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Excessive hair fall, iron deficiency, no improvement with medication. Suggestions?

Hello, My wife is 31 years old. From last couple months she could find an excesive hairfall. Consulted dermatologist . Her doctor prescribed Danclear Sampoo, Amexidil. Prescribed for Thyroid test (T4, TSH ), CBC and serum ferritin tests. All reports gave healthy result. Little Iron defficiency observed so her doctor additionally prescribed iron tablets for 1 month. Although in initial week result was good after using Danclear Sampoo and Amexidil solution but from last 2~3 weeks density of hair fall became very high, even 2 to 3 times more than what was before medication . This made my wife very depressed. Please suggest what to do.
Asked On : Thu, 18 Oct 2012
Answers:  2 Views:  140
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Psychiatrist 's  Response

welcome to healthcare magic

As she improved initially with medication, don't stop the medication...have faith on your doctor...discuss all this with your doctor so that he can do readjustment in the dose...

Secondly, try relaxation exercise like deep breathing, yoga or can also visit a psychiatrist once for some medication and counselling as stress could be one of the factor responsible for hair fall................

Good Luck

Answered: Thu, 18 Oct 2012
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Dermatologist Dr. Praveen Rodrigues's  Response
Jul 2012
Hi there.

Hair issues are a bit tricky & the best of dermatologists' have to see the patient & asess him/her before treating.

I suggest that you get a second opinion as to the reason behind the hair fall; if the second dermatologist concurs, then please ensure your wife sees a psychologist as often it is a cycle..depression vs hair fall...which came first? the hen or the egg?

Off the cuff, please use the shampoo only twice or max 3 times per week.

Avoid excessive handling or combing & use of brushes..use a broad toothed comb.

Hair loss of upto 100/day is a normal phenomenon. Be supportive of your wife, take her on a holiday. Often when the mind is distracted, she will forget her woes & the hair loss will not be magnified!

Use a 5% minoxidil or nanoxidil lotion on the dry scalp twice/day for a month or so & then re-assess.

Good luck. Hope the suggestions i have given stand you in good stead & wish you & your wife good health!

Dr Praveen Rodrigues MD
Vikram Hospital, Bangalore, India
Answered: Thu, 18 Oct 2012
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