It may be effective in helping promote hair growth in both men

July 13, 2014

Treatments for the various forms of hair loss have only moderate success.[1] Three medications have evidence to support their use in male pattern hair loss: finasteride, dutasteride and minoxidil.[2] They typically work better to prevent further hair loss than to regrow lost hair.[2]They may be used together when hair loss is progressive or further regrowth is desired after 12 months.[3] Other medications include ketoconazole, and in female androgenic alopecia spironolactone and flutamide.[4] Combinations of finasteride, minoxidil and ketoconazole are more effective than individual use.[5]Minoxidil, applied topically, is widely used for the treatment of hair loss. It may be effective in helping promote hair growth in both men and women with androgenic alopecia.[6][7] About 40% of men experience hair regrowth after 3 6 months.[8] It is the only topical product that is FDA approved in America for androgenic hair loss.[6] However, increased hair loss has been reported.[9][10]Finasteride is used to treat male pattern hair loss.[11] Treatment provides about 30% improvement in hair loss after six months of treatment, and effectiveness only persists as long as the drug is taken.[12] There is no good evidence for its use in women.[1] It may cause gynecomastia, erectile dysfunction and depression.[13]Dutasteride is used off label for male pattern hair loss.[14]There is tentative support for spironolactone in women.[1] Due to its feminising side effects and risk of infertility it is not often used by men.[15][16] It can also cause low blood pressure, high blood potassium, and abnormal heart rhythms. Also costume wigs, women who are pregnant or trying to become pregnant generally cannot use the medication as it is a teratogen, and can cause ambiguous genitalia in newborn children.[17]There is tentative evidence for flutamide in women; however, it is associated with relatively high rates of liver problems.[1] Like spironolactone, it is typically only used by women.[18]Ketoconazole may help in women.[1]Main article: Hair transplantationHair transplantation is a surgical technique that moves individual hair follicles from a part of the body called the donor site to bald or balding part of the body known as the recipient site.

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Posted in News by Dr. Mohamed Nuri Hamdoun