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Suggest Treatment For Severe Hair Loss

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Posted on Wed, 17 Dec 2014
Question: 1. I have no dandruff problem.
2. In my family, my brother has hair fall problem & my father's lower density but he had hair till the death (in the age near about 65). My hair is not getting thinner they are as it is as they used to be.
3. I have notice that hair fall is more from starting of the scalp?
4. I am uploading few photographs of the scalp so that you can judge the severity and pattern of hair loss from the scalp.
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Answered by Dr. Dr. Kakkar (30 minutes later)
Brief Answer:
Androgenetic alopecia with Telogen Effluvium

Detailed Answer:
Hello. Thanks for writing to us again at healthcaremagic

I have answered you previous query too, so Hello again!!

I have reviewed your previous photographs as well as your recent prescription.

In my previous discussion with you I had kept a possibility of Androgenetic Alopecia and told you that Minoxidil and finasteride have US FDA approval for use in Androgenetic Alopecia.

Going by your prescription I can see that you have been asked to use Minoxidil (as expected and rightly so!) as well as tablet Dutasteride as well as an Oral Biotin supplement.

Dutasteride is not my choice (though it would work similar to finasteride but this molecule is not yet approved for androgenetic alopecia). It can have side effects like decreased libido. You can discuss with your treating doctor about this side effect.
My choice in you would have been Finasteride, as previously mentioned

Biotin supplements assist in hair regrowth and act as a hair vitamin. Though it is not specific treatment for androgenetic alopecia. However, since your dermatologist has also kept a diagnosis of Telogen effluvium therefore Biotin is justified in your case.

Shampoo is for daily cleansing and volumizing effects on hair.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Severe Hair Loss

Brief Answer: Androgenetic alopecia with Telogen Effluvium Detailed Answer: Hello. Thanks for writing to us again at healthcaremagic I have answered you previous query too, so Hello again!! I have reviewed your previous photographs as well as your recent prescription. In my previous discussion with you I had kept a possibility of Androgenetic Alopecia and told you that Minoxidil and finasteride have US FDA approval for use in Androgenetic Alopecia. Going by your prescription I can see that you have been asked to use Minoxidil (as expected and rightly so!) as well as tablet Dutasteride as well as an Oral Biotin supplement. Dutasteride is not my choice (though it would work similar to finasteride but this molecule is not yet approved for androgenetic alopecia). It can have side effects like decreased libido. You can discuss with your treating doctor about this side effect. My choice in you would have been Finasteride, as previously mentioned Biotin supplements assist in hair regrowth and act as a hair vitamin. Though it is not specific treatment for androgenetic alopecia. However, since your dermatologist has also kept a diagnosis of Telogen effluvium therefore Biotin is justified in your case. Shampoo is for daily cleansing and volumizing effects on hair. Regards