Baldness, also known as androgenic alopecia or androgenic hair loss, can be treated with medications for oral use or topical application, which should only be used on medical advice, as they present some contraindications that can cause side effects.
Baldness is characterized by hair loss or absence of hair, which results from a sensitivity of hair follicles in a certain area of the hair to endogenous ones, a process that interferes with treatments.
Some of the medicines that can be prescribed by the doctor for the treatment of androgenic hair loss are:
Minoxidil is a solution available in concentrations of 2% and 5%, to be applied on the scalp. It works by stimulating the growth of the hair follicle and increasing the caliber of blood vessels, improving circulation in the area and prolonging the hair growth phase.
How to use: The minoxidil solution can be applied in dry hair, in regions where hair is weaker, with the help of a massage twice a day.
Generally, the 5% solutions are prescribed for the man and the 2% ones are indicated for women, the amount that must be applied is 1 mL and the duration of the treatment is between 3 to 6 months or according to medical indication.
Contraindications: Minoxidil should not be used by people with hypersensitivity to the components of the formula, pregnant and lactating women. The 5% minoxidil solution should not be used in women unless directed by the doctor.
Finasteride in 1mg tablets is indicated for the treatment of androgenic alopecia in men, favoring hair growth and preventing hair loss.
How to use: The recommended dose is 1 tablet a day for at least 3 months.
Contraindications: Finasteride should not be used by people with hypersensitivity to the components of the formula, women or children, mothers who are embarrassed and lactating.
Spironolactone is a drug generally indicated for the treatment of hypertension and edematous disorders, however, because it has an antiandrogenic effect, the doctor may prescribe this drug for the treatment of alopecia in women. Spironolactone acts by slowing down the progression of hair loss and promoting hair growth, and can be used alone or in combination with minoxidil, to increase hair growth.
How to use: Spironolactone must be used according to the indication of the doctor, when prescribed by the general, in doses that vary between 50 to 300 mg.
Contraindications: Spironolactone is contraindicated in people with hypersensitivity to the components, acute renal failure, significant decrease in renal function, anuria, Addison’s disease and hyperkalemia. In addition, it must not be used during embarazo or lactancia.
Topical ketoconazole is an antifungal used in the treatment of seborrheic dermatitis. As the main indication of this medicine in the treatment of baldness, it is known that the topical application of this active ingredient, combined with other baldness medicines, can be beneficial for people who suffer from this disease.
How to use: Ketoconazole shampoo should be applied on the affected parts, leaving to act for 3 to 5 minutes before rinsing. For the treatment of seborrheic dermatitis, it is recommended to apply the product 2 times a week for 2 to 4 weeks. To prevent the return of seborrheic dermatitis, the shampoo should be used once a week or once every 2 weeks.
Contraindications: Ketoconazole should not be used by people with hypersensitivity to the components of the formula.
The alfatradiol solution is indicated for the treatment of androgenetic alopecia in men and women.
How to usea: The product must be applied once a day, preferably in the evening, using the applicator with light movements for approximately 1 minute so that 3 ml of the solution arrives in the hair, massage the area and wash the hands.
Contraindications: This medication must not be used in people with allergies to the components of the formula, women who are embarrassed, breastfeeding and those under 18 years of age.
Cyproterone acetate has several therapeutic indications, among which is the treatment of baldness in women due to its antiandrogenic action.
How to usea: In women in a reproductive age, treatment should be started with 100 mg on the first day of the cycle (first day of bleeding), for 10 days. Additionally, you should use a combined contraceptive prescribed by your doctor, from the first day to the 21st day of the cycle, to stabilize the cycle. After that, you should take a break of 7 days and at the end of that rest start again the treatment with cyproterone acetate in the first 10 days of the cycle and the combined contraceptive from the first day on the 21st day, and then successively. However, the doctor can reduce the dose of cyproterone acetate from 100 mg to 50 mg or 25 mg, or recommend only taking the contraceptive of cyproterone acetate + ethinylestradiol, in case it is sufficient.
Contraindications: Cyproterone acetate should not be used during pregnancy, lactation, liver disease, Dubin-Johnson and Rotor syndrome, people with a history of jaundice or persistent comession during a previous pregnancy, a history of herpes gestationis, current or previous liver tumors , history of meningioma, debilitating illnesses, severe chronic depression, history of thrombosis, severe diabetes with vascular alterations, sickle cell anemia or allergy to the components of the formulation.
In addition, the medicines prescribed by the doctor can include nutritional supplements such as vitamins, minerals and antioxidants, such as vitamins of the B complex, vitamin C, vitamin E, zinc and amino acids, for example, which can contribute to hair growth. See examples of supplements for hair loss.
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