Androgenic Alopecia Medication Treatment Options

    September 2024 in “ Health Sciences
    Urtė Truskauskaitė
    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

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    Studysummary This review discusses treatments for androgenic alopecia, including minoxidil, finasteride, and hormonal therapies with antiandrogens, and reports no new clinical findings. Our plain-language summary of this paper — not a Tressless recommendation.
    Androgeninė alopecija (AGA) is a condition caused by an increased response to androgens, affecting over 70% of men and 50% of women. It involves increased levels of dihydrotestosterone and 5-alpha-reductase, leading to hair follicle miniaturization and hair thinning. The primary treatment for AGA is topical minoxidil, which induces scalp vasodilation and prolongs the anagen phase. Another effective treatment is finasteride, a type II 5-alpha-reductase inhibitor that prevents the conversion of testosterone to dihydrotestosterone. Hormonal therapy with antiandrogens like spironolactone, flutamide, bicalutamide, and cyproterone acetate, which inhibit testosterone secretion and androgen receptors, can also be used for AGA treatment.
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