topical hair loss treatment

How to use – Compounded Topical Hair Loss Treatments

Unlocking the secrets to hair restoration, your prescribed compounded topical hair loss treatment may include one or a combination of ingredients, Finasteride, Spironolactone, Tretinoin, Minoxidil and Tretinoin.
We offer a powerful, synergistic approach to combat hair loss. By targeting hormonal imbalances and enhancing follicle stimulation, these formulations work together to not only slow down hair thinning but also promote new growth.

What Are These Medications Used For?

  • Minoxidil : A topical solution or foam used to stimulate hair growth in individuals experiencing androgenetic alopecia (male and female pattern baldness).
  • Finasteride : An oral medication that reduces hair loss by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a key factor in hair thinning.
  • Tretinoin : A form of Vitamin A that promotes cell turnover, enhancing the penetration and effectiveness of Minoxidil when used in formulations.
  • Spironolactone : An anti-androgen medication used topically to reduce hair loss by blocking androgen receptors in the scalp and decreasing DHT levels.

Commonly Asked Questions

How do these topical hair loss medications work?

  • Minoxidil : This medication acts as a vasodilator, increasing blood flow to hair follicles, which stimulates hair growth and prolongs the anagen (growth) phase of the hair cycle.
  • Finasteride : Inhibits the enzyme 5-alpha-reductase, which converts testosterone to DHT. Lowering DHT levels helps slow hair loss and may encourage regrowth.
  • Tretinoin : Enhances skin cell turnover and improves the percutaneous absorption of Minoxidil, making it more effective.
  • Spironolactone : Acts as an anti-androgen by blocking androgen receptors, which decreases the effects of DHT on hair follicles, ultimately helping to reduce hair loss.

What are the benefits of a compounded formula over a commercial product?

  • Tailored Formulations : Compounded products can be customised to suit individual patient needs, including specific concentrations of active ingredients or the addition of complementary agents.
  • Modified Delivery Systems : Compounding allows for unique delivery vehicles that may improve the absorption and effectiveness of medications.
  • Combination of Ingredients : A compounded formula can combine multiple effective agents (like Minoxidil, Finasteride, Tretinoin, and Spironolactone) in one application, simplifying the treatment regimen.
  • Avoiding Allergens and Irritants : Compounding can ensure the absence of preservatives or other ingredients that may cause allergic reactions or irritations.

How do I apply the solution or foam?

How to Apply a Compounded Hair Loss Solution or Foam

Preparation:
    1. Wash Your Hands : Before application, thoroughly wash your hands with soap and water to prevent the transfer of oils and bacteria to your scalp.
    2. Clean Your Scalp :
      • Shampoo : Use a gentle shampoo to cleanse your scalp. This helps remove excess oils and debris, ensuring better absorption of the treatment.
      • Drying : Pat your scalp dry with a towel; avoid rubbing to minimize irritation.
Application of the Solution or Foam
    1. Application Timing :
      · Apply the treatment as directed by your healthcare provider. Many formulations are typically applied once or twice daily.
      · Ensure you apply it at consistent times each day to maintain optimal results.
    2. Dispense the Product :
      · For Solutions : Use the dropper or applicator to dispense the recommended amount (usually about 1 mL) of the solution directly onto the scalp.
      · For Foams : Shake the canister gently if necessary. Dispense the foam onto your fingertips or directly onto the affected areas of the scalp.
    3. Target Application :
      · Directly on the Scalp : Using your fingertips, part your hair to expose the scalp and target the specific areas where thinning is most noticeable.
      · Even Distribution : Apply the solution or foam directly to the scalp rather than the hair. Focus on the areas experiencing hair loss, ensuring even coverage.
    4. Massage Gently :
      Massage Technique : Using your fingertips, gently massage the product into your scalp. This enhances absorption and stimulates blood circulation without applying too much pressure.
      Duration : Massage for about 1-2 minutes or until the product is well absorbed.
    5. Allow to Dry :
      · Air Drying : Allow the product to air dry completely before touching your hair or applying other styling products. This usually takes about 15-30 minutes.
      · Avoid Wetting : Do not wash your hair or scalp for at least 4 hours after application to allow sufficient time for the treatment to work.
Post-Application
    1. Wash Your Hands : After applying the treatment, wash your hands thoroughly with soap and water to remove any residue.
    2. Monitor for Side Effects :
      • Check for Irritation : Regularly monitor your scalp for any signs of irritation or allergic reactions, such as redness, itching, or peeling. If these occur, consult your healthcare provider.
      • Follow-Up : Keep track of your progress and follow up with your healthcare provider as recommended to discuss improvements and any concerns.
Tips for Best Results
    • Consistency is Key : Use the treatment daily as directed for the best results. Skipping applications may hinder progress.
    • Avoid Shampooing Immediately : Avoid washing your hair for at least 24 hours after applying the solution or foam to ensure optimal absorption.
    • Limit Hair Products : Reduce the use of other hair products (like gels or sprays) on days you apply the treatment, especially immediately after application, to avoid interference with absorption.

How long will it take to see results?

Results may be seen in about 3 to 6 months, with continued benefit observable over a year. Patience and consistency are key to achieving noticeable hair growth.

Are there any side effects?

  • Minoxidil : Potential side effects include scalp irritation, unwanted facial hair growth, and changes in hair texture.
  • Finasteride : Possible side effects may involve decreased libido, erectile dysfunction, or other sexual side effects.
  • Tretinoin : Can cause mild irritation, redness, and peeling of the scalp.
  • Spironolactone : May cause skin irritation, hormonal changes, or allergic reactions.

Can I use these medications together?

Yes, Minoxidil, Finasteride, Tretinoin, and Spironolactone can be used together. They often complement each other by targeting different mechanisms involved in hair loss.

What should I do if I miss a dose?

For topical medications like Minoxidil and Spironolactone, apply as soon as you remember, but skip it if it’s close to the next application. For Finasteride, take it as soon as you remember unless it’s almost time for your next dose.

Is there anyone who should avoid these medications?

Pregnant or breastfeeding individuals should consult their healthcare provider before using these medications, especially Finasteride and Spironolactone due to potential risks associated with hormonal exposure.

What should I discuss with my healthcare provider before starting topical hair loss treatments?

  • Inform your healthcare provider about any existing medical conditions, medications you’re currently taking (including over-the-counter products), and any allergies you may have.
  • Discuss your specific hair loss concerns, treatment goals, and any previous treatments you may have tried.
    Ask about potential interactions and the appropriateness of these medications based on your individual health status.

Conclusion

Minoxidil, Finasteride, Tretinoin, and Spironolactone can be effective components in the treatment of hair loss. When used in a compounded formulation, they offer the advantage of personalized treatment, potentially increasing the effectiveness while simplifying the regimen. Always adhere to your healthcare provider’s recommendations and maintain regular check-ins to monitor your progress.

 

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References

· Kaufman, K. D. (2002). “Minoxidil: A review of its use in androgenetic alopecia.” In Dermatology .
· Rosenberg, M. E. (2008). “Finasteride for the treatment of androgenetic alopecia.” American Family Physician , 77(11), 1588-1592.
· Kligman, A. M. (1982). “Effects of a new Vitamin A derivative (tretinoin) on the skin: importance in therapy for acne and other skin conditions.” Dermatology Clinics , 5(1), 1-12.
· Van Neste, D., et al. (2000). “Finasteride in the treatment of male androgenetic alopecia.” The International Journal of Dermatology , 39(5), 353-357.
· Zhang, B., et al. (2015). “Spironolactone in the treatment of hair loss in females: A review.” Dermatology Research and Practice , 2015.
· American Academy of Dermatology . (2021). “Hair loss: What to know about Minoxidil and Finasteride.”

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