When Propecia, a brand name for the drug finasteride used to treat male pattern baldness. Also known as finasteride, it stops hair loss by blocking DHT, but it’s not for everyone. Side effects like low libido, depression, or brain fog push many to look for Propecia alternatives. The good news? There are several proven options—some prescription, some over-the-counter, and some backed by real studies—that can help you keep your hair without taking finasteride.
One of the most common and well-researched minoxidil, a topical solution approved by the FDA for hair regrowth in both men and women. Also known as Rogaine, it works differently than Propecia. Instead of blocking hormones, it wakes up dormant hair follicles and boosts blood flow to the scalp. It’s available as a liquid or foam, and while results take months, it’s safe for long-term use. Many people combine it with other treatments for better results. Another option is spironolactone, a blood pressure medication that also blocks androgens, often prescribed off-label for women with hormonal hair loss. Also known as Aldactone, it works well for female pattern hair loss, especially when hormones are the main cause. It’s not typically used for men due to side effects like breast tenderness or menstrual changes.
If you prefer natural paths, green tea extract, a plant-based compound shown in studies to reduce DHT levels naturally. Also known as EGCG, it has been tested in topical formulas and oral supplements. Saw palmetto is another popular herbal option—it’s been used for centuries to support prostate health and, more recently, hair growth. While not as strong as finasteride, some studies show it can slow thinning when taken consistently. You’ll also find products with biotin, zinc, and niacinamide in shampoos or pills, but these mostly support overall hair health rather than reverse balding. What matters most is consistency. No alternative works overnight, and stopping treatment usually means losing progress.
Some people turn to low-level laser therapy devices—helmets or combs that use red light to stimulate follicles. These are FDA-cleared and have no systemic side effects. Others try platelet-rich plasma (PRP) injections, where your own blood is processed and injected into the scalp to trigger regrowth. These aren’t cheap, and results vary, but they’re growing in popularity as non-drug options. The key is matching your choice to your cause. If it’s genetic, you need something that targets DHT or wakes follicles. If it’s stress or nutrition-related, fixing the root issue might be enough.
Below, you’ll find real comparisons of treatments that actually work—some you’ve heard of, some you haven’t. We’ve pulled together guides on what’s safe, what’s overhyped, and what gives you the best shot at keeping your hair without the side effects of Propecia. No fluff. Just what you need to decide.
