Several options for treating alopecia can be discussed with the patient. It slows or stops hair loss, and some patients with male pattern baldness experience hair regrowth. In order for it to be effective, the patient has to use it twice daily, continuously. Inform patients that it can take several months of continuous use before they see any results. Minoxidil can be used with permed or coloured hair, and with hair care products such as hairspray, gel and mousse.
Some patients prefer an oral format to topical agents.
Oral finasteride 1 mg daily is another option. Like minoxidil, finasteride must be taken continuously for it to be effective and can take several months to show any benefits. Topical tretinoin has also been used in some patients to stimulate hair growth. However, this product can lead to scalp irritation and flaking, and if applied too frequently, it can actually lead to hair loss. The second concern for this patient is the premature wrinkling of his skin.