Dr. Robert M. Bernstein was interviewed by Fox and Friends over the weekend. He discussed hair loss, hair transplant surgery, propecia hair loss medication, hair plugs, and more.
Watch the full video here:
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Q: What time should I take the Propecia? Does it work better if I take it at night as opposed to the morning and should I take it with meals?
A: It doesn’t matter what time of day you take Propecia and the time can very each day.
The absorption of Propecia (finasteride) is not affected by food, so it can be taken without regard to meals.
Q: I started thinning and saw more hair in the tub. I began Rogaine and stopped shampooing every night and is seems that there is now more coming out every time I shower. What is going on?
A: Rogaine can cause shedding at the beginning of treatment (i.e. in the first 3 months) but this is expected as it causes some hair to begin a new cycle of shedding and re-growth. This means the medication is working.
Another reason for your apparent shedding is that the less you wash your hair, the more will be lost each time. Go back to shampooing every day and see what happens.
Q: I am having hair thinning and retreating from the front part of the scalp. According to Norwood’s classification I rank a category III. From what I see on the Rogaine pack it is used in hereditary hair loss on the (vertex) on top of the scalp. Any recommendations?
A: Minoxidil does work on the front of the scalp to prevent the progression of hair loss and may thicken areas of early thinning, although it won’t re-grow hair in areas that are bald.
I would also consider using finasteride (the active ingredient in the hair loss medication Propecia) as this will also work on the front of the scalp to prevent further hair loss and to increase areas of thinning – and it is more effective than minoxidil.
Q: Do you think there is a difference in the efficacy between the 5% Rogaine foam or liquid formula?
A: In theory, the foam should be as effective as the original solution (liquid). However, an important part of the efficacy is getting the medication directly onto the scalp – rather than just on the hair.
For patients who are applying the medication to areas with a significant amount of hair, using the solution with a dropper applicator enables the medication to best reach the scalp. Because of this, I prefer that patients use the solution with a dropper applicator if they are using the medications in areas with a significant amount of hair.
If patients find the solution irritating to the scalp (or too messy) and the foam less so, then using the foam is better than nothing.
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Disclaimer: The purpose of the Hair Transplant Blog is to provide the public with general information on hair restoration. Information provided on this site should not be used for medical diagnosis and/or treatment.
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