Propecia Information Articles and Propecia Finasteride and Hair Loss

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Why Finasteride?

Finasteride prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH) and hair loss.

Most important fact about Finasteride?

Women who are or who may become pregnant must not handle crushed or broken finasteride tablets. The medication could be absorbed through the skin. Finasteride is known to cause birth defects in a developing male baby.

How should you take Finasteride?

Finasteride can be taken with or without food. It is important to take finasteride regularly to get the most benefit. Your doctor may perform blood tests or other forms of monitoring during treatment with finasteride.

 

The bald truth – dealing with hair loss

Every hair on your head grows for anywhere from two to six years. After it stops growing the hair will fall out and new hair will grow in its place. For different reasons, in some people this process of renewal begins to slow down. This eventually leads to alopecia, or baldness. Throw out your preconceived notions – just because your mom’s dad lost his hair doesn’t mean you’ll lose yours.1 Baldness can be the result of a variety of factors, including, yes, heredity, but also certain medications or underlying medical conditions. And let’s say it again – anyone, men, women or children, can experience hair loss.

There are different types of treatment available depending on the extent of your baldness and the reasons behind it. Treatment isn’t necessary for hair loss, if you’re willing to accept the hand that nature has dealt you. But hey, that’s not for everyone, and that’s why there are options ranging from makeup and hairpieces to medications and even surgical procedures to treat baldness.

Losing your hair can be hard to accept, especially for those who have been maintaining a flowing head of hair for years. There are coping methods available that can help to soothe what’s below your scalp as well as what’s on top.

Types of baldness

You’re noticing hair loss and you want to do something about it. The first step should be a visit to your doctor. They will be able to correctly identify the type of baldness you may be experiencing and suggest possible treatment options.

Everyone’s heard of "male pattern baldness", or androgenetic alopecia, as it’s known in scientific circles. Men with this condition can experience hair loss as early as their teen years. Male pattern baldness can be identified by a receding hairline and hair thinning on the crown. It’s usually a hereditary condition and can lead to a bald spot or complete loss of hair. Women can also experience androgenetic alopecia, though female pattern baldness rarely results in total baldness. Unlike male pattern baldness, the condition generally results in thinner hair all over the head, but a normal hairline.

Another type of baldness, alopecia areata, usually results in the sudden loss of hair in one particular area. The hair usually grows back after several months, but re-growth does not always happen.1 Alopecia areata can also lead to body hair loss.

There are other less common types of baldness, including hair loss resulting from scars, illness, certain medications and trichotillomania, or hair pulling.

What causes baldness?

Simply put, baldness occurs when hair loss exceeds the rate of hair re-growth, when new hair is thinner than the old hair it has replaced or when hair comes out in patches.

Every hair on your body sits in a hole in your skin called a follicle. In people who experience baldness, the follicle has shrunken over time, resulting in shorter, finer hair. Sometimes, these follicles are unable to produce any new hair at all. But the follicles remain alive – and have the potential to grow new hair.6

It’s believed hair loss is mostly caused by a combination of factors like aging, hormone changes, illness, a family history of baldness, burns and trauma. In the myth-shattering department, note that poor circulation of the scalp, dandruff, excessive hat wearing and a gene passed on from your mom’s dad are not responsible for baldness.

Heredity is responsible for androgenetic alopecia, or pattern baldness. A history of pattern baldness on both sides of your family increases your risk of balding. Alopecia areata is actually seen as an autoimmune disease, though its cause is unknown. People in good health can develop this type of baldness and a family history of the condition makes its onset more likely.

There are a number of causes of temporary hair loss. Medications, like certain drugs used to treat gout, arthritis, depression, heart problems and high blood pressure, can cause hair loss in some people. Birth control pills can also result in hair loss for some women. Disease, poor nutrition, trauma caused by surgery, high fever and severe flu can also cause temporary hair loss. Medical treatments like chemotherapy can cause your to fall out, though it usually re-grows after the treatment ends. Newborns often lose their hair during the first several months of their lives, while women can also experience hair loss after delivering a baby.

Treatment

It’s a good news/bad news story. First, the bad news – most forms of baldness have no cure. The good news, though, is that these conditions can still be treated, and some types of baldness will disappear without any treatment. Your doctor will suggest treatments for baldness depending on a number of factors, include your age, health, the extent of your condition and your own preference. Different forms of treatment are listed below.

Medication

Medication used to treat baldness becomes less effective as hair loss increases. The cause of hair loss and an individual’s response to medicine are factors to consider when evaluating medical treatment. The Food and Drug Administration has approved several types of drugs for treatment of baldness.

  • Minoxidil: The active ingredient in products like Rogaine is found in over-the-counter topical medications approved for the treatment of pattern baldness and alopecia areata. It’s a liquid that you rub into your scalp twice a day. Many people experience hair re-growth, a slower rate of hair loss, or both. Hair loss returns when you stop using the solution.

  • Finasteride: The active ingredient in Propecia and Proscar is a prescription medication to treat male pattern baldness. It is taken daily in pill form. Many people taking finasteride experience a slowing of hair loss, and in some there may be new hair growth.

Warning: Finasteride is not approved for use by women and pregnant woman should not even handle crushed or broken finasteride tablets because the drug can lead to serious birth defects. Like minoxidil, the benefits of finasteride also stop if you stop taking it.

  • Corticosteroids: A doctor can inject cortisone right into bald areas of the scalp to treat alopecia areata. Treatment is usually repeated monthly. Doctors sometimes prescribe corticosteroid pills for extensive hair loss due to alopecia areata.

  • Anthralin (Drithocreme): Anthralin is a synthetic, tarry substance that you apply to your scalp and wash off daily. It may stimulate new hair growth in cases of alopecia areata.

Surgical procedures

There are four main types of hair replacement methods:

  • Hair transplantation: A surgeon moves small pieces of hair-bearing scalp from the back or sides of the head to bald or thinning areas.

  • Tissue expansion: A device called a tissue expander is placed underneath a hair-bearing area located next to a bald area. The tissue expander causes new skin cells to grow over the course of several weeks. Another operation is then needed to place the newly expanded skin over the adjacent bald spot.

  • Flap surgery: A portion of the bald area is removed and a flap of the hair-bearing skin is placed onto the bald area.

  • Scalp reduction: The bald scalp is removed and sections of hair-bearing scalp are pulled together to fill in the bald area.

Surgical procedures are expensive, can be painful, and potential risks include infection and scarring. They are usually used when other options have not been successful. If you're interested in these procedures, make sure you consult with your doctor.

Wigs and hairpieces

People who aren’t satisfied with the results from medical treatments of baldness might want to consider wigs and hairpieces. They can also be used an alternative to medical treatment.5 Wigs and hairpieces are typically the least expensive and safest approach for baldness. Suturing hair pieces to the scalp is not recommended.

Coping skills

Learning about the causes of baldness and treatment options can provide peace of mind and help to educate those around you. Talk with your friends and family about it – you may find they don’t notice the changes in your appearance nearly as much as you do. If you’re not comfortable talking about baldness with those close to you, you can join a support group and discuss hair loss with those who are in the same position.

Most importantly, don’t forget to consult with your doctor before you do anything related to your baldness. Calling your doctor as soon as you notice unusual hair loss may help to widen your treatment options and, ultimately, your chances for hair re-growth.

This information is intended for educational and informational purposes only. In no way should this information be used as a substitute for medical advice, and XLPharmacy Canada strongly recommends discussing this information with a qualified personal physician. XLPharmacy Canada will not be liable for any damage resulting from the use of the information on this site.

 


  References

1.        2004. Baldness (Alopecia).
http://www.healthsystem.virginia.edu/uvahealth/adult_derm/baldness.cfm (Accessed August 31, 2006).

2.        2006. Hair Loss – Causes.
http://www.mayoclinic.com/health/hair-loss/DS00278/DSECTION=3 (Accessed August 31, 2006).

3.        2006. Hair Loss – Overview. http://www.mayoclinic.com/health/hair-loss/DS00278
(Accessed August 31, 2006).

4.        2006. Hair Loss – Signs and Symptoms.
http://www.mayoclinic.com/health/hair-loss/DS00278/DSECTION=2 (Accessed August 31, 2006).

5.        2006. Hair Loss – Treatment.
http://www.mayoclinic.com/health/hair-loss/DS00278/DSECTION=4 (Accessed August 31, 2006).

6.        2005. Male Pattern Baldness.
http://www.nlm.nih.gov/medlineplus/ency/article/001177.htm (Accessed August 31, 2006).

 

 

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