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research Trichodynia (Scalp Dysesthesia)

April 2017 in “InTech eBooks”

This review discusses potential mechanisms and treatments for trichodynia, noting a lack of strong literature support and reporting no new clinical results; the authors highlight several hypotheses and available treatment options.

research Adjuvant Scalp Rolling for Patients With Refractory Alopecia Areata

1 citations , July 2023 in “Cutis”

This study suggests that scalp rolling could be a promising and affordable adjuvant treatment for alopecia areata, potentially promoting hair regrowth by enhancing the effects of topical medications and inducing collagen.

research Topical metformin as a novel therapy for alopecia areata due to its immunologic effects

August 2023 in “Medical Hypotheses”

In this review, researchers discussed the anti-inflammatory and immunomodulatory properties of metformin and hypothesized that its topical application could benefit those with alopecia areata, given its effects on immune pathways, hair regrowth, and autoimmune disease management.

research Diseases of the skin. Treatment of scalp disorders.

6 citations , February 1974 in “The BMJ”

The document concludes that scalp disorders can be treated with hair washing, specific shampoos, medications, and sometimes surgery or hair transplants, but hereditary baldness is untreatable.

research Striae distensae over scalp: a trichoscopic revelation

1 citations , April 2018 in “Our Dermatology Online”

Trichoscopy can detect early signs of steroid overuse on the scalp, suggesting a need for non-steroidal treatments.

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Community Join

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community How long is topical Fin “active” on the scalp?

in Finasteride/Dutasteride 6 upvotes 2 years ago

Topical finasteride remains active on the scalp for a certain period after application, and there is concern about the safety of touching the hair and transferring the medication to the fingers.

community My Shedding Never Stops on Medication 23M

in Progress Pictures 17 upvotes 1 year ago

A 23-year-old male experienced initial success with finasteride, topical minoxidil, and ketoconazole for hair loss, but persistent shedding and scalp issues led him to switch to dutasteride without improvement. Users suggest stress management, addressing potential seborrheic dermatitis, and patience with the treatment process.

community Attacking DHT synergistically both locally at the scalp and systemically = Greater Success??

in Finasteride/Dutasteride 15 upvotes 1 year ago

The user has been using oral Dutasteride, RU58841, and Minoxidil for three years without success and is considering adding topical Finasteride or Dutasteride to target DHT both locally and systemically. Other users suggest sticking to a consistent treatment plan, exploring different combinations, and considering other factors like potential misdiagnosis or inconsistent medication use.

community Why a lot of people seems to hate on topical fin even though it suppresses more scalp dht?

in Chat 20 upvotes 2 years ago

Topical finasteride may reduce more scalp DHT but is seen as inconsistent and messy compared to oral finasteride. Users report mixed results with both forms, with some preferring oral for its convenience and consistent dosing, while others find topical effective but harder to apply.

community Topical Finasteride Doesn't Directly Reduce 5ar Enzyme on Scalp

in Finasteride/Dutasteride 72 upvotes 3 years ago

Topical Finasteride doesn't directly reduce 5ar enzyme on scalp and has the same mechanism as oral, needing to go through the liver. Users debate the accuracy of this information and discuss various studies and experiences.

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Learn

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learn Verteporfin

Is Verteporfin used as a topical treatment, injection, or oral medication for hair loss? Verteporfin is an intravenous drug approved only for an eye condition; it is not approved for hair loss in any form. In the few published hair reports it was injected into the scalp alongside surgical wounding — unverified case reports of one and two patients, not trial evidence.

learn Scalp Micropigmentation

Can I use hair loss treatments (finasteride, minoxidil) after scalp micropigmentation? About half of clinics say finasteride can continue through scalp micropigmentation, and about half ask clients to pause topical minoxidil during the sessions and for roughly 30 days afterwards. That pause is clinic aftercare convention, not a label instruction - ask your prescriber first, because stopping minoxidil usually causes shedding.
How long does a scalp micropigmentation session take? Each scalp micropigmentation session typically takes 2 to 4 hours.
How many sessions of scalp micropigmentation will I need? Providers say most clients need 2-4 sessions of scalp micropigmentation.

learn Mesotherapy

Injections of drug or vitamin mixtures into the scalp

learn Neem Oil

Oil from the neem tree, used in traditional remedies

learn Finasteride

Are there really risks with topical finasteride? Reports on topical finasteride describe scalp irritation and dermatitis as the effects specific to it, and blood levels lower than the oral drug; whether the oral drug's systemic side effects (sexual, mood, suicidal-thought, cognitive and breast/semen effects, some reported to persist after stopping) are genuinely rarer on the topical form has not been measured in a trial powered to answer it. Both forms are prescription-only and contraindicated around pregnancy.

learn Fluridil

Topical anti-androgen sold as a cosmetic lotion

learn Pyrilutamide

Experimental topical anti-androgen, also known as KX-826

learn Clascoterone

Topical androgen-receptor blocker, approved as an acne cream

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Trichologist
Kirsten J. Scalp
Greenville, SC, United States

Kirsten J. Scalp