NEIL SADICK, MD: There are some drugs that are the same and some are different. In men the major treatment options are minoxidil in a 2 or 5% concentration, marketed as Rogaine. That is a topical application that's applied. Propecia is the new drug on the block, and that probably is more effective. It's a pill that you take once a day, and that has been shown to slow down hair loss and grow hair in a significant number of individuals.
In women, topical minoxidil remains, at 2%, the major FDA-approved topical therapy for hair loss, and we're now utilizing drugs that block androgen and androgen receptors, such as spironolactone, in treating women with diffuse hair loss that do not respond to topical minoxidil.
DAVID R. MARKS, MD: And androgens are male hormones, so you're blocking male hormones in the women?
NEIL SADICK, MD: Yes. We're blocking male hormones and male hormone receptors, and that is the major internal medicine that's being utilized for women with diffuse genetic hair loss.
DAVID R. MARKS, MD: What about hair transplantation for men and women?
MICHAEL REED, MD: Hair transplantation is at an all-time peak in terms of looking natural, being reasonably dense and having satisfied patients. Men and women both benefit. The number of women that we're doing is rapidly increasing, and probably in the next five years it'll be 50/50 men and women, but both can benefit and both should investigate it, especially if they've lost a lot of hair in the frontal portion of their scalp, because the frontal part of the scalp is transplant country. The middle scalp and the back scalp is medical treatment country. They work together.
DAVID R. MARKS, MD: Where should a person who's losing their hair go to get information about treatment options?
NEIL SADICK, MD: The best place to find out about treatment of hair loss is to consult your dermatologist. If you don't have a dermatologist, I would speak to your internist or all the American Academy of Dermatologists for a referral of a dermatologist that has interest and expertise in treating hair disorders.
DAVID R. MARKS, MD: Thank you both for a quick overview of hair loss. And thank you for joining our webcast. I'm Dr. David Marks. Goodbye.