How do you identify if a patient is experiencing TE with AGA? Can they both occur together? I was on Prozac and I happen to have aggressive AGA when I was age 17. I want to get on lexipro but since I was on Prozac when I developed AGA I can't determine if an SSRI did this to me. After I got off Prozac the shedding continued until I got on finasteride. I haven't had shed in 6 years. Which would lean towards AGA but I don't know if Prozac triggered TE which triggered it and then AGA begin.
September 7, 2023
Answer: Reply to "How do you identify TE with AGA?" Hello I'm Dr. Wipawan Vathananai, a co-worker of Dr. Kulakarn Amonpattana, from BHI Clinic, Bangkok, Thailand. Regarding your concern; 1. How do you identify if a patient is experiencing TE with AGA?Answer - AGA has a pattern in which hair loss starts at the front of the scalp to the back with or without hair loss on the vertex. Whereas TE will manifest in losing hair of the whole scalp. This is the majority of the situations. 2. Can they both occur together?Answer - Yes, especially if an individual is under extreme stress either it's physical or emotional. Stress can trigger TE and also speed up AGA. 3. I was on Prozac and I happen to have aggressive AGA when I was age 17. I want to get on lexipro but since I was on Prozac when I developed AGA I can't determine if an SSRI did this to me. After I got off Prozac the shedding continued until I got on finasteride. I haven't had shed in 6 years. Which would lean towards AGA but I don't know if Prozac triggered TE which triggered it and then AGA begin.Answer - Prozac is one of the most common SSRI which can cause hair loss. Regarding AGA, it is very difficult to determine which one is the culprit in your situation. I would recommend you to use finasteride along with topical or oral minoxidil and see what happens. In case you are still worries about TE, you can get some screening tests for anemia, thyroid disorders, and total vitamin D to exclude correctable causes of TE.
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September 7, 2023
Answer: Reply to "How do you identify TE with AGA?" Hello I'm Dr. Wipawan Vathananai, a co-worker of Dr. Kulakarn Amonpattana, from BHI Clinic, Bangkok, Thailand. Regarding your concern; 1. How do you identify if a patient is experiencing TE with AGA?Answer - AGA has a pattern in which hair loss starts at the front of the scalp to the back with or without hair loss on the vertex. Whereas TE will manifest in losing hair of the whole scalp. This is the majority of the situations. 2. Can they both occur together?Answer - Yes, especially if an individual is under extreme stress either it's physical or emotional. Stress can trigger TE and also speed up AGA. 3. I was on Prozac and I happen to have aggressive AGA when I was age 17. I want to get on lexipro but since I was on Prozac when I developed AGA I can't determine if an SSRI did this to me. After I got off Prozac the shedding continued until I got on finasteride. I haven't had shed in 6 years. Which would lean towards AGA but I don't know if Prozac triggered TE which triggered it and then AGA begin.Answer - Prozac is one of the most common SSRI which can cause hair loss. Regarding AGA, it is very difficult to determine which one is the culprit in your situation. I would recommend you to use finasteride along with topical or oral minoxidil and see what happens. In case you are still worries about TE, you can get some screening tests for anemia, thyroid disorders, and total vitamin D to exclude correctable causes of TE.
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July 22, 2023
Answer: Definitely can be together! You may definitely have both androgenetic alopecia and TE. Indeed, antidepressants can provoke TE. Additionally, you may be experiencing worsening of AA because it is a progressive disease. In such cases, the distinction is often made with close observation and multiple follow-up visits. In some cases, the medication in question should be stopped to understand if it is a reason for shedding, but I would definitely NOT advise you to cancel SSRIs without consulting your psychiatrist. Doing a thorough blood workup may help to identify a possible underlying reason for TE. Finding a reliable board-certified dermatologist specializing in hair loss and regularly seeing him/her is the best advised I can give in this case.
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July 22, 2023
Answer: Definitely can be together! You may definitely have both androgenetic alopecia and TE. Indeed, antidepressants can provoke TE. Additionally, you may be experiencing worsening of AA because it is a progressive disease. In such cases, the distinction is often made with close observation and multiple follow-up visits. In some cases, the medication in question should be stopped to understand if it is a reason for shedding, but I would definitely NOT advise you to cancel SSRIs without consulting your psychiatrist. Doing a thorough blood workup may help to identify a possible underlying reason for TE. Finding a reliable board-certified dermatologist specializing in hair loss and regularly seeing him/her is the best advised I can give in this case.
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