Hair loss: why this happens, what to do, advice from a trichologist

What vitamins will help with hair loss?

June 17, 2021
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Content

• Why does hair fall out?
• The best vitamins against hair loss
• Revalid
• Phyto Phytophanere
• Priorin
• Solgar tablets for skin, hair, nails
• Pantovigar
• Fitoval
• Alerana
• Complivit Radiance
• Doppelhertz Beauty Beauty and hair health
• Inneov Hair Density

Everyone dreams of thick, voluminous and shiny hair. And this applies not only to women, but also to men. But what to do if your hair falls out, splits, loses its shine, becomes dry or, on the contrary, oily, and dandruff appears? The condition of the hair is a kind of reflection of the condition of the body as a whole (the amount of hormones, vitamins, microelements, stress, any disease).

If you have problems with your hair, we recommend, of course, going to your family doctor (or better yet, a trichologist or dermatologist). If the problem is not serious, hair supplements and vitamins will help improve the condition of your hair. In this article, we have collected the best remedies for hair loss when the body lacks vitamins and microelements.

Cosmetic aids

Since so much of the morbidity of FPHL lies in body image disturbances, cosmetic aids are an integral part of management options. These incorporate hair styling techniques, camouflage products, hair replacements, hair accessories, and additions.

FPHL is an under-recognized entity. Significant hair loss is seen in over ¼ of females over the age of 50. Satisfactory management of this condition requires a knowledge of possible underlying causes, physical comorbidities, possible differential diagnoses, and the various therapeutic modalities available. It also requires an appreciation of the potential psychological effect of hair loss on affected individuals, and sensitivity during patient consultations.

The condition is progressive without treatment. Current pharmacological treatment stems further progression and can also stimulate partial regrowth.

Regardless of which medication is utilized, the response is slow, and requires patience and persistence in both patient and clinician. The cosmetic effects of this condition should not be underestimated, thus cosmetic aids and surgical options are both important adjunctive options that need to be discussed with these patients in addition to pharmacotherapy.

Why does hair fall out?

There are two causes of hair loss:

increased sensitivity to testosterone and poor nutrition of the hair roots.

1. Testosterone is the male sex hormone that causes androgenetic alopecia. Moreover, male pattern baldness is often common in women. With androgenetic alopecia, hair begins to thin at the temples, and then at the crown. Women rarely lose hair on a large scale; the process occurs more slowly for them than for men. But hair loss, of course, is noticeable and causes a lot of grief. Androgenetic alopecia cannot be stopped by any vitamins, shampoos or masks. The only remedy that can help strengthen hair is drugs that block the effects of testosterone on the hair follicles. Moreover, you will have to use such drugs for the rest of your life.

Revalid

These hair vitamins contain vitamins B1, B5, B6, B10, trace elements (Fe, Zn, Cu), amino acids, millet and wheat germ extracts, as well as yeast. "Revalid" effectively slows down hair loss and stimulates the nutrition of hair follicles. When you regularly take hair vitamins, your hair becomes less brittle and healthier. "Revalid" are hard gelatin capsules, and despite their large size, they are easy to swallow. You need to drink three of these capsules a day with food. The course of treatment is two to three months. If hair loss is severe, take two tablets three times a day. Very soon the hair begins to fall out much less and grows faster, and fluff appears in place of the lost hair. Considering that Revalid for hair contains yeast, a slight weight gain is possible.

Revalid

TEVA, Ukraine

Revalid is a multivitamin complex that improves the structure of hair and nails.
Revalid compensates for the deficiency of vitamins, microelements and amino acids. The components of the drug help normalize metabolic processes. And also: Improving the surface structure and appearance of hair and reducing its fragility. Improving the trophism of hair follicles and nails. Increasing resistance and slowing down hair loss as a result of exposure to adverse environmental factors and unwanted effects (mechanical damage; exposure to a chemical nature - hair coloring; exposure to X-rays and ultraviolet rays). from 445

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Phyto Phytophanere

Phyto Phytophanere, a dietary supplement for hair loss, contains B vitamins, vitamin E, C, zinc, and polyunsaturated fatty acids. By the way, these hair vitamins are often prescribed by trichologists for baldness and increased hair loss. Phyto Phytophanere dietary supplement is small brown capsules that look like M&M's. These hair loss vitamins have a pleasant chocolate flavor and are easy to swallow. It is recommended to take two capsules with food per day. People who have taken hair vitamins say that the result becomes noticeable quickly: the hair stops falling out, begins to grow quickly, and becomes thicker. By the way, while taking Phyto Phytophanere, nails become stronger, and seborrheic dermatitis also goes away.

Phyto Phytophaner

Phyto, France

Phytophaner food supplement for the beauty of hair and nails compensates for the lack of vitamins associated with an unbalanced diet and is an ideal addition to any treatment against hair loss.
The drug is recommended for women, including pregnant women and nursing mothers (whose hair needs special protection). All components are of plant origin, which provides a 100% guarantee of safety. from 2990

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Priorin

Hair vitamins of plant origin Priorin are produced by the German company Bayer. Priorin improves metabolism and nutrition in hair follicles, strengthens hair roots. These hair vitamins are based on three main active ingredients: wheat extract, L-cysteine ​​and pantothenic acid. Wheat extract “seals” damaged areas of hair, smoothes it and makes it softer. L-cysteine ​​stimulates collagen production, and pantothenic acid makes hair elastic by retaining moisture. Priorin for hair perfectly restores and nourishes curls at the cellular level. The first noticeable results can be seen within a month after regularly taking vitamins. The course of hair treatment is at least three months, and the first month you need to take two capsules a day, then one at a time.

Priorin

Berlimed, Germany; Bayer Bitterfeld GmbH, Germany

Priorin is a drug for the dietary treatment of hair growth disorders and hair loss in women caused by hormonal heredity.
Priorin strengthens the hair roots, supplies them with important microelements and thus prepares the basis for healthy hair. from 1750

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Prevention of alopecia in men

In order not to encounter a problem, constantly engage in prevention. The following tips will help with this:

1. Dry your head as carefully as possible, do not rub the skin. Otherwise, the follicles are damaged. 2. Do not pull or injure the strands during combing or other procedures that involve mechanical stress. This way you can cause enormous damage to the cover. 3. Do not wear wigs or synthetic products. Synthetic materials interfere with normal air exchange of the skin, which leads to the development of dandruff and bald patches. 4. Another tip is to use the right shampoo and conditioner that suits your hair type. It is not recommended to focus on cost and purchase the most affordable product in the store - this can lead to significant problems. 5. Don't wash your hair too often. This removes the natural protective layer of the strands and disrupts the functioning of the fatty glands, which protect the hair from adverse environmental factors. 6. Avoid chemically aggressive compounds, such as paints. If you want to change the color, use hair dyes based on natural ingredients. 7. Monitor your diet - calculate your daily intake of proteins, fats and carbohydrates. The diet should always contain foods rich in vitamins, minerals and trace elements.

Take care of your curls, regardless of gender and age, this will help maintain healthy shine, elasticity and volume for as long as possible.

Now you know how to slow down and stop hair loss in men and how you can avoid adverse consequences. Be healthy and beautiful!

Solgar tablets for skin, hair, nails

The American dietary supplement for hair loss “Solgar tablets for skin, hair, nails” contains vitamin C, zinc, copper, MSM, silicon, L-proline and L-lysine. These components improve the condition of the skin and hair. "Solgar" not only stops hair loss, but also stimulates the growth of new ones. Solgar Skin, Nails & Hair vitamins are free of dairy, gluten and wheat. Solgar capsules, despite their impressive size, are smooth, so they are easy to swallow. You need to take these hair vitamins once a day, two pieces (after meals), with a sufficient amount of water. Do not take Solgar for hair on an empty stomach because it may cause nausea and stomach pain. Those who have taken Solgar for hair say that these vitamins perfectly stop hair loss, and good results are visible after a month or two. New hairs grow dense and silky, nails become stronger, and the skin becomes smoother, more elastic, and rashes are reduced.

Solgar tablets for skin, hair, nails

Solgar Vitamin and Herb, USA

The basis of the “Skin, Hair, Nails” complex is MSM (methylsulfonylmethane) – a source of organic sulfur, the main component of keratin (the building block of hair and nails), as well as collagen (the basis of the skin).
The balanced composition allows the skin to give firmness and elasticity; protect from the harmful effects of UV rays; regulate the activity of the sebaceous glands; strengthen hair and nails. from 453

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Treatment options

Pharmacological

Pharmacological options can be divided into drugs with androgen-independent and androgen-dependent mechanisms of action.

Androgen-independent medications

Minoxidil Currently the only androgen-independent medication in widespread use is minoxidil topical solution. This medication's proposed mechanism of action is by affecting hair cycling, causing premature termination of telogen, and probably prolonging anagen. Understanding exactly how minoxidil exerts these effects is currently the subject of intense research. Although this is available in both 2% and 5% preparations, only the 2% solution is currently FDA-approved for FPHL (DeVillez et al 1994). A study comparing the efficacy of the two concentrations using target area hair counts at 48 weeks as a primary endpoint showed a mild nonsignificant advantage for the 5% solution (Olsen et al 2002).

Androgen-dependent medications

The use of all androgen-dependent medications to treat FPHL carries a risk of causing abnormalities in the genitalia of the male fetus. , these medications are contraindicated in women who are pregnant, which leads many physicians to recommend that women start and thus remain on an oral contraceptive pill throughout their course of treatment with these medications. As with minoxidil, all androgen-dependent medications need to be continued for at least 1 year before an accurate appraisal of efficacy can be made.

Finasteride Finasteride works by inhibiting 5α-reductase II enzyme, which is responsible for catalyzing the conversion of testosterone to the much more active chemical 5 DHT. Thus, finasteride suppresses overall androgen activity by restricting total circulating androgen activity.

Cyproterone acetate This medication inhibits gonadotropin-releasing hormone (GnRH) and blocks androgen receptors. Other uses include prostate cancer, hirsutism, and severe acne. Is commonly used combined with estradiol as an oral contraceptive pill named Diane-35.

Spironolactone Spironolactone is used widely to treat FPHL and hirsutism. It acts as an androgen antagonist by competitively blocking androgen receptors, as well as inhibiting ovarian androgen production. In the USA it is the most widely used antiandrogen to treat FPHL.

The side effect profile of spironolactone is perhaps more varied compared with other medications, due partly to its additional actions as an aldosterone antagonist. These include postural hypotension, electrolyte disturbances, menstrual irregularities, fatigue, urticaria, breast tenderness, and hematological disturbances.

Flutamide Flutamide is a potent antiandrogen, acting via androgen receptor antagonism. As such, it is commonly used to treat advanced prostate cancer and hirsutism. Being one of the newer antiandrogens, there is limited medical literature on its use in FPHL. Adverse effects due to flutamide are potentially severe. These include hepatic dysfunction and breast tenderness, both of which are dose-related.

Pantovigar

“Pantovigar” is a German dietary supplement for hair, which contains: medical yeast, thiamine mononitrate (vitamin B1), calcium pantothenate, cystine, para-aminobenzoic acid, keratin. "Pantovigar" is prescribed for diffuse hair loss not associated with the effects of hormones. These hair vitamins are in the form of white-green hard gelatin capsules. And although the length of one Pantovigar capsule is about 2 cm, they are easy to swallow. You need to take vitamins against hair loss, one capsule three times a day with food. The course of treatment is about six months. Judging by the reviews, hair loss is significantly reduced by about the fourth week of taking these hair vitamins. “Pantovigar” stimulates hair growth because “sleeping” hair follicles wake up. The only drawback of these vitamins for hair is that hair begins to grow rapidly not only on the head, but throughout the body. Don’t expect a dramatic improvement in the situation, but in two months the situation will definitely please you.

Pantovigar

Merz, Germany

Pantovigar is a complex drug that helps restore the structure and accelerate the growth of hair and nails.
The drug contains a number of elements necessary for the proper formation of the structure of nails and hair, in particular, the drug contains calcium D-pantothenate, cystine, thiamine and medical yeast containing a number of B vitamins and other biologically active substances. The therapeutic effect usually develops within 2-6 weeks, due to the rate of nail and hair growth. from 438

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Strategy and tactics for treating diffuse hair thinning

Despite many years of research into hair loss, the pathogenesis of this common disease is still not completely clear. However, it is important for practitioners to make certain decisions in choosing a method and tactics of therapy, as well as to be able to evaluate and apply newly developed techniques. Issues of drug treatment of hair loss are being actively studied today. With all the variety of modern means, in order to avoid polypharmacy and to achieve the best clinical, aesthetic and psychological results, it is necessary to choose the correct treatment algorithm, taking into account the etiopathogenesis. The treatment strategy for diffuse hair loss is a specific plan covering a long period of time and is determined by the following tactics:

I. Pathogenetic treatment. II. Taking vitamins. III. Use of biologically active additives. IV. Improving microcirculation of the scalp. V. Stimulation of hair growth.

I. Pathogenetic treatment. The etiology and pathogenesis of diffuse hair loss is not fully understood. However, today it can be noted that with diffuse hair loss, in contrast to severe forms of alopecia - focal or scarring, there are no organic changes in the hair follicle, but only the rhythm of hair change is disrupted. Consequently, complete baldness does not occur and with proper treatment it is always possible to restore hair density. Androgenetic alopecia is often classified as diffuse baldness. Androgenetic alopecia (AA) is fundamentally different from diffuse alopecia (DA). First, this hair loss has typical hair thinning or balding in the frontal and/or parietal areas. Secondly, in AA, the main links in the pathogenesis are the excess content of androgens in the body tissues or the increased sensitivity of specific receptors to them, as well as a local disorder of androgen metabolism caused by genetic predisposition [1–3]. Therefore, in the absence of signs of androgenetic hair loss, the doctor needs to direct treatment to restore the rhythm of hair change. In this situation, homeopathic medicines can be an alternative treatment. Recent studies indicate the effectiveness of homeopathic medicines in the treatment of various types of alopecia. By complementing traditional treatment, homeopathic medicines expand the possibilities for optimizing treatment. What they have in common is a regulatory and stimulating effect due to the inclusion of autogenic mechanisms in therapeutic processes. The drug of choice is the complex homeopathic drug Selencin®, prescribed 1 tablet 3 times a day 30 minutes before meals or 1 hour after meals for 2–4 months. Practical experience in using this drug has proven its high effectiveness, which is reflected in scientific works [4–6].

AA therapy is aimed at the main links of pathogenesis: regulation of the level of androgens in body tissues, reduction of the increased sensitivity of specific receptors to them, as well as regulation of local disorders of androgen metabolism [1–3].

Contrary to the popular opinion about the need to prescribe oral antiandrogens for AA, in our opinion, treatment should begin with topical drugs with an antiandrogenic effect, especially in women. In women, unlike men, AA progresses more favorably. In the parietal region in females, there is a miniaturization of the hair follicle, a predominance of vellus hair over shaft hair, which is clinically manifested by widening of the parting. In men, complete atrophy of the hair follicles gradually occurs, leading to final and irreversible hair loss. Consequently, in women, unlike men, AA is easier to treat and hair restoration is always possible.

Specialized products for the treatment of AA and DA are the “Selencin®” series, consisting of a complex of external preparations (spray, shampoo, balm and hair mask). The Selentsin® cosmetic program for hair loss is a combination of innovative patented French components and traditional remedies for the treatment of alopecia. The undoubted advantage of this program is its two-stage therapy, which provides a systematic approach to solving the problem of hair loss. Stage 1 - suppression of 5-alpha reductase activity and activation of vascular endothelial growth factor (VEGF, Vascular endothelial growth factor). Stage 2 - stimulation of hair growth by enhancing microcirculation of the hair follicle.

The products of the Selentsin® cosmetic line were developed jointly with leading French companies developing and producing ingredients for the cosmetic industry - Naturex SA and Silab. The complex includes patented components - the latest developments from leading French manufacturers: Anageline® and Seveov®. Anageline® (Silab, France) is an ingredient obtained from sweet white lupine. Anageline® 0.25% solution has the ability to inhibit 5-alpha reductase activity by 18% (in vitro) and stimulate VEGF by 17% (in vitro). A 0.5% Anageline® solution has been proven to increase the metabolic activity of cells by 21% (in vitro), thereby reducing hair loss, promoting hair growth and increasing hair density. Scientific studies have shown that, thanks to the patented Anageline® component, hair loss is reduced by 17% in 3 months [7]. Selentsin® cosmetics contain the maximum recommended amount of the active component Anageline® - up to 9%.

Seveov® is an active ingredient produced by Naturex (France), obtained from the tubers of the Peruvian maca plant. Maca is grown in highland plantations in Peru. This component is new in the field of hair care. Seveov® actively influences the angiogenesis of blood vessels adjacent to the hair follicle, which helps to lengthen the anagen phase. Seveov® stimulates hair growth by 93% (in vitro).

The preparations also contain other active ingredients: caffeine, burdock extract, nettle extract, collagen hydrolyzate, biotin, menthol. Caffeine is a natural hair growth stimulant, a powerful antioxidant, and neutralizes the effects of testosterone. The high effectiveness of these ingredients is explained by the fact that they can penetrate the epidermal barrier, reaching the hair papilla.

In the production of the Selentsin® cosmetic line, high-quality raw materials from leading suppliers and companies developing cosmetic raw materials are used. Including CO2 extracts (nettle, burdock, mint, etc.) - extremely rich ingredients from plant raw materials, obtained by supercritical extraction with carbon dioxide, which are an order of magnitude more active than other types of extracts, do not contain solvents and various impurities.

After finishing using the products from the Selentsin® cosmetic line, there is no withdrawal effect.

Systemic drugs with antiandrogenic action, despite pronounced side effects (decreased potency and/or libido, impaired ejaculation, decreased ejaculate volume, enlarged and painful mammary glands, increased blood levels of luteinizing and follicle-stimulating hormone, decreased concentration of prostate-specific antigen (PSA), etc.) d.), are widely used for the treatment of AA in men.

Finasteride (Propecia®) is the most popular drug in the treatment of AA. It is a type II 5-alpha reductase inhibitor that reduces the conversion of testosterone to dehydrotestosterone. It is effective for a duration of use of 6 to 12 months at a dose of 1 mg/day [8, 9].

Clinical observations showed that after 5 years of taking the drug, only 0.3% of patients reported a weakened sexual desire and erectile dysfunction. Since finasteride reduces PSA levels by 30–50%, men over 40 years of age are recommended to double the results when indicating PSA levels (this is indicated in the instructions for the drug) [8].

This drug is not officially approved for use in the treatment of women with alopecia, because it has a teratogenic effect on male embryos. However, some authors recommend prescribing finasteride to women in combination with an oral contraceptive [9]. This drug is most effective for incipient hair loss, so treatment should be started at the first signs of hair thinning. It is important to emphasize that the absence of a change in hair density during treatment is not a failure of therapy, but, on the contrary, indicates its success, since continued hair loss should lead to significant thinning over time [8].

Dutasteride (Avodart®), which inhibits type I and II 5-alpha reductase, has not yet received full FDA approval for the treatment of AA and is under clinical investigation. . Currently used only in the treatment of prostate hyperplasia. According to modern studies, the effectiveness of dutasteride at a dose of 2.5 mg/day was superior to the effectiveness of finasteride at a dose of 5 mg/day [9].

Estrogens are indirect antiandrogens and are sometimes used to treat AA in women in the form of contraceptive medications. On the other hand, estrogens act not only as antiandrogens, but also as natural stimulators of hair growth, since estrogen-stimulated hair follicles are located in the parietal region [9]. It is known that after 30–35 years, a gradual decrease in the content of some sex hormones in women begins. During peri- and postmenopause, ovarian function declines and the production of estrogens by the follicular apparatus almost completely stops, but the secretion of their androgenic precursors continues in the ovarian stroma. Thus, the total amount of estrogen hormones in women after 40–45 years of age decreases by approximately 13 times compared to the normal average values. This leads to estrogen deficiency syndrome, but, unlike hypoestrogenism, the formation of testosterone and androstenediol in the ovaries continues for a longer time [3]. An important condition for the effectiveness of conservative measures in the correction of age-related AA during menopause is the prescription of hormone replacement therapy (HRT), based on modern ideas about the etiopathogenetic essence of the menopause. In domestic dermatology, this direction is taking its first steps, however, studies of HRT in the practice of dermatovenerologists have shown encouraging results [3]. It should be taken into account that, despite the widespread use of HRT in gynecological and gerontological practice, there is a fairly wide range of contraindications that prevent the administration of this type of treatment to women with concomitant pathology associated with the development of menopausal syndrome [3].

II. Vitamins are a group of organic substances combined by chemical nature, united on the basis of their absolute necessity for the body as an integral part of food. Of course, vitamins are not a supplier of energy for the body and do not have a significant plastic value, but they play a vital role in metabolism, participate in many biochemical reactions, performing a catalytic function as part of various enzymes or acting as regulatory intermediaries, performing signaling functions of exogenous prohormones and hormones . An increasing deficiency of vitamins, disrupting metabolism, aggravates the course of any disease and prevents their successful treatment. The dividing cells of the hair follicle are especially sensitive to vitamin deficiency. What are the tactics in choosing vitamins for diffuse hair loss? Of course, preference should be given to natural vitamins obtained by extracting from plants, rather than chemically synthesized in production. Natural vitamins contain a whole complex of substances that have similar vitamin activity, and not just one substance, for example, natural vitamin E may include all tocopherols existing in nature, and not just one tocopherol. Synthetic vitamin C is only ascorbic acid and nothing else. Natural vitamin C, extracted from rose hips, contains a whole complex of vitamins C, as well as bioflavonoids (vitamin P). Natural vitamins are better absorbed and excreted more slowly than synthetic ones. For hair loss, various vitamins C, PP, A, B6, B1, B12 are recommended; multivitamin complexes and biologically active supplements are widely used, the composition of which is specially selected for hair treatment (Inneov, Alerana, Doppelgerz, etc.) .

III. Biologically active additives (BAA). The human diet today must contain more than 600 different substances (nutrients). Insufficient intake of micronutrients from food is a common problem in all civilized countries. It arose as an inevitable consequence of a decrease in energy expenditure and a corresponding decrease in the total amount of food consumed by modern man. In order for the hair shaft to grow strong, elastic and long, building materials are needed for it. What provides elasticity and strength to hair? The hair shaft consists of proteins, lipids, pigment, water and, of course, microelements, the most important of which are sulfur, calcium and magnesium. An essential component of keratin is the protein cystine (cysteine ​​disulfide). It is cystine, due to disulfide bonds, that tightly strengthens keratin molecules together. Therefore, the largest amount of sulfur is contained in the keratin of hair and nails. Therefore, sufficient sulfur intake by the body is necessary for hair strength and elasticity. The risk group for the formation of sulfur deficiency is people who eat insufficiently and monotonously, with an increase in consumption of phosphates - lemonade, canned food, sausages, etc. [10].

Another strategically necessary component in the treatment of alopecia is yeast (“Dry brewer’s yeast, purified with sulfur “Evisent”, “Merz Yeast”). Yeast is one of the most effective complex natural vitamin preparations. They have been used in medicine for several decades to maintain natural metabolism, strengthen the immune system, increase performance, and improve well-being.

The therapeutic value of brewer's yeast is determined by the presence of large amounts of vitamin D (in the past, before the production of a synthetic analogue, brewer's yeast was used as a raw material for the production of vitamin D); content of B vitamins; zinc, calcium, amino acids; presence of orotic acid. An important point is that vitamins, micro- and macroelements of yeast are found in protein complexes, which determines the gradual nature of their entry into the human body. Thus, yeast improves the absorption of food, activates the transport functions of the intestine, normalizes metabolic processes, and has an immunostimulating and detoxifying effect.

In the treatment of alopecia, “Dry brewer's yeast purified with Evisent sulfur” (sulfur, vitamins B1, B6, PP, B2) is used, in the production of which a unique technology is used: incubation (growing) of yeast cultures occurs in special sulfur-enriched media, which ensures absorption and preservation of micronutrients by the yeast cell and, consequently, increased content and high bioavailability of the micronutrient (sulfur) in the preparation. All this makes it possible for the body to maximally absorb the micronutrients contained in the dietary supplement. Low-temperature drying technology at the final stage of production preserves the increased content of B vitamins in the yeast.

IV. Improving microcirculation of the scalp can be achieved by:

1) medicines; 2) irritant therapy; 3) physiotherapy.

Dermatology has extensive experience in the use of vascular drugs in the treatment of hair loss (xanthine nicotinate 1 tablet 2-3 times a day for 2 months, pentoxifylline (Trental) 1 tablet 3 times a day immediately after meals for 3 weeks; dipyridamole (Curantil) 1 tablet 3 times a day an hour before meals, for 1–3 months; Troxevasin 1 capsule 2–3 times a day for 1–3 months).

Currently, external products containing a 2–5% alcohol solution of minoxidil (Regaine, Alopexy, Pregain, Azelomax, Azelofelin, Alerana, etc.) have become very popular. Minoxidil, a potassium channel activator and vasodilator, was originally registered as an antihypertensive agent with a significant side effect of hypertrichosis. In 1988, the FDA approved a topical 2% solution for the treatment of hair loss and in 1997 allowed a 5% solution to be sold over the counter. Men are recommended to use a 5% minoxidil solution 2 times a day, women should use a 2% solution also 2 times a day. Short-term hair loss may occur 4–8 weeks after starting treatment. The patient must be warned that the use of the drug should not be stopped. The recommended course of treatment is 24 weeks [8]. Having extensive experience in using this drug, we can confidently speak about its high therapeutic effectiveness. However, along with the therapeutic effect, side effects were also revealed: allergic and contact dermatitis, hypertrichosis on the face, the need for long-term treatment, and the lack of a prolonged effect [8]. Recently, a structural analogue of minoxidil, aminexil, has been widely used, which is part of various cosmetics (lotions, shampoos), but still has the same side effects.

An ancient method that improves microcirculation of the scalp is still successfully used in dermatology in the form of irritant therapy. Preparations that can have a local irritating effect are well known to practicing doctors: tincture of capsicum, Capsitrin, pepper-camphor liniment, bodyagi pulp, 2% alcohol solution of essential mustard oil, etc.

Physiotherapeutic methods used in the treatment of diffuse hair loss are: local darsonvalization (silent discharge), ozokerite therapy, head massage, ultratonotherapy, warm compress. These methods cause a long-lasting vasodilator effect.

V. Stimulation of hair growth. According to most authors, hair growth can be enhanced with the help of herbal medicine (burdock oil, chamomile decoction, strings, etc.). Still, practice shows that these means are ineffective. To obtain the desired result, it is necessary to prescribe modern drugs containing active ingredients, which include Seveov®, caffeine, biotin (Selencin®), which can actually prolong the hair growth phase.

The drugs of choice may be the prostaglandin analogues latanoprost and bimatoprost, which are used in the treatment of ocular hypertension and glaucoma, but there is a side effect in the form of increased eyelash growth. Cosmetologists drew attention to this feature and conducted several small-scale studies. Bimatoprost (Latisse®) is currently used to stimulate eyelash growth. Foreign literature mentions extensive studies of latanoprost (Xalatan®) in stimulating scalp hair growth [9].

In conclusion, it should be noted that in the world there are about 300 thousand methods of treating baldness. With such a variety of drugs and methods, patients and doctors are often prone to polypharmacy, which makes it difficult to assess the effectiveness of therapy, increases the risk of side effects, reduces patient adherence to treatment and increases the cost of therapy. We must also remember that the number of hair follicles on the head cannot be increased by any medicine, so in the pursuit of beauty one should not forget the main commandment “do no harm.”

Literature

1. Grishchenko Yu. V. Optimization of diagnosis and pathogenetic therapy of androgenetic alopecia in women. Author's abstract. for the job application Ph.D. honey. Sci. M., 2011. 30 p.
2. Mareeva A. N. Features of clinical manifestations of androgenetic alopecia in women of reproductive age // Bulletin of Dermatology and Venereology. 2011, no. 1. pp. 103–107.
3. Morgulis Yu. A. Hormone replacement therapy in the treatment of seborrheic dermatitis, rosacea and premature hair loss in menopausal women. Author's abstract. for the job application Ph.D. honey. Sci. M., 2010. 24 p.
4. Batkaev E. A., Gallyamova Yu. A. Complex homeopathic drug “Selencin” in the treatment of Telogen effluvium // Bulletin of postgraduate medical education. M., 2002, No. 3. P. 42–43.
5. Batkaev E. A., Gallyamova Yu. A., Kantimirova Yu. A. Homeopathic medicines in the practice of a dermatologist. Textbook, 2006. 30 p.
6. Hassan Khaled. Optimization of therapy for diffuse alopecia, taking into account disturbances in microcirculation and microelement metabolism. Author's abstract. diss... cand. honey. Sci. M., 2011.
7. Tenseurs naturels: innovations, expertise et savoir-faire natural tensors: innovation, expertise and know-how expression cosmetique: guide des ingredients cosmetiques // Guide of cosmetic ingredients in November, 2011.
8. Hair transplantation. Ed. Robert S. Haber and D. B. Stough. M.: Red Esliver LLC, 2009. 219 p.
9. Kevin J., McElwee Ph. D., Jerry Shapiro. Promising Therapies for Treating and/or Preventing Androgenic Alopecia // Skin Therapy Letter. 2012; 17 (6).
10. Rebrov V. G., Gromova V. A. Vitamins and microelements. M.: “ALEV-V”, 2003. P. 670.

Yu. A. Gallyamova, Doctor of Medical Sciences, Professor

GBOU DPO RMAPO Ministry of Health and Social Development of Russia, Moscow

Contact information about the author for correspondence

Fitoval

These hair loss vitamins contain B vitamins, biotin, iron, zinc, copper, amino acids and medicinal yeast. These components enter the bloodstream and nourish the hair follicles - the hair becomes stronger, stops falling out, and new ones begin to actively grow. “Fitoval” are small dark burgundy gelatin capsules that are easy to swallow. “Fitoval” must be taken after meals to avoid nausea and stomach pain. The course of hair treatment is up to three months (one capsule per day). “Fitoval” copes well with hair loss – and within a week you can notice that less hair is falling out. After two months of taking hair vitamins, you will notice that your curls have become silky, shiny, soft, and new hairs have appeared.

Fitoval

KRKA (KRKA), Slovenia

Fitoval capsules are biological nutrition for damaged and prone to hair loss.
Vitamins and minerals trigger the most important metabolic processes occurring in the hair roots. The amino acid cystine is the main component of hair keratin. Medical yeast is a natural source of B vitamins, minerals and amino acids. The active components of the capsules enter the bloodstream and supply the hair roots with substances necessary for hair growth and restoration. Strengthen hair, restore structure and help suppress active hair loss. Strengthens damaged and brittle hair. from 390

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Read also : Top 10 best colic remedies for newborns In most cases, colic in newborns occurs due to the immaturity of the digestive system. Fortunately, you can buy medicine at the pharmacy that will relieve your baby of abdominal pain.

Alerana

Another effective vitamin for strengthening hair is Alerana. Moreover, the package contains a set of tablets: “Day” (vitamins A, B1, C, E, folic acid, magnesium, iron, selenium) and “Night” (vitamins B2, B5, B6, B12, D3, biotin, chromium, amino acids and nettle extract). "Alerana" for hair perfectly strengthens hair, stops hair loss, and improves the condition of the scalp. Beige and burgundy Alerana tablets should be taken one in the morning and one at night. The tablet shape is streamlined, making it easy to swallow. The course of hair treatment with Alerana is about four weeks. Those who took Alerana hair vitamins say that a positive result is visible quickly: hair stops falling out, an “undercoat” appears on the top of the head, temples, and forehead. “Alerana” simultaneously strengthens nails and improves skin condition.

Alerana tablets Day-Night

Alerana, Russia

Alerana is a vitamin-mineral complex that is an additional source of vitamins, amino acids and minerals (macro- and microelements) necessary for the strengthening and growth of healthy hair, as well as improving the condition of the scalp in women and men, to prevent split ends and hair loss.
2 formulas “Day” and “Night” ensure compatibility and synergistic action of the components; act taking into account the daily rhythm of hair growth and restoration. Formula "Day": - improves the condition of hair and scalp - promotes the appearance of a healthy shine - has a general strengthening antioxidant effect Formula "Night": - provides hair follicles with substances necessary for growth and development - reduces hair loss - promotes the restoration of body cells from 280

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Strengthening shampoo for hair growth "Cora"

The shampoo harmoniously combines a number of organic components that have a beneficial effect on the growth and development of follicles and help the hair look well-groomed. Each group of components plays its role:

• arginine, vitamin B and keratins make follicles stronger and help them recover
• extracts of ginger, carrot, sophora and calamus, thermal water enhance hair growth, treat dandruff and moisturize the skin
• Macadamia oil helps hair gain elasticity

Complivit Radiance

Hair vitamins “Complivit Radiance” contain 11 vitamins and 8 minerals, lipoic acid and green tea extract. "Complivit" helps strengthen hair and nails, improve skin condition. These hair vitamins are prescribed for severe hair loss. These are oblong, odorless, purple tablets that are easy to swallow. Take “Complivit Radiance” with food once a day. The course of hair treatment is one month. The first positive results can be noticed after just three weeks of taking the “Complivit” anti-hair loss vitamins: much less hair falls out, shine appears and new hairs begin to grow. As for the skin, its tone becomes even, rashes disappear. Nails become stronger and stop breaking and peeling.

Complivit Radiance

JSC Pharmstandard-UfaVITA, Russia

Complivit Radiance is a biologically active food supplement - an additional source of vitamins A, C, E, group B (B1, B2, B6, B12, folic acid, biotin, calcium pantothenate, nicotinamide), mineral elements (copper, selenium, zinc, silicon , iron, cobalt), lipoic acid and catechins, containing calcium.
It has a general strengthening effect, helps improve the condition of the skin, hair and nails. from 120

5.0 1 review

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Doppelhertz Beauty Beauty and hair health

German hair vitamins “Doppelhertz Beauty Beauty and Hair Health” are vitamins C, B5, B6, nicotinamide, biotin, zinc, copper, amino acids and plant extracts. All these active substances have a positive effect on the condition of hair and stimulate its growth. "Doppelhertz Beauty" makes curls shiny and silky, improving sebum production. The hair supplement comes in the form of large dark green capsules with liquid inside. But despite their size, they are easy to swallow. You need to take one Doppelhertz Beauty capsule per day with meals, the course of hair treatment is one month. Then you need to take a break for a month and a half and repeat the course again. The first positive results will appear within two weeks after taking hair vitamins - you will notice that your hair begins to fall out much less. After two courses of Doppelhertz Beauty Beauty and Hair Health vitamins, you will notice a lot of new hairs, and your curls will become shiny and healthy.

Doppelhertz Beauty Beauty and hair health

Queisser Pharma GmbH, Germany

Doppelhertz Beauty Beauty and health of hair - thanks to its unique composition, the complex takes care of hair, making it noticeably strong, shiny and well-groomed.
from 41

5.0 1 review

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Inneov Hair Density

Nestle and L'Oreal have developed Inneov hair vitamins based on natural ingredients. Studies have shown that after a course of these hair vitamins, hair loss is reduced by a quarter, and hair density increases by 10%. The dietary supplement against hair loss contains green tea and grape seed cahetins (which are natural antioxidants). These components improve blood circulation in the scalp and deliver vitamins and microelements to the hair follicles. Taurine strengthens hair roots and protects them from breakage along their entire length. Zinc gluconate makes curls as smooth as possible by helping with protein absorption. Fatty acids and vitamin D give elasticity and strengthen the shaft of each hair. You can buy Inneov vitamins for women and men at the pharmacy. Phytosterol is also added to the men's version of hair vitamins (it protects against hormonal hair loss). The course of hair treatment with these vitamins is three months, and after that you can expect excellent results.

Inneov Hair Density

Shampoo for hair growth Lanotech

According to consumer reviews, Lanotech is a fairly effective detergent composition, as a result of which the hair becomes stronger and grows faster. If you do not have serious health problems, such as hormonal disorders, hair loss will stop after a therapeutic course.

The effectiveness of Lanotech shampoo is associated with the work of three main active components:

• amino acids L-arginine, which optimize the functioning of blood vessels in the scalp and stop the process of hair loss
• tea tree oil, which treats scalp dermatitis without having a drying effect
• menthol – a kind of transport for L-arginine molecules