Before answering what is the best treatment of alopecia areata in Pakistan, let’s discuss what alopecia areata actually is. It is a condition in which bald spots are formed due to loss of hair. It is an autoimmune disorder; means the body starts forming such cells and antibodies which attack the body’s own cells. In this case, auto-antibodies attack the hair follicles and stop growth in them. As a result, hair starts falling from that site in small patches and bald spots are formed. Mostly it is seen on the scalp but such a scenario can also be observed on other parts of the body like the face chest etc.
There are many topical, oral and injectable forms of drugs available but what is the best treatment of alopecia areata available in Pakistan? Just like all around the globe, doctors treat their patients by following a specific sequence. The first line remedy in this regard is topical or intralesional corticosteroids. The anti-inflammatory effects of corticosteroids help to suppress the body immune system and the body stops generating auto-antibodies. These are available in the forms of creams, ointments and lotions, which can easily be applied on such areas by the patient himself. Instead of this, intralesional steroids, also known as steroid shots, can be used for treating this condition. Dermatologists inject a small amount of corticosteroids into the subcutaneous layer of those bald patches to stop hair fall and promote regrowth. Along with these corticosteroids, minoxidil and antralin are also used as first line therapy. Minoxidil spray has a vasodilation effect and it increases the blood supply to the hair follicles of the scalp. When more nutrition reaches the follicles, growth will enhance and it improves the condition to some extent. Anthralin is an irritant which stimulates the skin cells and their growth increases. Sometimes finasteride is prescribed when doctors think that hormonal changes are causing such symptoms. Finasteride stops the production of DHT hormone which is responsible for miniaturization of the hair follicles.
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The second line therapy constitutes oral or systemic corticosteroids, basically, and is considered what the best treatment of alopecia areata in Pakistan is. Along with these steroid medications, doctors also prescribe sulfasalazine and Puva-Turban. Usually response is good but if still results are not sufficient, doctors move towards the third line therapy and prescribe stronger medications like methotrexate, azathioprine or cyclosporine along with these systemic corticosteroids. Injecting platelets-rich plasma into the skin of the scalp has promising results and doctors also recommend it to their patients suffering from this condition. Platelets produce growth factors and when platelets-rich plasma is injected, these growth factors promote growth in the follicles.
The above discussion shows us what the best treatment of alopecia areata in Pakistan is and how the doctors are treating this condition effectively. The results are very promising and many people have overcome this condition through these remedies. It not only stops this condition from worsening but also helps the hair to grow back at the same pace like they used to before.
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