Complications
May be an early adverse effect in treatment; irritation occurs commonly. Prescribing a topical corticosteroid along with minoxidil is useful to prevent any scalp irritation; another alternative is to use the foam, which is free of the irritant vehicle.
These include skin atrophy, erythema or telangiectatic vessels, localised folliculitis, or acne, and are seen within weeks of treatment. Adverse effects are more likely with intralesional corticosteroids, in particular atrophy or indentation. This is more commonly seen in frontal or temporal scalp and when injecting on the face. Appropriate monitoring is required for adverse effects during treatment.
Adverse effects are acute and include altered appetite, mood, and sleep patterns; gastritis; hypertension; and elevated sugars in patients with diabetes. Should not see longer-time adverse effects because of short duration of treatment.
A strong allergic reaction leading to significant inflammation, oedema, erosions, and enlarged cervical and occipital lymphadenopathy.
These include skin atrophy, erythema or telangiectatic vessels, localised folliculitis, or acne, and are seen within weeks of treatment. Appropriate monitoring is required for adverse effects during treatment.
Patients may suffer from psychological distress that may affect every day life activities, such as employment and socialising.[23] Appropriate support and referrals should be given.
There is a risk of dyspigmentation, particularly in those with skin phototype III and darker skin. Dyspigmentation does not occur acutely but rather is seen after weeks or months of treatment.
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