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Suffering from severe hair fall. No improvement seen after using glycomet and regaine. Curable?

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Practicing since : 2003
Answered : 393 Questions
HI Doc,

I have been suffering from severe hair fall and eventually i can see scalp peeping through my hair in the mirror... and also receeding hairline
I have been prescribed, Acnonac (twice daily) and Glycomet 1MG (twice daily) along with Regaine 5% solution which I am taking for the past 2.5 months and Renocia Hair spray for past 1.5 months... Before this, I used to take Acnonac and Vighan forte and continued it for 2 months along with Hair 4 u. after all this, I cannot see much improvement in my condition... Everyday while bathing i get approx 30-40 hair strands and approx 70-80 strands a day in total...

I used to gym and have taken Whey protein and also few steroids like anabol and winstrol for 2.5 months.. but have stopped all of this for past 9 months....

please suggest will this help, will i be able to reverse my hair loss or atleast stop it, as someone suggested me to take Finax but my dermatologist never suggested for FINAX. Please help
Posted Mon, 8 Apr 2013 in Skin Hair and Nails
Answered by Dr. Tanusree Biswas 1 hour later

Thanks for writing to us.

I understand the concern regarding your ongoing hair loss.

From the above presentation and treatment I assume the diagnosis made is of Androgenic pattern hair loss. Two medications are approved to treat male pattern baldness:
1) Minoxidil: is a solution that you apply directly to the scalp to stimulate the hair follicles. It slows hair loss for many men, and some men grow new hair. Hair loss returns when you stop using this medicine.
2) Finasteride: is a pill that interferes with the production of a certain male hormone linked to baldness. Hair loss returns when you stop using this medicine.

There are a number of other therapies available too, however none of them have been proved to be effective or are FDA approved.

So you are definitely in the correct path. However what you have to understand that a genetic pattern hair-loss will never have a complete cure. It takes anything between 3-6 months to start seeing new hair growth to cover the existing thinned areas. This is because , by the time you have started the therapy, a lot of hair has already shifted to the telogen(shedding )phase and is not possible to revert them.

You can add on Ketoconazole shampoo 2% thrice weekly to shampoo your hair. Ketoconazole shampoo is frequently used as an adjunct to other hair loss treatments. It is a mild anti-androgen that may possibly block DHT (the hormone that causes hair loss) at the scalp. The shampoo itself also helps maintain a healthy scalp, which is important when treating hair loss.

As for Finasteride, I would say you should talk about it with your dermatologist in your follow-up visit as this can also help a lot in hair loss. Some dermatologists do not prefer starting it right away as there are chances of a few unwanted side-effects of finasteride. But if the responses to other medicines are not good, this is worth starting.

I will be happy to answer any follow up query you have.

Wish you good health.
Above answer was peer-reviewed by
Follow-up: Suffering from severe hair fall. No improvement seen after using glycomet and regaine. Curable? 16 hours later
Thanks for you reply Doc, I understand that medicines in allopathy have no permanent cure for hair loss and till the time the medicine is on it's fine and once I stop using Finax and Minoxidil, with in a few months time, the condition gets same or even worse...

The medicines I have been subscribed now are Acnonac and Glycomet SR1000 which are used for controlling Insulin and sugar levels in the body as pe my knowledge. but still i am not able to understand what they have to do with treating my hair loss problem.. Also my dermatologist asked to me avoid having milk....
Please help in this?

Also would you suggest, If I start a Homeopathy treatment along with from renowned Dr. Batra's or Baksons homeopathy and they both claim to have treated patients suffering from hair loss, as homeopathy is known to heal you from the grass root level and not just the symptom of the disease.

please help, will be greatful.


Answered by Dr. Tanusree Biswas 2 hours later
Thanks for following up.

You are right. The medicines Glycomet is used to control blood sugar level.
It also prescribed if there is a suspected 'insulin resistance' in the body. Insulin resistance means that the target cells in the body not responding to insulin secreted. This leads to inadequate action of insulin in human body followed not only by raised blood sugar level, but also other metabolic actions of insulin are hampered. In many, this leads to weight gain. Since over-weight /obesity is linked with hair loss, this is improved my metformin, which sensitizes the body to insulin secreted.
I assume this is why it was prescribed. If you feel any of this does not apply to you, you can definitely ask your dermatologist about the role of Metformin in hair loss.
Acnonac is a combination medicine, works as anti-oxidant. It is prescribed by many physicians as an adjunct to treatments.
As for milk, some believe that milk and dairy products lead to a stimulation of hormones causing hair loss in male pattern baldness. This has not been proven convincingly by research; however some dermatologists prefer a restriction on milk intake.
For the method of treatment to be followed, both homeopathy and allopathy will have their limitations for genetically pre-determined disorders. Androgenic hair loss is one of them. Results will be sustained by both till you take the therapy and you start losing benefits if you stop. But with proper treatments, many achieve a good level of correction and are able to maintain them as well!
So whatever method you follow, the key to optimum results is persistence with the therapy.
Do not worry. You have begun with the therapy; hence my advice would be to follow it at least for 6 months before you think about alternatives.

If you do not have any further clarifications, you may close this and rate the answer.
Wishing you good health,
Above answer was peer-reviewed by
Follow-up: Suffering from severe hair fall. No improvement seen after using glycomet and regaine. Curable? 6 hours later
Thanks for your detailed reply. But one thing that concerns me is that, whether these medicines Acnonac and Glycomet work on the DHT levels as Androgenic Alopaecia is a result of DHT which causes miniaturisation of the hair follicle? As whatever I have read, the only way to reduce DHT levels is taking Finax, and can we also say that DHT levels lowers down automatically after a few months thus reducing the hair fall..

Answered by Dr. Tanusree Biswas 19 minutes later

Thanks for the follow-up.

You are absolutely right about the information regarding Finasteride and its mode of action. I think you should discuss about starting this on your follow up with your dermatologist.

Glycomet helps you to improve insulin sensitivity and hence control obesity /over weight. Abdominal obesity is related to increased levels of DHT (Dihydrotestosterone) in the body and scalp. Hence weight control contributes to overall improvement by limiting DHT in the body. I suggest you that you do not stop taking this before consulting you dermatologist who prescribed this.

If you do not have any further clarifications, you may close this and rate the answer.

Wishing you good health,

Above answer was peer-reviewed by
Follow-up: Suffering from severe hair fall. No improvement seen after using glycomet and regaine. Curable? 13 minutes later
Thanks Doc,

Last few questions

a. I am 5'10' and 80Kg's, is that obesity by any chance. But yes recently got blood tests and my cholestrol level were high, so can this effect by any chance.

b. does DHT gets controlled without any medication over a perios of time, as it's alreasy 6-7 months hair fall started.

c. Is their any natural wat o control DHT leves apart from Finax..

thanks a ton for all your help and prompt responses.
Answered by Dr. Tanusree Biswas 24 minutes later

a )Your Body Mass Index is 25.3.
So you fall under being overweight (Range: 25–29.9).Good time to start weight control measures as this might gradually rise.

b) Since the basis of Androgenetic Alopecia is genetically pre-determined, we cannot predict the correction/advancement with time. Once hair loss has started, it takes a lot of time to regrow hair. Hence we should not loose valuable time for therapy.

c) Saw palmetto has been propagated as a natural alternative to finasteride. It is present in many oral medicines /multivitamin combinations to control hair loss. However, there are no proper comparative studies to show that saw palmetto is more or equally efficacious than finasteride.

Hope this is helpful. Wish you all the best,

Above answer was peer-reviewed by
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