Non-surgical hair restoration consists of over-the-counter and prescription medications. They won’t restore a full head of hair, or even a partial head of hair, but they do stop hair loss and stimulate growth in some people.
The United States Food and Drug Administration (FDA) has approved two drugs—Minoxidil and Finasteride. Before using either of these products, consult with your dermatologist to determine whether you are a suitable candidate and to devise an effective treatment plan. Many physicians recommend use of the drugs to prevent further hair loss coupled with hair transplantation to fill in areas that are already bald.
About Minoxidil
Minoxidil, marketed by Upjohn as Rogaine®, is an “over-the-counter” drug, which means you can buy it without a prescription. This topical liquid treatment is rubbed into the scalp twice a day.
Rogaine® 2%, also available in less expensive generic formulations, slows hair loss in both men and women. It is reported to stimulate hair growth in about 25% of males and 20% of females who use it. Of those who do gain hair growth, approximately 20% will see only vellus, or “peach fuzz.”
Rogaine® 5%, currently approved for use by men only, is said to work about 45% more effectively than Rogaine 2%. The 5% solution is approved for use in men only because the original studies in women found that concentration to be no more effective than the 2% solution. Clinical trials for women testing the 5% solution will soon be completed and its approval for that use seems likely.
Minoxidil is most effective in the early stage of hereditary hair loss. Positive results may take several months. New hair growth is usually thinner and lighter than previous hair, and the growth occurs only on the back and crown of the head.
A caution: You must continue using Minoxidil indefinitely to retain its benefits. Any new hair growth you achieve with the product will fall out if you discontinue use.
About Finasteride
Finasteride, sold under the brand name Propecia®, (Merck), is the only approved treatment in pill form. It is available by prescription only at dosages of one table a day, and is not approved for use in women of childbearing years due to the risk of birth defects. Women in their childbearing years may not use Propecia under any circumstances. Nor should they handle or touch Propecia, especially broken tablets as there is a risk of systemic absorption of the drug. Post-menopausal women and women who have undergone hysterectomies or tubal ligation may use Propecia with success.
Finasteride works by inhibiting the conversion of DHT, the hormone responsible for up to 95% of pattern baldness. Like Monoxide, you may need to use it for several months before you notice any results. The results are likely to be restricted to thin growth at the crown and back of the head, leaving the hairline unaffected.
Finasteride is most effective in slowing down hair loss. According to the manufacturer, clinical trials indicated that 83% of men taking the medication retained their hair, 66% had visible re-growth, and 80% were rated as improved.
|
