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Their effectiveness largely depends upon what type of alopecia you have and how quickly you start treatment. Here, dermatologists share what you need to know about alopecia, including possible causes, treatment options and what you can do to prevent more hair loss. It may seem as though you are losing more hair when you first start the treatment, but as long as you continue with your doctors’ plan, then you should begin to see fuller hair growth within a few months.
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Commonly, this condition is caused by genetics, hormones, and other health conditions. Because Rogaine is only FDA approved for hair growth at the vertex on top of the scalp, it’s not intended to treat receding hairlines. You may want to talk with your doctor about using it in other areas. Rogaine may cause some temporary hair loss for about 2 weeks.
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And in up to a quarter of the women who take it, minoxidil can actually encourage new hair to grow. It works best when you use it as soon as you notice that you’re losing hair, Yang says. The telltale sign of androgenetic alopecia is an overall thinning of your hair. For many women, hair loss happens on the top or the front of the head.
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Rogaine vs. minoxidil
"It is best used and most effective when the hair is thinning rather than completely lost," says Belmo. The route to getting best results is to work with a dermatologist who can help give a 360 approach to your hair loss causes and treatment. Appropriate studies have not been performed on the relationship of age to the effects of topical minoxidil in children. This is because minoxidil doesn’t cure the underlying cause of hair loss; it only treats the symptoms. If you stop treatment, the hair follicles will eventually return to their previous state, leading to renewed hair loss.

When using any type of topical product that includes minoxidil, a certain amount of shedding is expected and is even normal. In fact, it’s actually a good sign that the product is working and doing what it’s supposed to. It should be noted, however, that the preparation used in this study had more than twice the concentration of minoxidil compared to the over-the-counter foam. A 2015 case study described a patient who developed low blood pressure after using a very strong minoxidil cream for 12 weeks.
Telogen effluvium refers to the excessive shedding of hair follicles, and it occurs when hair follicles prematurely skip to the end of the hair growth cycle, she adds. If you’re losing hair and choose not to do medical therapy, like Rogaine, you will most certainly continue to experience hair loss. Don’t hesitate to contact the Limmer Hair Transplant Center to discuss starting Rogaine today. It’s important to monitor your hair regrowth progress with an experienced hair restoration professional to ensure that Rogaine is working for you. Rogaine is a topical medication applied directly to the scalp to help promote hair growth.
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Minoxidil is also available by prescription as an oral tablet. Food and Drug Administration (FDA) to treat high blood pressure. In some cases, healthcare providers prescribe oral minoxidil off-label for hair loss.
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Until the product takes full effect, you may notice that your hair initially grows back colorless and with a softer than normal texture. If you respond well to Rogaine, continued use should yield results that are the same color and thickness as the rest of your hair. DHT is one of the main causes of baldness in men because it binds to hair follicles and shrinks them.
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Beard hair is a collection of hair on the chin that frames the facial appearance and symbolizes masculinity. Compared to placebo, minoxidil was superior in enhancing beard growth, with only mild adverse effects. The authors found oral minoxidil was effective and generally well tolerated in healthy people who were having trouble using the topical products. Minoxidil is also available on prescription as an oral tablet. While traditionally used for high blood pressure, it has also been used as a treatment for hair loss. It may affect the different phases of the hair life cycle, thereby encouraging growth.

Whilst minoxidil is approved for androgenetic alopecia (most common hair loss), it's not approved for all types of hair loss. "It cannot grow hair if the hair follicles are no longer present, these follicles can be lost in certain hair loss disorders known as scarring alopecias," explains Sharon Belmo. Women who are pregnant or breastfeeding shouldn’t use minoxidil, cautions the AAD, as traces of the drug can pass into breast milk.
Also, when you start using minoxidil, you might notice more hair growth initially, followed by some shedding of old hair after two to eight weeks. This shedding is generally a sign that the treatment is working. Some studies and case reports suggest Rogaine’s potential benefit to hair growth of the eyebrows, beard, and facial hair. The medication's effectiveness is also unclear for certain kinds of alopecia, such as scarring alopecia. Men’s Rogaine was approved for hair loss based on its application only to the vertex of the head.
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In general, minoxidil comes in two strengths and can be used topically or orally. The FDA has approved the 2% formula to treat women’s hair loss, while men can use the 5% solution. Usually, this increase in hair fall is referred to as minoxidil shedding. A 2004 study showed that 5% topical minoxidil was superior compared with 2% topical minoxidil. The study also found that the participants who used the 5% topical minoxidil had improved “psychosocial perceptions” of hair loss.
Rogaine is FDA approved to help with male and female pattern baldness. While it’s not FDA approved for other types of hair loss, your doctor may recommend it for off-label use. In addition to Rogaine, other medications are available that might help regrow hair. One is Propecia (finasteride), an oral tablet the FDA has approved for male-pattern baldness.
By contrast, scarring alopecia, another autoimmune disease that causes hair loss, is often accompanied by itchiness, tenderness and scaling of the scalp. Scarring alopecia is the most devastating type of hair loss, Mirmirani says, because it permanently destroys the hair follicles. The most common cause of alopecia is an inherited condition called male- or female-pattern hair loss. Unlike minoxidil, which does not target the hormones in your body, Finasteride works by preventing testosterone from being converted into DHT in the prostate, hair follicles and glands.
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