Evidence-Based Guideline for the Treatment of Androgenetic Alopecia in Women and Men – Short Version

November 2017 in “ Journal of The European Academy of Dermatology and Venereology ”

Varvara Kanti, Andrew G. Messenger, Gustav Dobos, Pascal Reygagne, Andreas Finner, Anja Blumeyer, Myrto Trakatelli, Antonella Tosti, Véronique Del Marmol, Bianca Maria Piraccini, Alexander Nast, Ulrike Blume-Peytavi

androgenetic alopecia minoxidil finasteride dutasteride hypertrichosis topical minoxidil combination therapy AGA Rogaine Propecia

TLDR Use minoxidil for hair loss treatment; assess results after 6 months.

This document is a summary of an evidence-based guideline for the treatment of androgenetic alopecia (AGA) in men and women. The guideline recommends the use of minoxidil 2% solution twice daily for female patients, and either minoxidil 2% solution twice daily or minoxidil 5% solution or foam applied once daily for male patients. The response to treatment should be assessed at 6 months, and treatment should be continued to maintain efficacy. The main side-effect of topical minoxidil is hypertrichosis, and it is recommended to pause use during pregnancy and lactation. Combination therapy with finasteride 1 mg and 5% minoxidil topical solution led to better improvement than monotherapies in male patients. Dutasteride 0.5 mg daily was also found to be effective in treating AGA in both men and women.

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