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The
Gallagher Medical Institute |
| Treatment Options - Topicals |
| Billions of dollars are spent annually on hair loss products that claim hair growth. Most don't. The only Topicals proven to regrow hair and approved by the FDA are Rogaine, (Minoxidil) and Propecia, (Finasteride). |
 Rogaine
(Minoxidil), was the first drug for medical hair restoration approved
by the FDA. Rogaine does not require a prescription and is applied twice daily.In recent years, Upjohn increased the strength to 5% in an attempt to satisfy men who found the 2% solution had little or no effect. The 5% solution has some ability to reverse or slow down the balding process in some men. However, it has little or no effect on a receding hairline or the frontal area. This is noted noted by the Pharmacia and Upjohn in the product literature. Hair stimulated from the treatment will fall out after the drug is discontinued. |
 Propecia
(Finasteride) is another medical hair restoration product and works by inhibiting the
Androgenic hormone testosterone to DHT.
Propecia has demonstrated the ability to stimulate hair growth
in those thin vellus hairs that remain in the follicle. Its
effect is usually limited to the vertex or crown. New reports indicate that around
80-90% have
noticed decreased hair loss and growth of vellus hairs. It has no effect on a completely
bald area. Propecia has some side effects which are usually transient
and reversable. It may cause decreased sexual
desire and decreased erectile function in a small percentage of
patients . Women should never touch a tablet because of the risk
of birth defects. We use Propecia in conjunction with hair
restoration surgery to prevent shock and enhance the procedure. Further
information concerning this drug will be provided upon consultation.We use this drug and Avodart in selected patients either independently or in conjunction with hair restoration. |
 Dutasteride
is the generic name for a new dual 5 alpha-reductase inhibitor made
by GlaxoSmithKline. The drug is marketed under the name Avodart™ in
the US and Avolve™ in Europe.The FDA has approved Dutasteride for treating BPH (Benign Prostate Hyperplasia), the same condition that Proscar™, by made Merck, is used for. Dutasteride like Finasteride, the active ingredient in Proscar and Propecia, also has the added benefit of being able to be used to treat genetic hair loss in men and women for pattern baldness or Androgenic Alopecia. The difference between Dutasteride and Finasteride is that Dutasteride inhibits the activities of both the type 1 and type 2 5AR enzymes unlike Finasteride which only inhibits type 2. These enzymes are responsible for the conversion of testosterone into DHT (dihydrotestosterone). DHT is the primary cause of prostate growth and hair loss and Dutasteride decreases levels of DHT by 90 percent after only two weeks making it a much more powerful weapon against hair loss and BPH. |
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