Cross-Sectional Study on Prescription Habits in Androgenetic Alopecia Among Dermatologists in Spain in 2017

    April 2018 in “ Actas Dermo-Sifiliográficas
    Cristina Pindado‐­Ortega, David Saceda‐Corralo, Diego Buendía-Castaño, P. Fernández-González, Ó.M. Moreno-Arrones, Pablo Fonda‐Pascual, A. Alegre-Sánchez, Ana Rita Rodrigues-Barata, Sergio Vañó‐Galván
    From the encyclopedia
    Platelet-Rich Plasma →

    growth factors taken from your blood and injected into your scalp to stimulate hair

    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

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    Studysummary This study describes the prescribing habits of Spanish dermatologists, highlighting that topical minoxidil and oral finasteride are the most common treatments for male AGA and postmenopausal female AGA. Our plain-language summary of this paper — not a Tressless recommendation.
    In 2017, a study involving 241 dermatologists in Spain found that the most commonly prescribed treatments for male androgenetic alopecia (MAGA) were topical minoxidil (98%), oral finasteride (96%), and nutricosmetics (44%). For premenopausal female androgenetic alopecia (FAGA), the most common treatments were topical minoxidil (98%), oral contraceptives (81%), and nutricosmetics (72%), while for postmenopausal FAGA, they were topical minoxidil (98%), oral finasteride (84%), and nutricosmetics (68%). Androgenetic alopecia was the leading cause of hair loss consultations, accounting for 38% of cases. The study also observed that certain treatments like topical finasteride, oral dutasteride, platelet-rich plasma (PRP), and low-level laser therapy (LLLT) were more commonly prescribed in private practice. The authors suggested the need for a therapeutic guide to standardize treatment based on strong scientific evidence, acknowledging the study's limitations such as the exclusion of some new treatments, no prior sample size calculation, and possible recall bias.
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