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Decision PointHair loss: Should I take medicine to regrow hair?You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Hair loss: Should I take medicine to regrow hair? Get the facts Your options
This decision is about whether to use medicine to treat hair loss. If you want information on surgery, see: Key points to remember
FAQs
What medicines are available to treat inherited hair loss?Medicines to treat hair loss caused by heredity include:
Medicine for treating inherited hair loss slows thinning of the hair and increases coverage of the scalp by growing new hair and enlarging existing hairs. With these medicines, hair coverage tends to improve on the top of the head but not on the forehead area. How effective are these medicines in treating inherited hair loss?How well finasteride or minoxidil works depends on your age and the location of the hair loss. These medicines don't work for everyone, and you should not expect to regrow a full head of hair. Both medicines must be used daily. It may take 6 months of treatment before you see results. These medicines slow thinning of the hair and increase coverage of the scalp by growing new hair and enlarging existing hairs. If you stop using the medicine, any hair that has grown in will gradually be lost. Within 6 to 12 months after you stop using the medicine, your scalp will most likely look the same as it did before treatment. Minoxidil Minoxidil slows hair loss and grows new hair. In men, the 5% solution appears to be more effective than the 2% solution, but it costs more and may have more side effects.2 Minoxidil seems to work best on people younger than 30 years of age who have been losing hair for less than 5 years.3 Finasteride Finasteride is recognized as a successful therapy for inherited hair loss for men. Research reports that it slows hair loss on the scalp and helps regrow hair.3, 4, 5 But bald spots may not be completely covered, and it may take from a few months to a year before you see results. What are the side effects of these medicines?Side effects of minoxidil include skin irritation, dandruff, and an itchy scalp. In women, minoxidil may cause facial hair growth, especially on the forehead and cheeks. If you have heart problems, ask your doctor before you use this medicine. Finasteride should not be taken or handled by women who are or may become pregnant, because it can cause birth defects. Possible side effects in men include sexual problems, such as trouble getting an erection. What are the disadvantages of using these medicines?The disadvantages of using these medicines for hair loss include the following:
What are the risks of not using these medicines?There are no risks to your health if you decide not to use medicine for hair loss. But for some people, there may be a risk to their well-being and self-esteem if they feel that hair loss has affected their appearance. If you don't use medicine, your hair loss will probably continue. But medicine doesn't always work, and hair loss may continue despite treatment with medicine. Compare your options Compare
Treat hair loss with
medicine Treat hair loss with
medicine
Don't treat hair loss
with medicine Don't treat hair loss
with medicine
Personal Stories Are you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide. Personal stories about treating hair loss with medicineThese stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. My father and grandfather are both bald. I decided to use Rogaine to see if it would slow down my hair loss. I don't want to look like my dad just yet! Johan, age 28 My hair began to thin when I was 28 years old. Now I am 44 and the top of my head is bald. Recently, I considered using medication to treat my hair loss and see if any hair would regrow. After reading the literature and talking to my doctor, I decided not to take medication because it is unlikely to make a huge difference in my hair—and I don't want to take medication forever! Bob, age 44 My hair is very important to me and my appearance. I noticed that my hair was starting to thin. And because baldness runs in our family, I decided to take an aggressive approach to reduce my chances for more hair loss. I am willing to take a pill every day, and to pay for it. Marc, age 32 I have noticed some thinning throughout my scalp. Although this is disturbing to me, I have decided not to take medication for the hair loss. It seems that medication works best for young males, and I am just not willing to spend the time or money on medication that is not likely to help me. Stella, age 38 If you need more information, see the topics: What matters most to you? Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. Reasons to use medicine for inherited hair loss Reasons not to use medicine for inherited hair loss My hair loss causes me a lot of stress or unhappiness. My hair loss doesn't bother me too much. More important Equally important More important I am willing to pay for the treatment over the long term. I do not want to pay for treatment over the long term. More important Equally important More important I realize that the treatment may not work for me, but I want to try it anyway. I don't want to try the treatment if there is a chance it won't work. More important Equally important More important I will be happy if I can stop the hair loss and some hair grows back. Using medicine will only be worth it to me if I will have a full head of hair. More important Equally important More important My other important reasons: My other important reasons: More important Equally important More important Where are you leaning now? Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Taking medicine to treat the hair loss.. NOT taking medicine to treat the hair loss. Leaning toward Undecided Leaning toward What else do you need to make your decision? Check the facts 1.
If I use medicine to treat my hair loss, I will end up with a full head of hair.
2.
If I stop taking the medicine, my new hair growth will fall out.
3.
I should check with my doctor before I take hair loss medicines.
Decide what's next 1.
Do you understand the options available to you? 2.
Are you clear about which benefits and side effects matter most to you? 3.
Do you have enough support and advice from others to make a choice? Certainty 1.
How sure do you feel right now about your decision? Not sure at all Somewhat sure Very sure 2.
Check what you need to do before you make this decision. 3.
Use the following space to list questions, concerns, and next steps. Your Summary Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. Your decision |
| Author | Maria G. Essig, MS, ELS |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Specialist Medical Reviewer | Alexander H. Murray, MD, FRCPC - Dermatology |
- Springer K, et al. (2003). Common hair loss disorder. American Family Physician, 68(1): 93–102.
- Olsen EA, et al. (2002). A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. Journal of the American Academy of Dermatology, 47: 377–385.
- Habif TP (2004). Hair diseases. In Clinical Dermatology: A Color Guide to Diagnosis and Therapy, 4th ed., pp. 834–863. Philadelphia: Mosby.
- Whiting DA, et al. (2003). Efficacy and tolerability of finasteride 1 mg in men aged 41 to 60 years with male pattern hair loss. European Journal of Dermatology, 13(2): 150–160.
- Finasteride Male Pattern Hair Loss Group (2002). Long-term (5-year) multinational experience with finasteride 1 mg in the treatment of men with androgenetic alopecia. European Journal of Dermatology, 12(1): 38–49.
Hair loss: Should I take medicine to regrow hair?
- Get the facts
- Compare your options
- What matters most to you?
- Where are you leaning now?
- What else do you need to make your decision?
1. Get the Facts
Your options
- Use medicine to help stop hair loss and possibly regrow new hair.
- Do not use medicine to treat hair loss.
This decision is about whether to use medicine to treat hair loss. If you want information on surgery, see:
Key points to remember
- Treatment with medicines may slow hair loss and help to regrow hair. But you may not get as much hair growth as you expect.
- You must keep taking the medicine, or any regrown hair will fall out.
- Your insurance probably will not cover the medicine, and the medicines can be costly.
- It may be very dangerous to take these medicines if you are pregnant or have certain health conditions, such as heart problems.
- You may feel that the possibility of regrowing hair and feeling better about how you look is more important than the limitations of hair loss treatment.
What medicines are available to treat inherited hair loss?
Medicines to treat hair loss caused by heredity include:
- Minoxidil. Minoxidil (Rogaine) is available without a prescription. You spray or rub it into your scalp 2 times a day. It can be used by both men and women.
- Finasteride. Finasteride (Propecia) is available by prescription. It's a pill that you take once a day. Finasteride has not been proved effective in women and is not approved for women by the U.S. Food and Drug Administration (FDA).1 Finasteride should never be taken or handled by women who are or may become pregnant, because it can cause birth defects.
Medicine for treating inherited hair loss slows thinning of the hair and increases coverage of the scalp by growing new hair and enlarging existing hairs.
With these medicines, hair coverage tends to improve on the top of the head but not on the forehead area.
How effective are these medicines in treating inherited hair loss?
How well finasteride or minoxidil works depends on your age and the location of the hair loss. These medicines don't work for everyone, and you should not expect to regrow a full head of hair.
Both medicines must be used daily. It may take 6 months of treatment before you see results.
These medicines slow thinning of the hair and increase coverage of the scalp by growing new hair and enlarging existing hairs. If you stop using the medicine, any hair that has grown in will gradually be lost. Within 6 to 12 months after you stop using the medicine, your scalp will most likely look the same as it did before treatment.
Minoxidil
Minoxidil slows hair loss and grows new hair. In men, the 5% solution appears to be more effective than the 2% solution, but it costs more and may have more side effects.2
Minoxidil seems to work best on people younger than 30 years of age who have been losing hair for less than 5 years.3
Finasteride
Finasteride is recognized as a successful therapy for inherited hair loss for men. Research reports that it slows hair loss on the scalp and helps regrow hair.3, 4, 5 But bald spots may not be completely covered, and it may take from a few months to a year before you see results.
What are the side effects of these medicines?
Side effects of minoxidil include skin irritation, dandruff, and an itchy scalp. In women, minoxidil may cause facial hair growth, especially on the forehead and cheeks. If you have heart problems, ask your doctor before you use this medicine.
Finasteride should not be taken or handled by women who are or may become pregnant, because it can cause birth defects. Possible side effects in men include sexual problems, such as trouble getting an erection.
What are the disadvantages of using these medicines?
The disadvantages of using these medicines for hair loss include the following:
- The medicines may not work. You should not expect to regrow a full head of hair. It may take from a few months to a year before you see results.
- You must take the medicine every day. If you stop, any regrown hair will fall out, and you may actually end up with less hair than when you started treatment.
- The medicines are costly and usually aren't covered by insurance.
What are the risks of not using these medicines?
There are no risks to your health if you decide not to use medicine for hair loss. But for some people, there may be a risk to their well-being and self-esteem if they feel that hair loss has affected their appearance.
If you don't use medicine, your hair loss will probably continue. But medicine doesn't always work, and hair loss may continue despite treatment with medicine.
2. Compare Options
| Treat hair loss with medicine | Don't treat hair loss with medicine | |
|---|---|---|
| What is usually involved? |
|
|
| What are the benefits? |
|
|
| What are the risks and side effects? |
|
|
Personal stories
Are you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide.
If you need more information, see the topics:
Personal stories about treating hair loss with medicine
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
"My father and grandfather are both bald. I decided to use Rogaine to see if it would slow down my hair loss. I don't want to look like my dad just yet! "
— Johan, age 28
"My hair began to thin when I was 28 years old. Now I am 44 and the top of my head is bald. Recently, I considered using medication to treat my hair loss and see if any hair would regrow. After reading the literature and talking to my doctor, I decided not to take medication because it is unlikely to make a huge difference in my hair—and I don't want to take medication forever! "
— Bob, age 44
"My hair is very important to me and my appearance. I noticed that my hair was starting to thin. And because baldness runs in our family, I decided to take an aggressive approach to reduce my chances for more hair loss. I am willing to take a pill every day, and to pay for it. "
— Marc, age 32
"I have noticed some thinning throughout my scalp. Although this is disturbing to me, I have decided not to take medication for the hair loss. It seems that medication works best for young males, and I am just not willing to spend the time or money on medication that is not likely to help me. "
— Stella, age 38
3. Your Feelings
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to use medicine for inherited hair loss
Reasons not to use medicine for inherited hair loss
My hair loss causes me a lot of stress or unhappiness.
My hair loss doesn't bother me too much.
I am willing to pay for the treatment over the long term.
I do not want to pay for treatment over the long term.
I realize that the treatment may not work for me, but I want to try it anyway.
I don't want to try the treatment if there is a chance it won't work.
I will be happy if I can stop the hair loss and some hair grows back.
Using medicine will only be worth it to me if I will have a full head of hair.
My other important reasons:
My other important reasons:
4. Your Decision
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
Taking medicine to treat the hair loss..
NOT taking medicine to treat the hair loss.
5. Quiz Yourself
Check the facts
1. If I use medicine to treat my hair loss, I will end up with a full head of hair.
- True
- False
- I'm not sure
2. If I stop taking the medicine, my new hair growth will fall out.
- True
- False
- I'm not sure
3. I should check with my doctor before I take hair loss medicines.
- True
- False
- I'm not sure
Decide what's next
1. Do you understand the options available to you?
2. Are you clear about which benefits and side effects matter most to you?
3. Do you have enough support and advice from others to make a choice?
Certainty
1. How sure do you feel right now about your decision?
2. Check what you need to do before you make this decision.
- I'm ready to take action.
- I want to discuss the options with others.
- I want to learn more about my options.
3. Use the following space to list questions, concerns, and next steps.
| Author | Maria G. Essig, MS, ELS |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Specialist Medical Reviewer | Alexander H. Murray, MD, FRCPC - Dermatology |
- Springer K, et al. (2003). Common hair loss disorder. American Family Physician, 68(1): 93–102.
- Olsen EA, et al. (2002). A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. Journal of the American Academy of Dermatology, 47: 377–385.
- Habif TP (2004). Hair diseases. In Clinical Dermatology: A Color Guide to Diagnosis and Therapy, 4th ed., pp. 834–863. Philadelphia: Mosby.
- Whiting DA, et al. (2003). Efficacy and tolerability of finasteride 1 mg in men aged 41 to 60 years with male pattern hair loss. European Journal of Dermatology, 13(2): 150–160.
- Finasteride Male Pattern Hair Loss Group (2002). Long-term (5-year) multinational experience with finasteride 1 mg in the treatment of men with androgenetic alopecia. European Journal of Dermatology, 12(1): 38–49.
Last Updated:June 17, 2008
Author:Maria G. Essig, MS, ELS
Medical Review:Kathleen Romito, MD - Family Medicine & Alexander H. Murray, MD, FRCPC - Dermatology
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