Hair loss..?
Hello Dr.
Cheng, I started noticing that my hair was thinning more and more on the top of my head two years ago.
I went to see a doctor who said it was hereditary hair loss.
However, I’m still young and don’t want to go bald so soon.
Currently, I am using 5% minoxidil and previously took finasteride, but now I have switched to bicalutamide.
I would like to ask if my condition seems to be unchanged, does this mean that these measures are ineffective? Are there additional lifestyle changes I should consider? Also, since finasteride is too expensive, is it okay to switch to bicalutamide? (I bought it at the pharmacy.) Is taking one pill a day too much? Thank you in advance for your response, Dr.
Cheng.
ken, 20~29 year old female. Ask Date: 2002/05/22
Dr. Zheng Lizhen reply Dermatology
1.
Taking Ropinirole is certainly not 100% effective; if you have been taking it for a long time and still feel it is ineffective, then you should discontinue its use.
2.
Taking one tablet of Bosentan per day is indeed too high a dosage.
Cutting the tablet can lead to uneven portions and poses a risk of accidental ingestion by others, which could result in teratogenic effects.
Therefore, for safety reasons, it is better to take Ropinirole directly.
Reply Date: 2002/05/22
More Info
Hello! Thank you for reaching out with your concerns about hair loss. It sounds like you’ve been dealing with a challenging situation, especially since you’ve already sought medical advice and are actively trying treatments. Let’s break down your questions and provide some insights based on current medical understanding.
Understanding Hair Loss
Hair loss can be a complex issue influenced by various factors, including genetics, hormonal changes, stress, nutrition, and overall health. In your case, it seems that you have been diagnosed with hereditary hair loss, also known as androgenetic alopecia. This condition is common and can affect both men and women, typically leading to thinning hair on the scalp.
Treatments You Are Using
You mentioned that you are currently using 5% minoxidil and have switched from finasteride (often referred to by its brand name, Propecia) to another medication, which I assume is likely a different formulation of finasteride or a similar drug. Minoxidil is a topical treatment that can help stimulate hair growth and is often effective for many individuals. However, it may take several months to see noticeable results, and not everyone responds to it in the same way.
Finasteride, on the other hand, works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to hair loss in genetically predisposed individuals. If you found finasteride to be effective but are concerned about the cost, it’s essential to discuss this with your healthcare provider. They can help you weigh the benefits and potential side effects of switching to a different medication.
Daily Tips for Managing Hair Loss
1. Nutrition: Ensure you’re consuming a balanced diet rich in vitamins and minerals that support hair health. Nutrients like biotin, zinc, iron, and vitamins A, C, D, and E are crucial for maintaining healthy hair. Consider incorporating foods like leafy greens, nuts, seeds, fish, and lean proteins into your meals.
2. Stress Management: High stress levels can exacerbate hair loss. Engage in stress-reducing activities such as yoga, meditation, or regular exercise. Finding ways to relax can positively impact your overall health and potentially your hair growth.
3. Gentle Hair Care: Be gentle with your hair. Avoid tight hairstyles that pull on the hair, and use a wide-toothed comb to minimize breakage. Limit the use of heat styling tools and harsh chemical treatments that can damage hair.
4. Regular Check-ups: Keep in touch with your healthcare provider to monitor your progress. If you feel that your current treatments are not yielding results, they may suggest alternative therapies or adjustments to your regimen.
Regarding Medication Dosage
As for your question about the dosage of the medication you are taking, it’s crucial to follow the prescribed dosage by your healthcare provider. If you are taking a new medication, ensure that it is appropriate for your condition and that you are not exceeding the recommended dosage. Discuss any concerns about the cost or effectiveness of your medications with your doctor, as they may have alternatives or suggestions that can help.
Conclusion
In summary, while hereditary hair loss can be frustrating, there are effective treatments available. It’s essential to be patient, as results can take time. Additionally, incorporating healthy lifestyle changes can support your hair health. Always consult with your healthcare provider before making any changes to your treatment plan, especially regarding medication dosages. They can provide personalized advice based on your specific situation. Best of luck, and I hope you see positive changes soon!
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