2014, Number 1
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An Med Asoc Med Hosp ABC 2014; 59 (1)
Evaluation of the efficacy and safety of topical and oral treatments on hormonal and androgenetic alopecia
Espinosa BJ, Rentería CJC, Alejo GJA
Language: Spanish
References: 35
Page: 8-15
PDF size: 362.80 Kb.
ABSTRACT
Background: The combination of oral finasteride and dutasteride with topical minoxidil is currently widely used in the treatment of androgenetic alopecia. However, few studies –with the exception of those carried out in animals– have shown the effectiveness and safety of the combination of several treatment models. In this study, the efficacy and safety of applying topical minoxidil and an oral medication like finasteride and dutasteride scheme over a period of 65 weeks were evaluated.
Methods: This is a nonrandomized, unblinded clinical trial; the assessment was made by the attending physician at each visit, with the help of the inspection of sequential shots. An analysis at the end of the study of the digitized images by comparing their histograms was performed.
Results: Through the analysis conducted, we identified only three (6.8 %) patients whose changes were not significant. Regarding the safety of the treatments used in this study, only one patient reported sexual dysfunction problems; a determination of PSA was indicated.
Conclusions: The results suggest that the combination of topical and oral treatment regimens promotes the growth of new hair. Likewise, the assessment of their effectiveness by analyzing digitized images provided quantitative data that allowed comparing different groups of patients; no statistically significant differences were found between them.
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