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Suggest Treatment For Female Pattern Hair Loss

Posted on Mon, 4 Sep 2017

Question: Hi. I have female pattern hair loss. Demodex mites. Non scarring. They say it is not alopecia. I am taking spironolactin. I had two rounds of ivermectin within two weeks. My hair fallout is excessive. The amount of hair I would get out of cleaning my brush monthly is the amount of fallout daily the fallout has not stopped. The Dr has prescribed fenastride. That is for males only the internet says. I am concerned I will be bald son. Does that course of action sound normal? I am also using Rogaine. The dermatologist did not know what the ingredients were for nioxin. She did not have any other remedies tor the mites. I have been using tea tree oil shampoo. It feels like my scalp is being stung. The Dr did prescribed a shampoo for inflammation. I want to know if this course of action is good or what else I can be doing thank you. All of my blood work is normal.

Answered by Dr. Dr. Rahul Kumar (13 minutes later)

Brief Answer:
Photograph required

Detailed Answer:
Hello
Thanks for the query.
I would like to know whether microscopy was done to diagnose demodex folliculitis or it was a clinical diagnosis?
If possible upload a photograph of the involved area.
This will help me in giving a closer diagnosis and better way of management.
I can comment upon the course of management after seeing the photograph.
Waiting for your response.
Thank you.

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

Follow up: Dr. Dr. Rahul Kumar (29 minutes later)

Biopsy punch
I need to figure out how to post a photo

How do i add pictures?

I sent an email with the pictures to customer service. I called the number and the lady said to send the email.

I also take biotin. Niacin. Green tea tablets. Acai. Coq10. Zinc. Magnesium. Flaxseed. Turmeric. L lysine.
I take simvistatin 5 or 10 mg. Ramipril 5 or 10 mg. Meloxicam 15mg when needed. And the spironolactin 100mg

This is what I am using for inflammation. ketoconazole 2 % shampoo

I have not started taking this. Makes me nervous it says for men only. Is it normal for women to take?
finasteride 1 MG tablet
Instructions: Take 0.5 tabs by mouth once daily

I took
ivermectin 3 MG
Instructions: Take 6 tabs by mouth once for 1 dose may repeat in 2 weeks

Correction on mg

simvastatin 20 MG tablet
Instructions: Take 1 tab by mouth at bedtime

meloxicam 7.5 MG tablet I take two

ramipril 5 MG capsule
Instructions: Take one capsule by mouth daily

Answered by Dr. Dr. Rahul Kumar (13 hours later)

Brief Answer:
Use minoxidil, Finasteride not advisable

Detailed Answer:
Hello
Thanks for the photograph.
You have developed female pattern baldness.
Finasteride might not help you.
You need to take Biotin tablets daily and apply 5 % minoxidil lotion twice daily for 6 month .
This combination works well.
You can use ketoconazole shampoo to control dandruff.
You can continue with rest of the medication.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (2 hours later)

Thank you for your reply. What should I do to help stop the fallout? Biotin and minoxidol is for hair growth. How do I kill the mites?

Also. Are demodex mites contagious?

Answered by Dr. Dr. Rahul Kumar (8 hours later)

Brief Answer:
Use ketoconazole shampoo

Detailed Answer:
Hello
Thanks for the follow up.
You have already taken ivermectin for demodex.
Keep using ketoconazole shampoo thrice a week.
This will take care of demodex.
The contagiousity is low but it's better to keep separate bath towel.
Let me know if you have any other doubts.
Thank you.

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. Kampana