Hair Medication

The search for thicker, healthier hair can lead us down many paths, and hair medications often appear as promising shortcuts. But before diving headfirst into this world, let's unravel the science behind these potions and pills, and explore who might truly benefit from their touch.
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How it works

Imagine your hair follicles as tiny factories, churning out strands like intricate threads.

Hair medications aim to influence these factories, addressing various factors that hinder their optimal production. Think of them as tools, each with its own unique mechanism:
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Medication

All hair medication

Minoxidil

This topical medication works by possessing alpha 2-adrenoceptor agonist activity, dilating blood vessels around follicles, promoting blood flow and nutrient delivery, resulting in thicker, stronger hair growth.

Finasteride

This oral medication acts by inhibiting the 5-alpha reductase enzyme that converts testosterone to DHT (dihydrotestosterone), specifically the type II 5-alpha reductase enzyme. DHT is a hormone that miniaturizes hair follicles, leading to gradual thinning and shrinking of follicular units.  

Dutasteride

This medicine has similar mechanism of action as finasteride. The difference is that it is a selective and competitive inhibitor of both type-1 and type-2 isoenzymes of 5-α-reductase. Several randomized control trials have confirmed its superior efficacy in male pattern hair loss with comparable side effects as finasteride.

Spironolactone

This anti-androgen medication primarily used for acne can also help women with female pattern hair loss by blocking the action of androgens on hair follicles.

Corticosteroids

These topical or injected medications can reduce inflammation around hair follicles, potentially promoting hair growth in cases of certain hair loss conditions like alopecia areata.
Warning

Potential side effects and limitations

Minoxidil and finasteride

in topical solution form can cause scalp irritation and unwanted hair growth in other areas. Gentle scalp solution form is created to soothe this problem.  Some may have allergic reaction to the medication.

Finasteride, minoxidil, and dutasteride

in oral form can affect sexual function in men. This condition only happens in few cases and reverse when stop taking medicines. Those medicine can reduce sperm production. Individual who is in reproductive age should have sperm count check prior to start taking those medicine and should monitor it regularly while It is not suitable for women or pregnant individuals.

Spironolactone

Spironolactone can disrupt hormonal balance and cause menstrual irregularity in some cases.

Corticosteroids

Corticosteroids have potential side effects like skin thinning and pigmentation changes.
How it works

Who might benefit from these medications?

Androgenetic alopecia

This genetic form of hair loss in both men and women responds well to minoxidil, finasteride and dutasteride.

Alopecia areata

This autoimmune condition causing patchy hair loss can benefit from corticosteroids in some cases. Advance medication such as Janas Kinase (JAK) inhibitor, bicalutamide maybe considered in advance cases chosen by hair specialist with experience.

Women with hormonal hair loss

Spironolactone can be helpful for women experiencing hair thinning due to hormonal imbalances. Remember to search for co-factors that may contribute to hair loss in women such as vitamins-mineral deficiency, autoimmune disorders, etc.
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Keep in mind

Hair Medications: A Balanced Approach

Consult a specialist to determine the best medication for your hair loss. Remember, a healthy lifestyle is essential for overall hair health.
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Safety & before and after procedure

Safety

Before the Procedure

Consultation

Consult a certified dermatologist experienced in treating hair loss and familiar with the specific medication. Discuss your medical history, allergies, medications, current hair situation, and expectations. The doctor will assess your suitability for the program, explain the specific medication and its expected effects, and discuss potential risks and benefits.

Realistic expectations

Understand that most hair medication programs require consistent use for several months to see noticeable results. Some medications may not work for everyone, and individual results can vary.

Lab testing

Your doctor might recommend blood tests or other evaluations to rule out any underlying medical conditions that could contribute to hair loss or interact with the medication.

Stop certain medications

Discuss with your doctor if you need to stop taking any medications/supplements that could interact with the hair medication.

Lifestyle modifications

A healthy lifestyle, including balanced diet, stress management, and proper hair care, can enhance the effectiveness of hair loss medications. Limit fast food and avoid harsh chemicals on your hair and scalp.
Safety

During the program

Follow the program guidelines

Adhere to your doctor’s recommendations regarding dosage, frequency, and application method of the medication. Don't exceed the recommended dosage or use the medication for longer than prescribed.

Monitor for side effects

Be aware of potential side effects of the medication, such as scalp irritation, itching, dryness, or unwanted hair growth. Contact your doctor if you experience any side effects that are bothersome or worsen.

Maintain hair care routine

Continue with your regular hair care routine, but avoid harsh shampoos, styling products, or treatments that could irritate the scalp or hinder medication absorption
Safety

After the Procedure

Continue the medication as directed

Depending on the program, you might need to continue the medication for several months or even indefinitely. Follow your doctor's instructions regarding ongoing use and potential adjustments.

Regular follow-up visits

Attend all scheduled follow-up appointments with your doctor to monitor progress, address any concerns, and discuss the next steps in your hair loss treatment plan.

Safety Considerations

Choose a qualified professional

Seek treatment from a board-certified dermatologist experienced in treating hair loss and familiar with the specific medication you're considering.

Avoid unlicensed vendors

Beware of hair medication programs offered by non-medical professionals or through unlicensed channels, as they could pose significant safety risks.

Discuss potential risks

Understand the potential risks and side effects of the specific medication you're considering, including interactions with other medications or pre-existing medical conditions.

Listen to your body

Pay attention to any unusual symptoms or discomfort and contact your doctor immediately if you experience them.

Honesty with your doctor

Be transparent about your medical history and any medications you're taking to ensure the program's safety and effectiveness for you.
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Additional Tips

Focus on evidence-based approaches

Opt for treatment plans based on scientifically proven medications and treatments for hair loss.

Beware of exaggerated claims

Be skeptical of programs promising rapid or miraculous hair growth results.

Integrate with lifestyle changes

Remember, topical medications often work best in conjunction with a healthy lifestyle that supports overall hair health.

Patience is key

Hair growth takes time. Focus on the gradual improvement and celebrate the progress towards healthier hair. Your expert will guide you when to expect improvement in each stage of hair growth.

Remember

Hair medication programs can be effective for specific types of hair loss, but results vary. Some may have true scalp disease, some may not. Some may have mix types of problems which should be addressed appropriately. Consult a qualified professional for personalized guidance and ensure the program aligns with your needs and safety considerations.

Prioritize long-term, sustainable lifestyle changes like a healthy diet, regular exercise, and adequate sleep to maintain healthy hair growth and overall well-being.

Always prioritize your safety and seek medical advice from a qualified professional before considering any hair medication program or alternative therapy.
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Dr. NICHA: Your Skin Expert

With years of experience and a deep understanding of dermatology, Dr. Nicha Keoprasom (Eau) is the expert you need to address your skin concerns.

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