knowingyou said:
My doctors did not recommand topical, because it is lack of evidence that it helps by hairloss. I have tried topical spironolactone cream from Dr Lee for more than 12 months, it did nothing for me, or just reduce the itch a bit from time to time.
Well, I am no expert, but if oral finasteride didn´t help with your hair loss, it sounds logical that topical spironolactone alone won´t help that much either.
But you said that it reduced the itch. Imo this is actually a very good sign, that it did do something!!! Probably just not enough to stop your hair from falling out.