Posts in Topic: Drugs & Medications

Which is Preferred Hair Loss Medication: Rogaine Foam or Rogaine Liquid Formula?

January 13th, 2009

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.


Posted by Robert M. Bernstein M.D. at 8:19 am

Will Intermittant Use of Rogaine Hair Loss Medication Stop Shedding?

August 10th, 2008

Q: Medical information suggests that Rogaine works for about 50% of the men who try it. Does Rogaine actually worsen hair loss in some men? The Rogaine website states that during the first three weeks of use Rogaine causes increased shedding. If true, would intermittent use of Rogaine make hair loss worse even in men for whom Rogaine would work if applied daily as directed?

A: Rogaine, the brand name for the drug Minoxidil, does not worsen hair loss, but can cause initial shedding (which actually shows that the drug is working).

The medication should be used on a continuous basis for the long-haul. Intermittent use of the drug, or pulsing, makes no medical sense.


Posted by Robert M. Bernstein M.D. at 7:25 am

Can Finasteride Hair Loss Medication Cause Sexual Side Effects?

July 21st, 2008

Q: I’ve now been taking finasteride for just over 5 months. I have noticed that my semen quality has changed just in the last 3 months, and it seems now much less in quantity and is quite watery and clear in color. I think the current problems are due to the finasteride, what do you think?

A: Finasteride, the active drug in Propecia, can change the quality of the semen, since it is decreasing the component of seminal fluid that is secreted by the prostate.

You may want to consider having your sperm counts checked, although a decreased sperm count is rare with finasteride. If the symptoms are not bothering you and the sperm counts are normal, it should be OK to continue the medication.


Posted by Robert M. Bernstein M.D. at 7:39 am

After Hair Transplant, Use Propecia Hair Loss Medication Without Rogaine, or Use Both?

July 8th, 2008

Q: I recently had a hair transplant about a month ago. Currently I’m on Propecia and I am a stickler to taking it at the same time every day. I don’t, however, use Rogaine namely because I fear the irritation it can possibly cause will halt graft growth and because I’ve heard that the grafts and post surgical shock loss hair will return without its use. Is it ok to use only Propecia post-surgically? Or would adding Rogaine be of any significant benefit?

A: I would definitely stay on Propecia and, if you like, you can add Rogaine – it may have a little additional benefit. The new 5% foam formulation is less irritating and can be started a week after the hair transplant.

The only problem with Rogaine is compliance. If you think that you will use it long-term, it is worth using. If, however, you think that you will get tired of it and stop, then it is not worth starting.

Any shedding with either medication is temporary and usually indicates that the drug is working.


Posted by Robert M. Bernstein M.D. at 7:04 am

What Hair Loss Medications are Effective DHT Blockers and are they Sold Over the Counter?

April 21st, 2008

Q: Are there DHT blockers that are sold in the pharmacy over the counter?

A: The only effective DHT blockers are finasteride (Propecia, Proscar) and dutasteride (Avodart).

These medications require a doctor’s prescription and are not sold OTC. Nizoral is a topical shampoo for seborrhea (a type of dandruff) that is sold over the counter, but it is not effective in treating hair loss.


Posted by Robert M. Bernstein M.D. at 6:49 am



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