Topical Treatment for Scarring and Non-Scarring Alopecia: An Overview of the Current Evidence

    Cardoso CO, Seila Tolentino, Taís Gratieri, Marcílio Cunha‐Filho, Lopez RFV, Gelfuso GM
    TLDR New technologies may improve topical treatments for hair loss.
    The document reviewed the current evidence on topical treatments for scarring and non-scarring alopecia, highlighting the limitations of existing drugs, such as scalp irritation and low absorption. It discussed recent advancements in formulation technologies that aimed to improve efficacy, including the use of rigid or deformable nanoparticles and techniques like iontophoresis, sonophoresis, microneedling, and solid effervescent granules. These innovations were intended to enhance drug delivery to the hair follicles, potentially offering more effective solutions for alopecia treatment.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 3 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community A hill on which I will die: The DHT itch absolutely exists

      in Research/Science  210 upvotes 1 year ago
      The DHT itch is linked to hair loss and persists despite finasteride use; switching to dutasteride helped alleviate the itch and promoted regrowth. Some users suggest seborrheic dermatitis as a cause and recommend treatments like medicated shampoos, vitamin D, and minoxidil.

      community Haircafe on why microneedling is bad for hair growth

      in Microneedling  157 upvotes 1 year ago
      Microneedling combined with minoxidil and finasteride shows significant hair regrowth, though opinions on its effectiveness vary. Some users report substantial benefits, while others highlight the need for more research and consistency in application.

      community DHT Harms Scalp Microbiome: DHT Itch is REAL

      in Research/Science  409 upvotes 7 months ago
      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

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