Treating Alopecia Areata: What Are Your Options?
Published: Aug 18, 2024
Alopecia areata treatment varies widely, with options depending on the severity of hair loss. Discover what's available and what might work for you.
Contents
Limited, Patchy Hair Loss
For those with less than 50% hair loss, intralesional corticosteroids are often the first choice. These injections promote hair regrowth and are considered relatively safe. Topical corticosteroids are an alternative, especially for children or those who can't tolerate injections.
Extensive Hair Loss Solutions
For more than 50% hair loss, oral medications like baricitinib and ritlecitinib are common. These drugs are effective but come with potential side effects. Topical immunotherapy offers another option, though it requires repeated application and can cause skin reactions.

Cosmetic Alternatives
Some people choose to forgo medical treatment and opt for cosmetic solutions. Wigs and hairpieces are popular for scalp hair loss. Eyebrow tattoos and false eyelashes can help with loss in other areas.
Frequently Asked Questions
Intralesional corticosteroids are often the first choice.
Yes, oral medications like baricitinib are available.
Yes, options like wigs and tattoos are available.
Yes, treatments can have side effects.
Wrapping Up
Choosing the right treatment depends on your individual needs and preferences.
References
- Porter D, Burton JL. A comparison of intra-lesional triamcinolone hexacetonide and triamcinolone acetonide in alopecia areata. Br J Dermatol 1971; 85:272.
- King B, Ohyama M, Kwon O, et al. Two Phase 3 Trials of Baricitinib for Alopecia Areata. N Engl J Med 2022; 386:1687.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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