Are there any contraindications with finasteride or Minoxidil (minoxidil) when used with Lamictal (lamotrigine)?

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Last updated: March 28, 2025View editorial policy

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From the Research

There are no significant contraindications between finasteride or minoxidil with lamotrigine (Lamictal), and they can generally be used together safely. Finasteride (typically 1mg daily for hair loss or 5mg for prostate conditions) inhibits the conversion of testosterone to dihydrotestosterone, while minoxidil (usually applied as a topical solution once or twice daily) is a vasodilator that promotes hair growth. Lamictal, an anticonvulsant and mood stabilizer, works on sodium channels and glutamate activity in the brain.

Key Points to Consider

  • The mechanisms of action of these medications are distinct, with minimal interaction potential 1.
  • While all medications can have side effects individually, their combined use doesn't significantly increase risks.
  • It's always important to inform all healthcare providers about all medications being taken, including over-the-counter products.
  • If unusual symptoms occur after starting these medications together, such as increased dizziness, skin reactions, or mood changes, contact a healthcare provider promptly.

Monitoring and Follow-Up

Regular follow-up appointments are recommended to monitor for any potential issues that might develop over time.

Evidence Summary

The most recent and highest quality study on the topic of hair loss treatment, which is relevant to the use of finasteride and minoxidil, was published in 2022 1. However, none of the provided studies directly address the interaction between finasteride, minoxidil, and lamotrigine. Given the distinct mechanisms of action and the lack of direct evidence suggesting significant interactions, the use of these medications together is considered safe, with the caveat of monitoring for individual side effects and potential interactions.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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