Trichogenic effect of topical ketoconazole versus minoxidil 2% in female pattern hair loss: a clinical and trichoscopic evaluation

    December 2019 in “Biomedical dermatology
    Ahmed El-Garf, Mohamed Mohie, Eman Salah
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    TLDR Minoxidil works faster, but ketoconazole is a safer alternative for female hair loss.
    The study compared the effectiveness of topical ketoconazole 2% and minoxidil 2% in treating female pattern hair loss (FPHL) in 40 patients. Both treatments were effective, but minoxidil showed earlier clinical improvement while ketoconazole showed a delayed response. The frequency of treatment-related side effects was higher in the minoxidil group. The study suggests that topical ketoconazole 2% can be a safe and effective alternative to minoxidil for treating FPHL. Further studies are recommended to evaluate the efficacy of higher concentrations of ketoconazole solutions for FPHL.
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