Drugs for male and female pattern baldness. Small benefit from finasteride and minoxidil

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Goodfellow Gems

Drugs for male and female pattern baldness. Small benefit from finasteride and minoxidil.

A recent Alberta Tools for Practicefound that for men using finasteride or minoxidil for androgenic alopecia, one in 4–8 more than placebo will notice at least slight improvement in hair count over 6–12 months, with no clear evidence one is better. For every 84 men taking finasteride for hair loss, one extra will experience erectile dysfunction. 

For women, only minoxidil improves hair count, with one in eight reporting a moderate improvement over placebo (NB finasteride is not suitable for use in women). 

References:

  1. Alberta Tools for Practice # 172

    Gems are chosen by the Goodfellow director Dr. Bruce Arroll to be either practice changing or practice maintaining. The information is educational and not clinical advice.


    As published in NZ Doctor 23/11/2016