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Medical Management of alopecia 

Cyproterone Acetate with Ethinyloestradiol (Diane 35, Diane 50):
Diane 35 and Diane 50 are primarily contraceptive tablets that are given to androgenetic alopecia. It contains cyproterone and estradiol. The medicine works by preventing certain activities of male hormones commonly present in women. The medicine is advised for regular ongoing use to avoid hair loss.

Topical Corticosteroid :
Topical corticosteroids, steroid cream or ointments are also known for eliminating Hair loss. However, the extent of their effect is very debatable. Patients may apply it directly on the bald patches. Normally, these are prescribed with other ongoing treatments of hair loss. It is given with treatments of topical minoxidil or anthralin.

PUVA (psoralen plus UVA) therapy: 
PUVA is also a known treatment for alopecia. In the treatment, patient is given a sensitive drug named psoralen orally or topically. The patients is then brought under the effect of an ultraviolet light. Although the treatment is very helpful, it does not guarantee prevention from relapse of the problem. 

Hair pieces: 
Hair pieces or more commonly known as hair weaving is also a very popular management for alopecia or hair loss. It is less expensive and very safe.

Contact immunotherapy: 
This comes from the group of most effective treatments for kinds of alopecia. In this treatment, the medicine called diphenylcyclopropenone (DPCP) is applied on the scalp. The medicine makes scalp skin irritable and itchy. It is applied once in a week.

Hair Transplant: 
Hair transplant is basically a surgery. In the treatment, hair from one part is pulled out and placed to the area, where the patient is losing hair. It is a very expensive treatment and could be slightly painful as well. However, most people go for it because it ensures permanency.  
This is primarily a aldosterone antagonist which is used for the treatment of high blood pressure. Although the medicine is not approved by the FDA for treating alopecia, it has been advised to some patients dealing with hair loss. It is primarily prescribed for female pattern baldness. It works by preventing the growth of androgens and restricting its activity at the receptor sites. However, since spironolactone may cause certain side effects such as reduced libido, impotence, and gynecomastia in males, it is primarily give to females. Other side effects are hyperkalemia, irregular menses, mood swings and breast suppleness.

Written by: Healthplus24 team
Date last updated: June 11, 2012

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