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What Causes Hair Thinning And Bald Patches?

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Posted on Mon, 30 Mar 2015
Question: Hi
I am using min top 10 for a while now , and have been using min top 5 % and 2% for years , starting with 2 % and gradually increasing to 5 and now to 10.
I am noticing increased hair thinning and bald patches for the first time now.
I wanted to know if i should go back to min top 5.
doctor
Answered by Dr. Sanjay Kumar Kanodia (18 minutes later)
Brief Answer:
A higher percentage can be used as directed.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum. I can understand your concern for hair fall.

I can get from your query that you have had used minoxidil 10 % and 5 %. Presently after using 2 % lotion you are experiencing more hair fall.

It is a common phenomenon that on reducing the percentage of minoxidil lotion one can feel more hair fall.

It is due to the fact that minoxidil works by increasing the blood supply. So if a higher percentage is used then there is more blood supply. Once the percentage is reduced abruptly then the blood vessels are not able to cope up with the same. The resultant effect is reduced nutrition to the hair roots and then thinning as well as hair fall.

You can go for 5% lotion under dermatological supervision. Do not try to abruptly change the concentration on hic her or lower side. I guide my patients to use both 2 % and 5 % at day and time time or on alternate days for few weeks before shifting to higher or lower percentage.

Do eat best of diet containing lot fruits and vegetables to improve the nutritional reserves.

I hope these informations will help you.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (13 minutes later)
I just want to clear up one thing :
i am currently using min top 10.
I started using with minoxidil 2 % at least 8-10 years back , and then shifted to 5 % and now i am using 10 % for at least a year .
My question here is should i move back down to 5% or take a break from minoxidil since the hair loss/thinning is increasing .
Please advise
doctor
Answered by Dr. Sanjay Kumar Kanodia (57 minutes later)
Brief Answer:
A multivitamin and iron tablet can be started.

Detailed Answer:
Hello,

Welcome back and thanks for your swift response.

Minoxidil in the percentage of 10% is quite effective. In case if you are not getting system response by 10 % then it is better to give a break rather than shifting to 5%.

In your kind if cases I generally start either a multivitamin or an iron tablet. A lotion with latest biochemical such as Q sera can be used as an alternative to minoxidil.

I hope these informations will help you.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (4 minutes later)
and how long of a break should i be taking from minoxidil.
also with what % should start again .

Thanks for the quick reverts.
doctor
Answered by Dr. Sanjay Kumar Kanodia (8 hours later)
Brief Answer:
Start with low percentage and then go higher.

Detailed Answer:
Hello,

Welcome back and thanks for your follow up.

In general a gap of 8 weeks is quite fine. It is better to start with low percentage of 2% and then gradually go higher simultaneously softer few weeks.

The latest of the lotion guided in previous mail also helps also lot in this transition phase. You can take all the guidance by a treating dermatologist. Do not forget to take a nutritious diet with fruits and vegetables.

I hope these informations will help you.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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What Causes Hair Thinning And Bald Patches?

Brief Answer: A higher percentage can be used as directed. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for hair fall. I can get from your query that you have had used minoxidil 10 % and 5 %. Presently after using 2 % lotion you are experiencing more hair fall. It is a common phenomenon that on reducing the percentage of minoxidil lotion one can feel more hair fall. It is due to the fact that minoxidil works by increasing the blood supply. So if a higher percentage is used then there is more blood supply. Once the percentage is reduced abruptly then the blood vessels are not able to cope up with the same. The resultant effect is reduced nutrition to the hair roots and then thinning as well as hair fall. You can go for 5% lotion under dermatological supervision. Do not try to abruptly change the concentration on hic her or lower side. I guide my patients to use both 2 % and 5 % at day and time time or on alternate days for few weeks before shifting to higher or lower percentage. Do eat best of diet containing lot fruits and vegetables to improve the nutritional reserves. I hope these informations will help you. With regards, Dr Sanjay Kanodia MD-DERMATOLOGY