Prescribed Capex and Topicort for Itchy Scalp — Still Experiencing Hair Loss

Dr. Rassman,

For over a year I have been experiencing hair loss. It started with a great deal of hair falling out in the sink and shower and has progressed to include a sharp itch (or sometimes general itch) to the scalp with an immediate loss of a few hairs in the area it itched. These “itches” are not limited to any part of my scalp. I was on Propecia for about 8 months which seemed to have no effect. At that time I was prescribed Capex and Topicort which seemed to just help temporarily. Do you have any suggestions on controlling the inflammation and hair loss? Thank you.

Capex is a shampoo containing fluocinolone acetonide and is sold without a prescription for itching of the scalp. Topicort contains the active synthetic corticosteroid desoximetasone and this can cause hair loss. I have no doubt that a topical steroid will reduce the itching, but at what cost on the issue of hair loss?