Does overall health and medications affect PRP or other hair loss treatment results? (Photo)

Female 43. Thinning, hairline recession. Biopsy above right temple "could be consistent with early androgenetic alopecia". I am on medications SSRI, clonazepam, valtrex, and some steroid for low bp. Have been for many years. Told I can't take Spiro because of low bp. Does herpes virus, low bp make me less likely to respond to treatment like PRP? Afraid to try Rogaine. Want to do PRP if I am good candidat Advice on treatment and what treatments would work best?

Doctor Answers 5

Low blood pressure can limit your use of minoxidil, but there is another alternative to treating female pattern hair loss

Thank you for your question. You state you’re 43-years-old and experiencing hair thinning. Your biopsy confirmed your thinning is consistent with androgenetic alopecia. I understand you’re also on a number of medications: SSRI, Clonazepam, Valtrex, and steroids for low blood pressure. You’re asking if the presence of herpes and low blood pressure negatively impacts the benefits of platelet-rich plasma.

First a bit of information about myself — I’m a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I’m also the founder of Trichostem™ Hair Regeneration Centers, which offer a non-surgical hair loss treatment alternative that combines platelet-rich plasma (PRP) with extracellular matrix for the management of male and female pattern hair loss.

When we manage patients, we often encounter similar scenarios where healing can be affected by the use of steroids. Basically, I gauge the situation by asking the patient how well and how fast they heal after a cut, because there are so many diseases and conditions that do require the use of immunosuppressives, including steroids, and it is one part of the long-term picture that they can’t be on this medication.

In my practice, we effectively use a treatment called Hair Regeneration which combines PRP and extracellular matrix. This treatment consists of a concentration of wound-healing and growth factors that are necessary when you get a cut. There are factors in it that stimulate blood supply, develop collagen, and basically repair a specific area. We’ve developed this treatment over many years, developed a treatment protocol, and have seen impressive results. So far with this treatment, more than 99% of both men and women will stop having progressive hair loss and experience thickening of their existing thinning hairs.

We keep track of our patients’ progress for up to an average of 18 months, and we’ve collected more than 5 years’ worth of clinical data that support the long-term benefit of Hair Regeneration. Some patients do well on just one injection, and sometimes do a second injection in certain patients, not as a way to maintain the treatment, but as a way of strengthening the benefits of the first treatment. We are able to take people with more advanced hair loss and improve the quality and thickness of hairs that are extremely fine and almost imperceptible.

We’ve been very successful with Hair Regeneration, and you can still consider this as a potential option for you. It’s also important to understand the limitations of female pattern hair loss. In your case, you only have either minoxidil or a hair transplant as options. With your existing issue with low blood pressure, and that minoxidil can rarely but still potentially affect blood pressure because it is systemically absorbed, I understand your hesitancy not to use it. Hair transplants, on the other hand, simply do not make as much of an impact as it does on male pattern hair loss simply because female pattern hair loss is more global and diffuse.

That being said, I think a treatment like Hair Regeneration is probably a viable option for you. I suggest that you look for a resource where Hair Regeneration is offered and try to learn more about the treatment so that you can perhaps consider this as a way to manage your thinning hair. It’s interesting because as more and more people are learning more about this treatment, we are actually seeing younger and younger women in their 20s and 30s, who have biopsy confirmed androgenetic alopecia, coming in for the treatment.

I hope that was helpful and I wish you the best of luck!

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New York Oculoplastic Surgeon
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PRP and Female Hair Loss and Medications and Nutrition

There are many factors in play when evaluating the best treatments for female pattern baldness.  Some of the medications that you are currently taking can indeed interfere with hair growth as does poor nutrition.  Spirinolactone is a great medication for certain women to help with hair growth as is PRP for women with thinning hair due to andogenetic alopecia.  Please consult an expert for the best results.  Best, Dr. Green

PRP and hair loss

PRP is one of the most popular treatments for hair loss at this time.  More and more research is being done to evaluate different aspects of it.  There is not enough information to know what medications might interfere with PRP treatments, but good nutrition is important for hair health whether or not PRP treatments take place.  There is no available information on PRP and herpes infections that I am aware of. 

Kevin Ende, MD
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Hair loss -- PRP, Progesterone, Viviscal, Rogaine, Spironolactone

I suggest seeing a cosmetic dermatologist with expertise in hair loss. A formal evaluation is needed to determine what is best.  Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
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Medication and PRP effectiveness?

In my opinion, you need to be evaluated by a hair expert. You will need a good history with magnified examination. Your blood work may possibly need to be repeated. Based upon the results of your biopsy, PRP should be effective in treating your temples. A person's nutritional and health status is important in their response to any treatment for hair loss. With PRP, the platelet count is also a factor. Hope this helps. Good luck.

Jeffrey Rapaport, MD
Englewood Dermatologic Surgeon
4.6 out of 5 stars 38 reviews

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