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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Stop Hair Loss Due To Trigaine Solution

Hi. I'm a 24 year old girl...suferring from a hair loss problem
My docter suggested me trigaine solution...He didn't tell me about the side effects neither did he tell me how to apply this solution on the effected area....I stopped using the oil today after reading the side effects on wikipedia....I'm really very worried....I used this oil for 17 days....the area i applied this solution on itches when I comb it...and when I shampoo that area after scratching.....And i used to apply 3ml on the afected area.
Tue, 11 Aug 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

The solution that you have been using contains a combination of minoxidil, tretinoin and azaleic acid.
It is not a hair oil and actually has an alcohol base. It should be applied with the help of a dropper at scalp skin rather than on hair length.
The quantity recommended is just 1 ml, once daily.
It should be applied on thoroughly clean scalp, once daily at night. Hair oil use is not recommended while you are on treatment.
It is advisable to shampoo daily while you are on treatment.
It should not be applied on wet scalp/ hair as the concentration of its ingredients may get diluted.
The method of its application is to start from the center of the scalp and gradually move outwards.
Minoxidil is an approved hair growth promoter, whereas azaleic acid is mainly added due to its anti-DHT actions (dihydrotestosterone). DHT is the main culprit behind hair loss and thinning in androgenetic alopecia. Tretinoin role is to enhance the penetration of these agents.
Itching is either because of dryness/ scaling which is common with this solution because it is constituted in an alcohol base Or it could be because of sensitivity to one of the ingredients Or else it could be because of irritation if you were using in more than recommended quantity i.e 1 ml.
I suggest you to discontinue it for the time being and seek another appointment with your dermatologist for an assessment of possible side effects and treatment for the same.

Regards
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Dermatologist Dr. Ilyas Patel's  Response
Hi,

You seem to have telogen effluvium.there is excessive hair fall in telogen stage of hair cycle. Daily normal hair fall is 100 - 150 hairs..... There may be some cause in your case.....like anaemia,vitamin and nutritional deficiencies,thyroid dysfunction, stress, anxiety,worries,travelling,any other internal disease,certain drugs.... ..etc. Poor hygiene and poor nutrition may be responsible for telogen effluvium. You consult dermatologist for firm diagnosis.Investigations may be done to find out some cause.

To controll hair fall and to improve hair growth... you may take biotin 10 tab daily for few months and apply mild steroid lotion on scalp at night daily. Kindly avoid minoxidil application. If you have dandruff use anti dandruff shampoo containing ketoconazole. For hair oiling and shampoo use herbal preparations. Take treatment for few years.

Have patience..for the good result.

I hope this would help you.

Thanks.

Dr. Ilyas Patel MD
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Suggest Remedy To Stop Hair Loss Due To Trigaine Solution

Hello. Thank you for writing to us at healthcaremagic The solution that you have been using contains a combination of minoxidil, tretinoin and azaleic acid. It is not a hair oil and actually has an alcohol base. It should be applied with the help of a dropper at scalp skin rather than on hair length. The quantity recommended is just 1 ml, once daily. It should be applied on thoroughly clean scalp, once daily at night. Hair oil use is not recommended while you are on treatment. It is advisable to shampoo daily while you are on treatment. It should not be applied on wet scalp/ hair as the concentration of its ingredients may get diluted. The method of its application is to start from the center of the scalp and gradually move outwards. Minoxidil is an approved hair growth promoter, whereas azaleic acid is mainly added due to its anti-DHT actions (dihydrotestosterone). DHT is the main culprit behind hair loss and thinning in androgenetic alopecia. Tretinoin role is to enhance the penetration of these agents. Itching is either because of dryness/ scaling which is common with this solution because it is constituted in an alcohol base Or it could be because of sensitivity to one of the ingredients Or else it could be because of irritation if you were using in more than recommended quantity i.e 1 ml. I suggest you to discontinue it for the time being and seek another appointment with your dermatologist for an assessment of possible side effects and treatment for the same. Regards