Novel Agents for the Treatment of Alopecia

    Marty E. Sawaya
    From the encyclopedia
    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Dutasteride →

    Heavy duty finasteride that comes with higher risks

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    Studysummary This review examines recent approvals and emerging treatments for androgenetic alopecia, discussing newly approved drugs like Propecia and Rogaine Extra Strength 5%, but without presenting new clinical results.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    In 1998, the treatment options for androgenetic alopecia (AGA) were enhanced with the U.S. approval of Propecia (finasteride) and Rogaine Extra Strength 5% (minoxidil). The paper reviewed these new products, other promising compounds in clinical trials, and over-the-counter treatments, while discussing the biological pathways involved in AGA. Finasteride, which inhibits the conversion of testosterone to DHT, was approved for use in men and showed effectiveness in increasing hair count and patient satisfaction, although its effects in women were still under investigation. Minoxidil had been in use for over a decade, with the new 5% version showing modest hair growth improvements. Other compounds like GI198745 and lamin (prezatide copper), as well as over-the-counter remedies, were also explored, but their efficacy was less certain. The paper stressed the importance of managing patient expectations and providing information on the efficacy and testing status of alopecia treatments.
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