2 citations
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November 2023 in “Acta dermato-venereologica”
This study involving 126 patients found that tofacitinib has high effectiveness and an acceptable safety profile for treating alopecia areata, with a 33.8% complete response rate at 24 weeks and sex as an independent risk factor for outcomes.
102 citations
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April 2014 in “International Journal of Dermatology”
This study found that early intervention and treatment with intralesional triamcinolone acetonide may stabilize hairline recession in patients with frontal fibrosing alopecia, although further research is needed for definitive treatment guidelines.
54 citations
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March 1987 in “Journal of The American Academy of Dermatology”
In this study, 3% topical minoxidil showed some efficacy in hair regrowth for patients with extensive alopecia areata, especially those with less than total scalp hair loss, but did not lead to complete remission.
Users discuss their experiences with dutasteride for hair loss, noting varying results such as regrowth, shedding, and side effects. Some users also mention using finasteride, minoxidil, and microneedling, with mixed outcomes on hair quality and side effects.
Minoxidil can help with hair regrowth but stopping it may lead to worse hair loss than before starting. Finasteride is more effective for long-term stability but has potential side effects that some users prefer to avoid.
A user experienced hair shedding after stopping and restarting topical minoxidil due to side effects like facial edema and hirsutism. They are considering alternatives like low-dose oral minoxidil, PRP, and red light therapy, while others suggest finasteride and caution against combining multiple treatments without medical advice.
The conversation discusses hair loss treatments, specifically the use of minoxidil, finasteride, and microneedling, and the experience of shedding hair as a potential sign of treatment effectiveness. Some users report positive results after initial shedding, while others express concerns about long-term hair loss and the effectiveness of treatments.
Can long-term use of Fluocinolone affect the health of hair follicles?There is no long-term human trial measuring what topical fluocinolone does to hair follicles; what is documented is the label's warning about skin atrophy with prolonged use, plus a 2007 mouse study suggesting hair-follicle bulge stem cells do not repair steroid-induced atrophy.
What are the risks of long-term hydrocortisone use on the scalp?Dermatology reviews describe long-term topical corticosteroid use as causing skin thinning, delayed healing, greater infection risk, possible suppression of the body's own cortisol, and rebound flares on stopping — and over-the-counter hydrocortisone labels limit use to about a week without a doctor's direction.
Is rapamycin safe for long-term use on the scalp, or should it be used in cycles?There is no published human trial of topical rapamycin on the scalp, so nobody knows whether long-term use is safe; the idea of cycling it comes from community practice and theory, not from any study or guideline, and rapamycin for hair loss is an off-label use of a prescription immunosuppressant.