One of the big 3 Ketaconazole, is an anti-fungal commonly used because a lot of people with hair loss have overactive yeast on their scalps. The infestation of yeast causes an increase in inflammation and hair loss. Bacteria naturally produce fungicides and compete with yeast for resources/space in your body/gut/scalp.
When you take antibiotics these kill off bacteria both good and bad. When you’ve lessened your natural colonies of good bacteria you end up both decreasing the fungicides they produce as well as open up a bunch of new space for yeasts to grow in. As the yeasts pick up in number then both your inflammation and hair loss increases. This is the same reason why taking probiotics/yogurt has been shown to lessen hair loss in many men.
Prednisone is a corticosteroid. In contrast to anabolic steroids (used by “bodybuilders”), corticosteroids are used in inflammatory conditions for their anti–inflammatory effects. They have a rapid onset of action, and profoundly affect many parts of the immune system as well as most other body systems. Corticosteroids are a cornerstone of treating most types of vasculitis, and are often used in combination with other immunosuppressive medications.
One of the numerous potential side–effects of prednisone and other forms of corticosteroid treatment is hirsutism — excessive growth of body hair. Patients vary in the degree to which this side–effect of steroids occurs. Although some experience minimal hirsutism, the patient depicted here developed this side effect after taking 10 milligrams of prednisone for a few months.
harmacologic treatment options for seborrheic dermatitis include antifungal preparations (selenium sulfide, pyrithione zinc, azole agents, sodium sulfacetamide and topical terbinafine) that decrease colonization by lipophilic yeast and anti-inflammatory agents (topical steroids). Suggested products are listed in Table 1. For severe disease, keratolytics such as salicylic acid or coal tar preparations may be used to remove dense scale; then topical steroids may be applied. Other options for removing adherent scale involve applying any of a variety of oils (peanut, olive or mineral) to soften the scale overnight, followed by use of a detergent or coal tar shampoo.
Male pattern baldness is the common type of hair loss that develops in many men at some stage. The condition is sometimes called androgenetic alopecia. It is caused by a combination of hereditary (genetic) and hormonal factors.
Hair is made in hair follicles. A hair normally grows from each hair follicle for about three years. It is then shed and a new hair grows from the follicle. As balding develops, affected hair follicles gradually become smaller than normal. Each new hair that grows is thinner and shed more quickly than before. This eventually leads to a much smaller hair follicle and a thin hair that does not grow out to the skin surface.
Male hormones are involved in causing these changes. Hair follicles convert testosterone (the main male hormone) into another hormone called dihydrotestosterone. Affected hair follicles become more sensitive to dihydrotestosterone and this causes the hair follicles to shrink.
For some men, this normal ageing process can be distressing, particularly if it is excessive or occurs early in life. Treatment with finasteride can help prevent further hair loss. It works by stopping the conversion of testosterone to dihydrotestosterone.
Finasteride is only available on a prescription from a doctor, but it is not available on the NHS. This means you will be asked to pay the full price of the tablets when you receive your supply.
Before taking finasteride
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking finasteride it is important that your doctor knows:
- If you have ever had an allergic reaction to a medicine.
- If you are taking any other medicines. This includes any medicines which are available to buy without a prescription, as well as herbal and complementary medicines.
How to take finasteride
- Before you start the treatment, read the manufacturer’s printed information leaflet from inside the pack. It will give you more information about finasteride and will provide you with a full list of the side-effects which you may experience from taking it.
- Take one (1 mg) tablet each day, exactly as your doctor tells you to. Try to take your doses at the same time of day, as this will help you to remember to take finasteride regularly.
- Swallow the tablet whole (without breaking or crushing it) with a drink of water. You can take the tablet either with or without food.
- If you forget to take a dose on time, take it when you remember. If you do not remember until the following day, leave out the missed dose. Do not take two doses together to make up for a forgotten dose.
Getting the most from your treatment
- Each time you collect a new supply of tablets from your pharmacy, make sure they look to be the same as you have had before. This is because there is a high-dose brand of finasteride tablet available for the treatment of a different condition. If you are unsure that you have the correct tablets, ask your pharmacist to check for you.
- Your hair growth may start to improve within a few months, although it can take up to a year or so for you to notice the full benefit. You will need to continue treatment to maintain this effect, as the balding process returns when you stop.
- Finasteride may cause harm to an unborn baby. Because of this, women who are pregnant should not handle the tablets. Also, very small amounts of finasteride will be in your semen while you are taking this medicine. If you need further advice about this, speak with your pharmacist or doctor.
- If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are taking finasteride. This is because finasteride can interfere with a blood test used to detect prostate cancer, so you must tell your doctor about taking finasteride if you need this test.