Approved Hair Loss Treatments: Beyond Finasteride and Minoxidil - Dermatology

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Hair restoration products approved by the Ministry of Health and Welfare and the U.S. FDA?


Hello, Doctor! Currently, besides Finasteride and Minoxidil, are there any other approved hair growth products? Last year, a new drug, Dutasteride, was introduced; is it approved for promoting hair growth, or is it just a marketing gimmick? There are also low-level laser therapies available in aesthetic medicine.
What is their efficacy for hair growth? In other countries, laser combs and laser caps are sold; are they similar to the low-level lasers used in aesthetic clinics? Research has indicated that saw palmetto can inhibit the activity of the enzyme "5-alpha-reductase," which is necessary for the conversion of testosterone to dihydrotestosterone (DHT).
Could it also be effective in treating hair loss? I have quite a few questions.
Thank you for your response!

Xiang, 30~39 year old female. Ask Date: 2018/01/19

Dr. Wu Yuxin reply Dermatology


Dutasteride (Avodart) is approved for promoting hair growth.
I'm not familiar with laser combs or laser caps.
Saw palmetto? I haven't heard of that.

Reply Date: 2018/01/19

More Info


When it comes to treating hair loss, particularly androgenetic alopecia (commonly known as male or female pattern baldness), the most well-known and FDA-approved treatments are Finasteride and Minoxidil. However, there are indeed other options available that have gained approval and are being utilized in clinical practice.

One of the newer medications that has been approved for hair loss treatment is Dutasteride. Similar to Finasteride, Dutasteride is a 5-alpha-reductase inhibitor, which means it works by blocking the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to hair loss. Research has shown that Dutasteride may be more effective than Finasteride in reducing DHT levels, which could potentially lead to better outcomes for patients experiencing hair loss. Therefore, it is not merely a marketing gimmick; it has a legitimate role in the treatment of hair loss, especially for those who may not have had satisfactory results with Finasteride alone.

In addition to pharmacological treatments, low-level laser therapy (LLLT) has emerged as a non-invasive option for promoting hair growth. This therapy involves the use of specific wavelengths of light to stimulate hair follicles, potentially increasing blood flow and promoting cellular activity in the scalp. Devices such as laser combs and caps are available for home use, and they are designed to deliver this laser treatment in a convenient manner. While the efficacy of LLLT can vary from person to person, some studies have indicated that it can be beneficial for individuals with androgenetic alopecia.

Another alternative that has been discussed in the context of hair loss treatment is saw palmetto, a natural supplement that is believed to inhibit the same enzyme (5-alpha-reductase) that Finasteride and Dutasteride target. While some preliminary studies suggest that saw palmetto may help reduce hair loss, more rigorous clinical trials are needed to establish its effectiveness and safety as a standalone treatment.

It is essential to consult with a healthcare provider or a dermatologist before starting any new treatment for hair loss. They can help assess your specific condition, discuss potential side effects, and determine the most appropriate treatment plan based on your medical history and individual needs. Additionally, they can monitor your progress and make adjustments to your treatment as necessary.

In summary, while Finasteride and Minoxidil remain the cornerstone treatments for hair loss, Dutasteride has emerged as a promising alternative for those who may not respond well to Finasteride. Low-level laser therapy offers a non-invasive option, and natural supplements like saw palmetto may provide additional support, although more research is needed. Always seek professional guidance to tailor a treatment plan that is right for you.

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