Hair Loss

Question 1

How does hair loss typically present in men?

Answer 1

Thinning of the hair and a frontal receding hairline that might or might not be accompanied with hair loss at the crown.

Question 2

How does hair loss typically present in women?

Answer 2

Frontal hairline is maintained with diffuse hair loss that is accentuated at the crown.

Question 3

Does hair loss require a counselling room?

Answer 3

Yes

Question 4

What are 6 red flags for referral with hair loss?

Answer 4

1. Fungal infection of the scalp
2. Patients < 18 years
3. Possible endocrine cause
4. Sudden onset
5. Suspected iron deficiency for blood test
6. Trichotillomania (hair pulling disorder)

Question 5

Does hair loss have a PSA self-care card?

Answer 5

Yes (Hair Loss)

Question 6

What is the preferred over-the-counter treatment option for hair loss?

Answer 6

Minoxidil Topical Solution 5% w/v (Regaine)

Question 7

What are the directions for Minoxidil Topical Solution 5% w/v (Regaine) in hair loss?

Answer 7

Adults 18-65 years:
1. Apply 1mL in the morning and at night onto dry
2. scalp in the hair loss area.
3. Do not use on other parts of the body.
4. Continued use is necessary to increase and maintain hair re-growth, or hair loss will begin again.
5. Treatment should be continued for at least 4 months with maximum results at 12 months.

Question 8

Is Minoxidil Topical Solution 5% w/v (Regaine) safe in pregnancy?

Answer 8

No

Question 9

Is Minoxidil Topical Solution 5% w/v (Regaine) safe in breastfeeding?

Answer 9

No

Question 10

What is the age range for Minoxidil Topical Solution 5% w/v (Regaine)?

Answer 10

Safe in adults 18 to 65 years

Question 11

What are 8 potentially precipitating or contributing factors to hair loss?

Answer 11

1. Post-partum
2. Stress
3. Nutritional deficiencies
4. Underlying endocrine disorder for example, diabetes or hypothyroidism.
5. Fungal scalp infection
6. Alopecia areata (hair loss of unknown origin)
7. Medication-induced hair loss
8. Trichotillomania

Question 12

What is 1 piece of non-pharmacological advice for hair loss?

Answer 12

Do not wear a wig, scarf or hat for at least 1 hour after application of minoxidil as this may increase the amount absorbed through the skin causing unwanted effects i.e., mild dermatitis and unwanted hair growth above the eyebrows and on cheeks.

Question 13

Is hair loss typically associated with a family history?

Answer 13

Yes

Question 14

What are 8 medications which can cause hair loss?

Answer 14

1. Antineoplastics
2. Anticoagulants
3. Lithium carbonate
4. Interferons
5. Oral contraceptives
6. Retinoids
7. Colchicine
8. Carbimazole