Does Rogaine or Minoxidil Cause Constipation?

I’ve been using minox 5% once a day for 2 mos recently i developed constipation. Can i attribute it to minoxidil use? Do you get reports like this. Thanks

constipation
I doubt minoxidil or finasteride causes constipation. Try a fiber rich diet.


2014-08-15 12:13:44Does Rogaine or Minoxidil Cause Constipation?

Reversal of significant balding at 25 in 2 months (photos)

I’m 25 years old. I was starting to lose my hair when I was 16. It was very rapid process so when I was 20 my situation is almost NW7. 132 days ago I decided to take this regime ( I don’t want to mention about decision phase): dermaroller 0.5 mm x1week, (dut(0.5) once everyday+ minox %5 twice everyday + nizoral 2-3 times per week with no side effects), biotin(10000) + zinc(50) + d3(5000) + collagen peptides(tablet) + omega3(with fish oil) all of them x1 everyday, ogx biotin shampoo

Everything was good for me in just 2 months. It was like a miracle you know. My hair like born again. My head was full of baby hair and they were getting stronger day by day (or its just it seemed to me like that)

This is great. You have with your combination of approaches solved your hair loss problem for the moment. I have little doubt that the best part of what you did was: big 3 + dermaroller 0.5 mm x1week (dut(0.5) once everyday+ minox %5 twice everyday + nizoral 2-3 times per week with no side effects). There are excellent studies that show that the use of a dermaroller plus minoxidil and finasteride (in your case dutasteride) can reverse hair loss in young men. I give you great credit for sticking to this routine. Keep in mind that both dutasteride (or finasteride) plus the minoxidil must stay on-board to hold on to your hair, possibly without more dermaroller work.


2020-04-19 12:42:08Reversal of significant balding at 25 in 2 months (photos)

Does the crown respond slower than the front to drugs?

Everyone is different. For hair transplants, sometimes the crown grows slower than the front, sometimes it is the other way. For drugs like finasteride or minoxidil, again there is no rule.
There is a process called Apoptosis, the death of a hair cell in this case, is genetic and timed by the number of cycles it has in its lifetime. If your biologic clock dictates early death of some or all of the crown hairs and not the frontal hairs, then clearly, the drugs will work less well on the crown. The reverse is also true.

Ringworm on My Stomach — If It Spreads to My Scalp Will I Lose Hair?

I have ringworm on my stomach. I am kinda freaking out about it! Every little itch I have, I think it’s going to be a new spot of ringworm. I have a really dry scalp as it is, but my main question is, if the ringworm has spread to my head, will my hair fall out? Does this happen in every single case of ringworm on the scalp, or can it possibly not cause hair-loss and continue to grow?

If you have ringworm on your abdomen, it can be treated and it will not necessarily spread anywhere if it is under good treatment. Ringworm is not really a worm, but a fungus. See a doctor about this soon so you can stop freaking out!

Why Doesn’t Propecia Work For Dupa or Female Pattern Balding?

In a previous question you said propecia doesn’t work for DUPA. Isn’t DUPA miniaturization of the follicle we see in Aga and FPB. I have seen that most cases of FPB also has some degree of thinning on the whole head, back and sides. I thought it had already been proven that dht caused miniaturization of the follicle. If not DHT then what are the other causes of hair miniaturizing? Actual miniaturization and not just hair falling out like TE or AA. Miniturization of anykind has been said to be the hallmark on diagnosing all AGA. Could it be that it does work at the same percentage as it does in mpb but because we see so much less cases of DUPA and by the time it shows you need to be at the point of 40-50% loss. Is it more a game of not being able to catch up after such loss.

I believe there are some misconceptions here I would like to clear up.

Male Pattern Balding is a genetic condition in men. In other words if a man was born with the gene(s) for MPB, he will have a hair loss in a certain predictable “pattern” (thus the term Male Pattern Balding). Scientist have found if a man has the gene for MPB, a hormone called dihydrotestosterone (DHT) is partially responsible for his hair loss. If a man does not have the MPB gene, DHT will not cause hair loss. Propecia is a drug that block the DHT action and it works in men who have the genes for MPB.

Propecia will not work for DUPA or Female Pattern Balding because hair loss is not a related to DHT and it is not related to the gene for male pattern balding. DUPA (Diffuse Un-Patterned Alopecia) is similar to generalized hair loss in women and as such is not impacted by the drug Propecia (finasteride).

Miniaturization is just a phenomenon seen in the hair loss process. You will see miniaturization in naturally shedding of hair in a non balding person in some of the hairs at the end of their normal cycle. A non balding person will have up to 20% of miniaturized hair (many of them actually vellus hairs that are small, very short hairs found in each follicular unit in all people). Hairs go through natural cyclex of growth and shedding (anagen, catagen, telogen). A person with MPB will likely have more than 20% of miniaturization in a specific pattern around his scalp. A person with DUPA will likely have much more than 20% of miniaturization all over the scalp in a non specific pattern (thus the term Diffuse Un-Patterned Alopecia).

Rogaine Foam Response Time?

Dr. Rassman,
I am confused as to why you said it would take 1-2 years to see results with Rogaine 5% Foam versus the 3 to 4 months that is usually mentioned for any results. I thought the cycle of hair growth is generally a four month turnover process and am wondering why you said I would need to wait 1-2 years. Again, I am a 48 year old female with androgenetic alopecia. Thank you.

It takes time for the hair to grow out, so any benefit of minoxidil that is obtained in the 4-6 month hair cycle, needs to grow to styling length to see value. Sure, you might see tiny baby hairs sprouting up, but those aren’t at a length that is manageable. Hair grows at the rate of 1/2 inch a month, so by adding the numbers together, we get to the estimates I gave before —

+ 4 months (growth cycle)
6 months (to grow a three-inch hair length)
= 10 months

Then add to this the reality that it may take up to a year for the full benefit of the minoxidil to be realized.


2008-03-12 15:22:03Rogaine Foam Response Time?

My Donor Area Is Very, Very Thin After My 4000 FUE Surgery, Why Is That? (Photo)

4,500 FUE grafts is a high number of FUE grafts for anyone with a lower than average donor density.

If you are from India or South Asia, your donor density will not support that number of grafts and thus you have a depleted donor area.

Scalp Micropigmentation is the only solution to this problem (see: https://scalpmicropigmentation.com/scar-covering/).

Screen Shot 2018-08-22 at 7.47.15 AM

 


2018-12-01 08:09:56My Donor Area Is Very, Very Thin After My 4000 FUE Surgery, Why Is That? (Photo)

Rubbing Areas of My Head Caused Thinning

hey dr
this is gonna sound weird but i used to work in a job that involved lifting boxes all day. i lift them on my right shoulder and the boxes would always rub the side of my head and right
eyebrow but i noticed the hair on the right side thinning and also the eyebrow on the right side missing hair and i figured out that all the constant rubbing over the years had caused it. i
have a full head of hair all over except these affected areas. ive made sure over the last year not to touch my head with the boxes but ive noticed no regrowth. i was just wondering if you could suggest anything to use on my the affected areas to promote new hair growth that wont maybe lead to further hairloss as ive heard a lot treatments like rogaine once stopped can cause further hairloss. thanks

What you are describing seems to be a form of traction alopecia, where repeated tension on the scalp and hair causes hair loss. Rubbing hair also puts a pull on hair that is near the end of its cycle. If you have constant traction, this type of hair loss can be permanent. You can try Rogaine in those areas to see if some hair will grow back.


2007-07-17 10:32:11Rubbing Areas of My Head Caused Thinning

Dostinex (Cabergoline) and Propecia

Dear Dr. Rassman,

I’m a 28 year old male. About 6 months ago I was diagnosed with a rare pituitary condition called hyperprolactinemia. This disorder is genetic in my family, and mine is a very mild case. The treatment is a single half-dose of cabergoline (marketing name Dostinex) taken once a week.

Male pattern baldness also runs in my family and I’m starting to show thinning on the crown of my head. My dermatologist suggested I try the propecia/rogaine route. Since propecia affects the endocrine system I am a bit reluctant to take it without knowing more about possible side effects or interaction with the cabergoline. I don’t think it should and my dermatologist said she wasn’t aware of anything and I haven’t found anything about it on the web, but I wanted to get another opinion before I started propecia. I also read online that minoxidil from rogaine may have a side effect of increasing prolactin – the condition I have too much of. Do you know of any cases like this? If so, should I reconsider starting propecia, rogaine, or both?

Thanks!

At this point, it is very difficult to accurately assess the cause of your thinning hair. As far as I know, cabergoline does not have hair loss listed as a potential side effect, however, this does not mean that this drug can not cause this in you. Also, certain diseases / stresses to the body have also been known to cause hair loss. Lastly, as you have mentioned, male pattern baldness could be the cause of your thinning hair. You definitely need a miniaturization study to determine the extent and locations of most of your hair loss (i.e. does it correspond to MPB?).

There have been reports that minoxidil may be related to the development of hyperprolactinemia, definitely something you don’t need more of (see Drugs.com – Interactions between cabergoline and Minoxidil). The main point here should be that before you start any medication, whether it be Propecia or Rogaine, you should have a coordinated discussion between your physician that is treating you for the hyperprolactinemia and your dermatologist. To answer your question though, I haven’t read about Propecia (finasteride) and cabergoline interactions, but again, please discuss this with your prescribing physician.


2008-01-15 13:12:15Dostinex (Cabergoline) and Propecia