Unwanted hair in certain parts of the body, may be due to an excss of androgens or to an over sensitivity to a normal level of androgens in the body.
If the underlyong cause is a hormonal imbalance due to a tumor , the tumor must be surgically removed. If, however, the hormonal imbalance is due to other reasons, such as certain types of drugs, an overproduction of androgens ( amle hormones), or hyper sensitivity to normal amounts of androgens, the following prescription medications may be used to control unwanted hair:
MARVELON AND DEMULEN: These oral contraceptive are best used for the combined problem of acne and excess hair. Its advantage in these circumstances is that it does not contain any substances related to androgen nor can it be broken down in to androgen products by the body. Positive results are usually seen after 9 to 12 months of continual use.
Aldactone ( spironolactone ): this medication is a water pill, or diuretic, which is frequently prescribed to reduce body fluid. It has also, however, been effective in controlling unwanted hair, even when hormonal levels are relatively normal. The usual method of use is to start taking small daily doses and gradually increase them. Patients taking aldactone are also instructed to drink 16 ounces of water or other fluids a day. It takes 9 to 12 months to see positive results. Dryness of the eyes and mouth, and an increased, some women may experience irregularity in the menstrual cycle. When prescribed for men, this medication may cause thickening of the breasts. Another disadvantages is that it may have the opposite effect and actually increase hair growth.in fact, aldactone is sometimes prescribed for women who have male pattern hair loss to prevent syuch loss and to encourage hair growth.
Androcur ( cyproterone): this medication is known as a progestational agent and has some anti- androgen properties. Because of these properties, it should be taken with oral birth control pills, preferably marvelon or demulen, or it could affect a developing fetus. It should not be used for 2 months prior to attempting pregnancy nor should it be taken by those with liver or kidney problems. It is started at a small dose and is gradually increased to a larger dose as the tolerance level improves. Positive results are usually seen in 6 to 12 months.
Euflex ( flutamide) : this oral medication is effective in the treatment of excess hair. By blocking the action of the male hormone, it decreases hair growth on the face and body, yet thickens the hair on the scalp. It takes about 7 to 24 months before these changes occur. It cannot be given to men because of its influence on the male hormones. Flushing, dry skin, decreased libido, breast discomfort, and nausea are some of the potential side effects of this medication. There is also the risk of liver disease so careful monitoring is essential.
Wednesday, February 4, 2009
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