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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Hair Fall?

i am 36 year old female, suffering from hypothyroidism and on thyroxin for the last 3 months and the values of T4 and TSH are normal now. i am also taking Topamax 25mg and Prothiadin 25mg once daily for my migraine and depression. but now i am having serious hair loss. i used to have very healthy and heavy hair, but now i don't want to comb or brush my hair due to hair fall. i have heard about Topamax that it causes hair loss. Is it true?. please guide me that what should i do? Should i stop Topamax? Thanks.
Mon, 28 Apr 2014
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Dermatologist 's  Response
Hello,
Thank you for posting on HCM.
I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.
From your description, it seems you might be having Chronic Telogen Effluvium, which is hairfall secondary to stress (Hypothyroidism andMigraine) or directly due to hypothyroidism or can be due to drugs for migraine.
If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investiagations like trichogram and dermoscapy and further aid in diagnosis and prognosis.
I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.
Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.
Contact your doctor regarding the possible side effects of drugs for migraine.
Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.
Hope your queries are resolved and wish you best of health.
Thank you
Dr Hardik Pitroda
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What Is The Treatment For Hair Fall?

Hello, Thank you for posting on HCM. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc. From your description, it seems you might be having Chronic Telogen Effluvium, which is hairfall secondary to stress (Hypothyroidism andMigraine) or directly due to hypothyroidism or can be due to drugs for migraine. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investiagations like trichogram and dermoscapy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma. Contact your doctor regarding the possible side effects of drugs for migraine. Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life. Hope your queries are resolved and wish you best of health. Thank you Dr Hardik Pitroda