18歲脫髮可以使用米諾地爾生髮水嗎？

隨著脫髮問題的低齡化，一些真正意義上的脫髮年輕人（18歲以內）也開始考慮使用米諾地爾防脫生髮，但是對於這類藥物，18歲是一個安全的年齡嗎？或者我們再展開追問一下：17歲可以使用米諾地爾嗎？15歲，16歲呢？

對於這個問題，國外有些機構有過研究。

This survey of clinicians was conducted with a written questionnaire and supported by face-to-face interviews with respondents who claimed to have prescribed minoxidil topical solution for the treatment of androgenetic alopecia in patients less than 18 years of age. Data were collected from 84 clinicians who had treated a total of 448 patients between the ages of 10 and 18 years.

The majority of the patients were male (76%); 24% were female. The mean ages of the patients at initiation of minoxidil topical solution treatment for their hair loss were 15.8 and 15.2 years, in males and females, respectively. In the males, 38% had frontal hair loss, 21% had vertex hair loss, and 40% had both frontal and vertex involvement. The mean duration of MTS treatment was 17.4 and 19.2 months, in males and females, respectively. Sixty-seven percent of males and 63% of females are currently still undergoing treatment for androgenetic alopecia with minoxidil topical solution.

For patients whom the response to treatment was known, 55% of males and 51% of females showed an improvement in scalp coverage or reduced hair loss; 40% of males and 44% of females showed no change. Overall, only 5% of the patients had worsening of their hair loss. Very few patients (6% overall) reported adverse reactions that were related to MTS treatment (mostly itching or mild irritation).

This study shows that there is a population of patients (ie, less than 18 years of age) who are being treated off-label with minoxidil topical solution. Furthermore, the results suggest that minoxidil topical solution use in patients less than 18 years of age has been effective, safe, and well-tolerated.

這個調查來自臨床醫生主導的一個研究項目，數據來自84名臨床醫生治療的448例脫髮案例，患者年齡在10~18歲之間。男性為76%，女性為24%，患者的年齡平均為15.8歲（男）和15.2歲（女），治療平均時間為17.4個月（男）和19.2個月（女）。

患者對於米諾地爾治療的反應是：55%的男性和51%的女性認為顯著有效果，頭髮覆蓋頭皮的效果很好，並且脫髮在減少；40%的男性和44%的女性認為沒有太大變化；5%的患者認為脫髮反而加重了；只有5%的患者認為有副作用，主要是瘙癢和頭皮刺激。

這個結果表明，15~18歲的男性和女性，使用米諾地爾生髮是安全有效的。

在我們傳統觀念中，年輕人掉發一般不建議立刻用藥，擔心有副作用。但是這個研究結果可能改變我們的一些想法，448個案例樣本應該來說很有說服力，研究指出，15歲開始使用米諾地爾其實是非常安全有效的，如果你真的脫髮很早，那麼用點米諾地爾這類的藥物是不錯的選擇。

另外一個問題可能也會有很多人感興趣：18歲可以使用非那雄胺嗎？

關於這個問題我並沒有找到確切的答案，但是考慮到非那雄胺的特殊性（阻斷DHT），它可能會對潛在的生殖發育帶來影響，所以醫學的建議是等男性生殖系統完全發育成熟才考慮使用這個藥物，這個年齡因人而異，但是我建議安全的年齡是22歲。

如果您還有其他關於藥物治療脫髮、米諾地爾、非那雄胺方面的疑問，可以諮詢我的微信（zaicichufa003）

推薦閱讀：