The only signs of male pattern baldness that I see is some thinning on the crown relap5. I would only take Finasteride if I were you, especially if your male pattern baldness is slow and not aggressive. I wouldn't use Nizoral unless you're having excessive oiliness and inflammation of your scalp. About using topical Minoxidil, you can just apply the medication to your scalp once daily and should get good regrowth, no need to use twice daily unless you want maximum possible regrowth.