or irritation with topical forms
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In rare cases, unwanted facial hair growth with topical application
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With oral minoxidil: fluid retention, low blood pressure, or increased body hair in a small number of people
Finasteride side effects are less common than many people fear, but they’re worth understanding:
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Sexual side effects such as decreased libido or erectile dysfunction are reported in a small percentage of men, typically under 4%
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Mood changes in rare cases
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Side effects typically resolve when the medication is stopped
Many people are anxious about finasteride before starting it and find that their experience is nothing like what they feared. That said, having an honest conversation with your clinician before starting is always the right move.
How Much Do They Cost?
This is one of the most common questions we hear, and the good news is that both medications are relatively affordable. Generic oral minoxidil typically runs $20 to $50 per month. Generic finasteride is usually $10 to $30 per month.
When prescribed through a hair loss clinic, pricing can vary depending on the protocol, but it’s often competitive with pharmacy pricing and comes with the added benefit of clinical oversight. At NHLMA, we offer oral prescriptions for both medications as part of a clinician-supervised hair restoration protocol, which means you’re getting the right dosage, the right guidance, and a team that’s monitoring your progress.
