Delayed Onset Perforating Folliculitis Associated with Sorafenib

Topical pirfenidone is highlighted as an effective anti-inflammatory and anti-fibrotic treatment for hair loss, particularly in addressing perifollicular fibrosis, which may enhance the effectiveness of standard treatments like finasteride and minoxidil. The user also uses calcipotriol, MCT oil, ciclopirox shampoo, and benzoyl peroxide shampoo as part of their regimen.

The user suspects scarring alopecia and is exploring NSAIDs and turmeric/pepper for inflammation-related hair loss, having experienced burning and thinning with finasteride and testosterone reduction. They are seeking feedback while unable to afford a dermatologist.

The user experienced severe side effects, including burning and bleeding, from using Nizoral for a flaky scalp and stopped using it. Alternatives like Head & Shoulders were suggested for managing seborrheic dermatitis.

The conversation is about using topical finasteride for hair loss and concerns about its application, side effects, and practicality. Users suggest switching to oral finasteride for convenience, despite potential side effects.

The conversation discusses transitioning from oral finasteride due to side effects to using topical finasteride with stemoxydine, with some users reporting fewer side effects. Other treatments mentioned include minoxidil, microneedling, nizoral shampoo, and LLLT caps.

The user is experiencing diffuse thinning and inflammation despite using 2.5mg dutasteride daily, ciclopirox, and ketoconazole shampoos. They are considering treatments like hydroxychloroquine and JAK inhibitors due to suspected scarring alopecia and have faced challenges in obtaining a scalp biopsy.