Drugs for Alopecia (Hair Loss)

Question 1

Finasteride**

Answer 1

Propecia**
- tablet
- 1 mg daily; can take at least 3 months to see an effect
- must be used indefinitely or condition reappears
-Do not dispense to pts taking Proscar for BPH
-CI: pregnancy
-warning: hazardous drug for females of childbearing potential

Proscar**
- 5-alpha reductase type 2 inhibitor approved for BPH**

Question 2

Barictinib

Answer 2

Olumiant
- Janus kinase inhibitor approved for severe alopecia
- boxed: (serious infections (ex herpes zoster), malignancy, thrombosis)*, major CVD events, mortality

Question 3

Minoxidil topical**

Answer 3

Rogaine**
- OTC
- flammable, do not use near a heat source
- can be used by males or females

tablet form (Rx) (rarely) used for HTN

Question 4

Bimatoprost

Answer 4

Latisse
- Rx: solution
-for thinning eyelashes (hypotrichosis)**

-Do not use with prostaglandin analogs used for glaucoma (IOP may increase)**
-apply nightly to skin at base of upper eyelashes**