Hair Loss

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Losing your hair?

Hair loss
could be temporary or permanent depending on the cause.
Pharmacist

Some cases could be medical and require a doctor's office visit to determine the cause of the hair loss, whereas others are hereditary or due to medications.

man with hairloss symptoms

Men and women might loose hair for different reasons.

Let's see what a pharmacist recommend over the counter for hair loss.

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Hair Loss

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Male or female?

Who are we talking about here?
Pharmacist

Male Female

 

 

 

Hair Loss

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Male hair loss

Male pattern hair loss is the most common type of hair loss in men.

Let's see if this is the case here.

If not, we can try to determine what may be causing it.

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hair loss

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Male pattern?

Is the hairline gradually moving backward?
Pharmacist

 

Yes?

 

Is it becoming finer or thinner?

Or shorter?

 

Yes?

 

Is the hair loss forming an "M" shape?
Pharmacist

 

Yes?
You may be looking at a pattern of male balding or hair loss.
Pharmacist

Let's continue and see what else we have.

 

Has it formed a "U" shape?
Pharmacist

 

Yes?
Looking at a pattern of male hair loss.
Pharmacist

Continue discussion on male pattern hair loss

 

Do you have a family history of hair loss?
Pharmacist

 

Yes?
Male pattern hair loss is an androgen-dependent hereditary disorder.
Pharmacist

Dihydrotestosterone plays a major role.

 


A quick review of where we are so far.
Pharmacist

If your answer is 'Yes' so far and no family history of hair loss, you might want to rule out causes due to drugs.

If you've answered 'No' so far, then your hair loss is not due to a pattern of baldness associated with men. It might be due to other reasons for which you will have to see a doctor for further evaluation.

Let's have an idea of what may be going on. We will start with medications.

Urgent Care Continue

 

 

 

 

Hair loss

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Did you start taking any of the group of drugs listed below?

Within the last 3 months?

-Chemo agents
-Warfarin, Heparin
-ACE inhibitors
-β-blockers
-antithyroid drugs
anticonvulsants
vitamin A excess
Accutane

--lithium
-Gemfibrozil, Clofibrate
-Amphetamines
-Allopurinol
-Testosterone
-NSAIDS
-Methotrexate
-Cimetidine, ranitidine

 

Yes?
Discuss your hair loss with your doctor.
Pharmacist

These drugs can cause you to lose your hair.

 

Did you have a major blood loss within the past 3 or 4 months?
Pharmacist

 

Yes?

 

What about a major surgery?
Pharmacist

 

Yes?
This may be the cause of your hair loss.
Pharmacist

We think you might have a major number of your hair entering the resting phase.

 

Anything like a very high fever within the past 3 months or so?
Pharmacist

 

Yes?
This can cause a large number of your hair to enter the resting phase.
Pharmacist

 

Is the skin on your scalp under the hairloss area red, scaly or itchy?

Or looking abnormal?

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Might be looking at ringworm of the scalp
  • Might be looking at lupus

Nearest Clinic

 

Is it patchy?

Or moth-eaten in appearance?

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Might be looking at secondary syphilis

Nearest Clinic

 

Are you suddenly experiencing circular, smooth patches of hair loss?
Pharmacist

 

Yes?

 

What about exclamation point hairs at edges of bald patches?

Or Short, broken hairs?

 

Seek doctor office visit.
Pharmacist

Here is why:

  • May be looking at alopecia areata.

Alopecia areata is thought to be an autoimmune condition. This occurs when the immune system mistakenly attacks and destroys healthy body tissue.

Nearest Clinic

 

If the questions so far does not fit your profile...

...discuss this hair loss with your doctor.

There are other causes of hair loss. To name a few:

  • Stress
  • Thyroid disorders
  • Heavy metal poisoning (boric acid, mercury, thallium)
  • Nutritional deficiencies
  • Nervous habits such as scalp rubbing
  • Excessive shampooing and blow-drying
  • Tumor of adrenal glands
  • Lichen planus of the scalp.

Note:
The hair loss that can be taken care of is mainly that due to male pattern baldness. For most others, it is advised you see a doctor and discuss the underlying cause of the hair loss.

Let's see what a pharmacist recommend over the counter for male pattern hair loss.

Continue

 

 

 

hair loss

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Female hair loss

Let's see if you are looking at female pattern hair loss.
Pharmacist

If not, we will take a look at other things that may be causing this hair loss.

 

Would you say your hair is thinning mainly on the top and crown of the scalp?
Pharmacist

 

Yes?

 

Is the center part widening?
Pharmacist

 

It is?
We are beginning to think female pattern balding going on here.
Pharmacist
Close

In female pattern baldness:
Hair thins mainly on the top and crown of the scalp. It usually starts with a widening through the center hair part. The front hairline remains. The hair loss rarely progresses to total or near total baldness, as it may in men

FYI

 

Do you have a family history of hair loss?
Pharmacist

 

Yes?
Looking at female pattern hair loss.
Pharmacist
Close

It may be related to Aging, Changes in the levels of androgens (male hormones).

For example, after reaching menopause, many women find that the hair on their head is thinner, while the hair on their face is coarser and Family history of male or female pattern baldness

FYI

 

Are you also having hair in areas typically associated with men?

...like the beard, mustache, chin, chest areas?

 

Yes?
Hair growth depends on the balance between androgens.
Pharmacist

Androgens promote thick, dark hair growth, whereas estrogens slow hair growth or modulate it toward finer, lighter hairs.

Examples of androgens include testosterone, dehydroepiandrosterone sulfate [DHEAS], dihydrotestosterone [DHT]).

 

What about increased muscle mass?

Or deepening voice?

 

Give the doctor a call.
Pharmacist

Here is why:

  • Female pattern hair loss may be an androgen-dependent disorder in which dihydrotestosterone plays a major role.
  • You may need a prescription drug like spironolactone.

 

Are you experiencing acne with this hair loss?
Pharmacist

 

Call the doctor.
Pharmacist

Here is why:

  • You may need something like spironolactone.
  • Female pattern hair loss could be an androgen-dependent disorder in which dihydrotestosterone plays a major role.

 


Let's review where you are so far.
Pharmacist

If you've answered 'Yes' so far and no family history of hair loss, you may want to rule out causes due to medications.

If you've answered 'No' so far, then your hair loss is NOT due to a pattern of baldness associated with women. It might be due to other reasons for which you will have to see a doctor for further evaluation.

Let's see if we can come up with some ideas of what might be going on. We will start with medications.

Or do you think you should see the nearest urgent care clinic to you from the discussions so far?

Urgent Care Continue

 

 

 

 

Hair loss

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Did you start taking any of the group of drugs listed below within the last 3 months?
Pharmacist

-Chemo agents
-Warfarin, Heparin
-ACE inhibitors
-β-blockers
-antithyroid drugs
anticonvulsants
vitamin A excess
Accutane

--lithium
-Gemfibrozil, Clofibrate
-Amphetamines
-Allopurinol
-Testosterone
-NSAIDS
-Methotrexate
-Cimetidine, ranitidine

 

Yes?
Discuss this hair loss with the doctor who prescribed them.
Pharmacist

These drugs have hair loss as a side effect

 

Any recent medically stressful situations like surgery?

Or blood loss?

 

Yes?
We think you may have a large number of your hair entering the resting phase.
Pharmacist

 

What about pregnancy?

Or high fever?

 

Yes?
We think you may have a large number of your hair entering the resting phase.
Pharmacist

 

Did you go through a severe emotional stress within the past 3 months or so?
Pharmacist

 

Yes?
This may cause ½ to ¾ of the hair throughout the scalp to shed.
Pharmacist

Called Telogen effluvium

You might see hair coming out in handfuls while you shampoo, comb, or run your hands through your hair.

You may not notice this for weeks to months after the episode of stress. The hair shedding will decrease over 6 - 8 months however.

 

Is the skin on your scalp under the hairloss area red, scaly or itchy?

Or looking abnormal?

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Might be looking at ringworm of the scalp
  • Might be looking at lupus.

Nearest Clinic

 

Does it look moth-eaten in appearance?

Or patchy?

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • May be looking at secondary syphilis.

Nearest Clinic

 

Are you suddenly experiencing circular, smooth patches of hair loss?

Short, broken hairs?

 

Yes?
Probably looking at alopecia areata here.
Pharmacist

Alopecia areata is thought to be an autoimmune condition.

This occurs when the immune system mistakenly attacks and destroys healthy body tissue.

 

What about exclamation point hairs at edges of bald patches?
Pharmacist

 

Yes?
Possibly looking at alopecia areata in this case.
Pharmacist

Alopecia areata is thought to be an autoimmune condition. This occurs when the immune system mistakenly attacks and destroys healthy body tissue.

 

Alright.
If the questions so far does not fit into your profile of hair loss...

...you should discuss this hair loss with your doctor.

Other causes of hair loss include:

  • Too little iron
  • Too little vitamin B (biotin)
  • Use of rollers, braids, hair dryers
  • Thyroid disorders
  • Heavy metal poisoning (boric acid, mercury, thallium)
  • Nutritional deficiencies
  • Nervous habits such as hair pulling, scalp rubbing
  • Excessive shampooing and blow-drying
  • Tumor of adrenal glands
  • Lichen planus of the scalp

One thing to note, is that the hair loss that can be taken care of with over the counter means is mainly that due to female pattern baldness.

Others require seeing a doctor to discuss the underlying cause of the hair loss.

Let's see what a pharmacist recommend for hair loss that is available over-the-counter.

Or would you like to find the nearest doctor to you that will take a look at your hair.

Doctor Continue