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Minoxidil

Currently, if you want to regrow hair, topical minoxidil is the only approved way to go. As Washenik explains, no one is quite certain how minoxidil, an oral medication originally approved to treat high blood pressure, works to grow hair.

To be effective, minoxidil must be used twice a day. It works better on those who are younger and whose hair loss is recent, according to clinical studies by Pharmacia& Upjohn.

Those studies show that 26 percent of men between 18 and 49 reported moderate to dense hair regrowth after four months of Rogaine treatment. An additional 33 percent had minimal hair regrowth. Almost 20 percent of women between 18 and 45 had moderate regrowth, while an additional 40 percent showed minimal regrowth.

A company spokesman said the research accounted for the fully pigmented hair fibers normally seen on the scalp and not vellus hair, which is more like peach fuzz. Many doctors, however, say the number of their patients who have as much success is much lower, and some find that only vellus hair appears.

"I have not been that impressed that it helps regrow hair," Kayne says. "I think that occurs in a very small minority."

One plus that Denise Cook, M.D., medical officer in FDA's division of dermatologic and dental drug products, points out is that patients report a decrease in shedding due to minoxidil use, though whether that perception is the result of fewer hairs being lost or more hairs being produced is unknown. Normally, you should lose only about 100 hairs a day.

One possible side effect of minoxidil is an itchy scalp. Another drawback is that it must be used for life or any regrown hair will fall out. Also, only those people losing hair on the crown, not in front, are candidates for regrowth.

Researchers are optimistic that more products to boost hair regrowth will be coming down the pike. For example, Proscar (finasteride), now used to treat enlarged prostate glands, has anti-androgen properties that may make it marketable as a hair-loss prescription, Washenik says. Theoretically, he says, if a drug can be targeted to halt the conversion of testosterone to DHT in the scalp region only, it could stop hair from falling out. He foresees combinations of medications as the wave of the future.

Hair Replacement
Uncovering Baldness
Surgery
Hairpieces
Health-Related Hair Loss
Mythical Treatments For Hair Loss
The Thick and Thin of Hair Cosmetics
More Information About Baldness

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