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HI, I Have Been On High Dose Of Accutane For

Posted on Fri, 7 Jun 2019

Question: HI, i have been on high dose of accutane for 8 months and am noticing hairloss. How do i know if this si due to the accutane and what can i do to prevent it? or how do i know if its male pattern baldness? i only noticed it in the last 2 months

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
Regarding hair loss

Detailed Answer:
Hello and welcome to ask a doctor service. I have reviewed your query and here is my advice.

Patterned baldness, as the name suggests, occurs in a pattern. Frontal, mid and vertex part of the scalp are usually affected along with recession of anterior hair line whereas accutane induced hair fall is diffuse. Nonetheless, accutane induced hair fall may uncover an underlying androgenetic alopecia due to increased hair shedding. You may use a minoxidil preparation - a 5% solution. It is non specific hair growth promoter and works for both androgenetic as well as other forms of hair loss.

Hope I have answered your query. Let me know if you need any more assistance.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (42 hours later)

ok, do you recommend starting finasteride? i have tried in past and am not able to tolerate the full dose. can i use very low dose? also, is there a topical finasteride and would it be effective?

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Regarding hair fall

Detailed Answer:
hi.
Can take finasteride along with minoxidil. It is recommended in a dose of 1mg daily . Topical finasteride is available in combination with minoxidil and it is effective. take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (9 hours later)

what would be the best concentration? would it have same side effects? also, is it better to take a higher concentration of minoxidil? would nee to get from pharmacy specially made

Answered by Dr. Dr. Kakkar (16 hours later)

Brief Answer:
Regarding hair loss

Detailed Answer:
Hi.
Topical finasteride niacin concentration of 0.1% along with 5%-10% minoxidil. It is devoid of sexual side effect unlike oral finasteride.
take care.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (8 hours later)

how many times of day would you apply this?

Answered by Dr. Dr. Kakkar (12 hours later)

Brief Answer:
Regarding hair loss

Detailed Answer:
hi. twice a day.
take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (11 hours later)

would a higher concentration of minoxidil, like 10 percent cause any systemic side effects?

Answered by Dr. Dr. Kakkar (38 minutes later)

Brief Answer:
Regarding minoxidil

Detailed Answer:
Hi.
No, it won't as long you use it within the recommended limit of 1ml, twice a day. take care.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D