What Treatment Options are Available for Alopecia


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Jupitor Chakma
A doctor, passionate health blogger and internet enthusiast. There is no ending to learning (and I sincerely believe it). I write regularly at my health blog http://healthyone.org/. Visit my health blog to read the unique health contents.
Jupitor Chakma
Jupitor Chakma

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Treatment/management of alopecia consists of use of medications (such as minoxidil, finesteride, corticosteroids etc), surgical option and use of wigs (when all measures fail or if the individual prefer) or no treatment. The best option is (the opinion of the author) not to use any treatment, as the problem is more of a cosmetic than a health problem and use of any form of treatment is associated with some side effects, whatever minor the side effect may be.

Minoxidil in treatment of alopecia:

This is a commonly used medication for treatment of androgenic alopecia and alopecia areata (for which it is available without prescription). Minoxidil is available as foam or liquid for treatment of alopecia, which is rubbed on to the scalp twice a day. Approximately one third of patients get result for male and female pattern of hair loss. It may take up to one year for hair re-growth. The treatment need to be continued indefinitely, because on stoppage of minoxidil treatment, hair loss resumes and alopecia recurs. Side effects of minoxidil include scalp irritation which is usually mild, allergic contact dermatitis, increased facial hairs (which can be problematic in females) etc.

Finesteride in treatment of alopecia:

This is used for male pattern of hair loss as tablets, with brand name Propecia. Finesteride is usually not used for female pattern of hair loss. Effect of treatment may take 6-8 months to show. Side effects of finesteride include erectile dysfunction, loss of libido, ejaculation problems, gynecomastia (male breast development), myopathy etc. The duration of treatment is indefinite, because on stoppage of finesteride, hair loss resumes again.

Corticosteroids in treatment of alopecia:

Injections

of corticosteroids such as cortisone are given into the scalp once every month. The result is delayed and by the time result is seen it may take a month. Corticosteroids are also sometimes given orally, especially if there is extensive hair loss, such as seen in alopecia areata, alopecia totalis etc. On withdrawal of treatment (i.e. injections of corticosteroids or oral tablets) the alopecia may return. There is also the risk of side effects associated with long term corticosteroid treatment.

Anthralin in treatment of alopecia:

Cream or ointment of anthralin is applied to scalp daily and washed off. It may take up to 3 months for the results to be seen. But anthralin is more commonly used for treatment of psoriasis.

Other medications used for treatment of alopecia:

Medications such as spironolactone, oral contraceptive pills are also used in some individuals (mainly females) with hair loss or alopecia.

Surgical treatment of alopecia:

Hair transplant (tiny plugs of skin from back or from sides of scalp, each of which contains a few hairs, and implanted into bald sections), scalp reduction etc. are some surgical options available for treatment of alopecia.

Some individuals with baldness use wigs instead of going for any treatment (as most treatment options are not satisfactory and have high side effects). Many bald individuals also accept baldness and do not use any treatment option nor use any wig and they are happy with what they are.

This is a guest post by Jupitor Chakma, who writes regularly on his Health Blog: http://healthyone.org/ and Online Health website: http://nethealthsite.com/.

Image: Michal Marcol / FreeDigitalPhotos.net