Table of ContentsView AllTable of ContentsPrescriptionsOver-the-CounterAnti-Inflammatory DietCAMExperimentalSelf-Care/Cosmetic
Table of ContentsView All
View All
Table of Contents
Prescriptions
Over-the-Counter
Anti-Inflammatory Diet
CAM
Experimental
Self-Care/Cosmetic
Alopecia areatais an autoimmune disorder that results inhair loss. While there is no cure for the disorder, you may be able to manage symptoms.
With alopecia areata, self-care is an essential aspect of treatment. There are medical treatments that can sometimes reverse or stop hair loss. But it’s important to learn to feel comfortable and confident despite issues like a patchy scalp or missing eyelashes.
In this article, you’ll learn about the treatment options for alopecia areata, including prescription and over-the-counter medications, dietary options, complementary and experimental therapies, self-care, and cosmetic approaches.
Igor Novakovic / Getty Images

Consult a DermatologistThe treatment plan that’s right for you depends on several factors, including the severity of your condition, the unique risks and benefits of each therapy, and your personal preferences/goals.If you’d like to pursue treatment, be sure to carefully discuss your options with a board-certified doctor who specializes in skin disorders (dermatologist).
Consult a Dermatologist
The treatment plan that’s right for you depends on several factors, including the severity of your condition, the unique risks and benefits of each therapy, and your personal preferences/goals.If you’d like to pursue treatment, be sure to carefully discuss your options with a board-certified doctor who specializes in skin disorders (dermatologist).
The treatment plan that’s right for you depends on several factors, including the severity of your condition, the unique risks and benefits of each therapy, and your personal preferences/goals.
If you’d like to pursue treatment, be sure to carefully discuss your options with a board-certified doctor who specializes in skin disorders (dermatologist).
Janus Kinase (JAK) Inhibitors
There are serious possible side effects associated with JAK inhibitors, such as heart-related events, infection, cancer,blood clots, and even death.
Corticosteroids
Corticosteroids, also known as steroids, are commonly used to treat alopecia areata. They block the immune system’s attack on hair follicles.
Injected Corticosteroids
A dermatologist may inject corticosteroids directly into the areas on the skin where there is no hair or the hair is thinning.
This office-based procedure is used to treat patients with patchy, relatively stable hair loss. It is not for patients with extensive hair loss, like someone who is mostly bald.
Injected steroids have been found to be quite effective, although results are not immediate.
Injections are generally given every one to two months. To minimize any discomfort from the needle stick, your dermatologist may apply a numbing cream to the skin prior to the injection.
Topical Corticosteroids
Topical corticosteroids come in different strengths and preparations, such as solutions, creams, lotions, foams, ointments, and shampoos.
They are often applied daily to the area of hair loss and used for patients with patchy alopecia areata who cannot tolerate injected corticosteroids.
Oral Corticosteroids
Oral corticosteroids, like prednisone, are sometimes prescribed for a short period of time for patients with extensive and/or rapid hair loss.
Prolonged corticosteroid use is not advised due to the risk of serious, sometimes irreversible, side effects.
What Medications Can Cause Hair Loss?
Topical Immunotherapy
Topical immunotherapy is sometimes used to treat extensive cases of alopecia areata. With this, a dermatologist applies a chemical—likediphencyprone(DPCP) orsquaric acid dibutyl ester(SADBE)—to the scalp once a week to trigger hair regrowth.
These chemicals essentially create a mild allergic rash on the skin, which is believed to alter a person’s immune response to the hair follicles. Redness and itching at the site of application are common.
Hair regrowth is expected to occur within three to six months of beginning treatment, but it can take up to 12 months. Treatment is continued every week until the hair is re-grown.
Once the hair is re-grown and the treatment is stopped, patients are monitored for a recurrence of hair loss. If that occurs, patients may benefit from re-starting therapy.
For some patients, continuing topical immunotherapy may be recommended to maintain hair regrowth.
Anthralin
Anthralin is a tar-like substance available as a cream or ointment. It was one of the first medications used forpsoriasis.
For alopecia areata, it is applied daily to hairless patches, left on for around 30 minutes, and then washed off. Hair regrowth may occur within two to three months of beginning treatment.
The downsides to anthralin are that it’s not always effective, can stain fabric, and can cause your skin to itch and/or become discolored.
Other Immunosuppressants
Other drugs that weaken the immune system are occasionally used to treat extensive and/or rapidly worsening alopecia areata.
Methotrexate or cyclosporine are two examples.
Over-the-Counter Medications
It is available over the counter in a solution or foam formulation and is usually applied to the scalp twice daily.
Rogaine is only effective in people with early or patchy hair loss, and it takes up to six months to see results.
On the plus side, Rogaine has minimal side effects and may be combined with topical steroids for improved outcomes.
Some research has shown benefits of following ananti-inflammatory dietfor alopecia areata. This type of meal plan emphasizes fruits, vegetables, lean protein, nuts, seeds, andhealthy fats. It recommends avoiding food such as:
According to a 2020 case study, an 8-year-old diagnosed with alopecia areata went into complete remission after five months on a monitored anti-inflammatory diet that included supplements.
Complementary and Alternative Medicine (CAM)
Many people prefer to try and manage hair loss with natural treatments. Most studies examining the benefit of CAM therapies for alopecia areata are, unfortunately, not well-designed or reveal conflicting results.
It’s still reasonable, though, to consider trying out a CAM treatment option with your healthcare provider’s OK.
While not a complete list, here are some CAM remedies that have at least some scientific evidence, albeit limited, for hair regrowth in alopecia areata.
Essential Oil Aromatherapy
Results revealed that those who underwent theessential oil aromatherapy massageshad a meaningful improvement in hair growth compared to the control group.
Another study assessed the effectiveness oftea tree oil. Comparisons were made between two groups: one applied minoxidil only to their scalp, the other applied minoxidil mixed with tea tree oil. The group with the essential oil mixture showed superior and faster results.
Further research needs to be done to confirm these findings. If you’re interested in trying essential oils, discuss them with your medical provider before applying or mixing them with medication.
Garlic and Apple Cider Vinegar
Additional research has found that a nanoemulsion with a base of garlic oil andapple cider vinegarcombined with minoxidil could be useful in treating alopecia areata.
These studies have some inconsistencies, but as more support for research is provided, there is hope that natural remedies, perhaps combined with medication, can deliver significant results.
Peony Capsules and Glycyrrhizin Tablets
Extracts from the root of the Peony plant and thelicorice plantare traditional Chinese medical therapies that have been found to improve mild and moderate alopecia areata in adults and severe alopecia areata in children.
Hypnosis
During hypnosis, a trained mental health professional or therapist guides you into a trance-like state of consciousness. As a result, you have a heightened ability to concentrate and are more responsive to therapeutic suggestions.
While there is some scientific evidence that hypnosis may have some benefit in treating alopecia areata, it looks like this therapy is more useful for reducing anxiety and depression than regrowing hair.
That said, hypnosis is considered safe for most people, so you might consider giving it a try.
Acupuncture
In an animal study published inAcupuncture in Medicinein 2013, tests on mice demonstrated that electroacupuncture may inhibit certain alopecia-related changes in skin cells.
Electroacupuncture is a form ofacupuncturein which needles are attached to a device that produces continuous electric impulses. The needles are then placed at specific points on the patient’s body.
It’s unclear exactly how this therapy could help hair loss, but it may be related to improved blood flow. Studies on humans are needed to determine acupuncture’s true benefit.
Experimental Treatments
As researchers learn more about alopecia areata, there are a couple of treatment options being explored.
Excimer Laser
The excimer laser delivers a highly energetic beam of ultraviolet (UV) light directly onto the area of hair loss.
Excimer laser therapy for patchy alopecia areata appears safe, even in children. However, more investigation is needed to better understand its long-term effects and how it compares to standard therapies.
Platelet-Rich Plasma
Platelet-rich plasma (PRP) is a 30-minute procedure that is done in a doctor’s office. It involves a doctor drawing a small amount of blood, and then spinning the blood in a machine that separates it into parts.
The goal of this is to pull out plasma, the part of the blood that’s rich inplatelets(cell fragments that help your blood clot) and growth factors (substances that increase cell growth and survival).
The doctor then takes that plasma and injects it into areas of the body with hair loss.
PRP needs to be repeated—generally once a month for three months initially, and once every three to six months thereafter.
While more investigation is needed, early research suggests it’s a safe and effective treatment option for alopecia areata.
Self-Care and Cosmetic Approaches
Whether or not you are undergoing active treatment for your hair loss, you should still adopt certain self-care strategies to protect your skin.
For instance, your dermatologist may recommend the following:
You may also consider the following cosmetic approaches:
But remember that you always have the option to embrace your new look. Not only does it offer the practical benefits of being easier and less expensive, but it may just open up the opportunity for you to educate someone curious about alopecia areata.
Do what you feel is best and makes you feel most like yourself.
Summary
Alopecia areata is anautoimmune diseasethat causes a person’s hair to fall out. While treatment is not medically necessary, many people consider it due to how the disorder can affect self-image and self-esteem.
If you decide to pursue treatment, there are a number of options available, depending on your preference and the severity of your disease.
Common therapies include injecting or applying corticosteroids to the areas of hair loss and/or using Rogaine. Complementary therapies and cosmetic approaches to cover up hair loss may also be tried.
18 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.UpToDate.Alopecia areata: management.Food and Drug Administration.FDA requires warnings about increased risk of serious heart-related events, cancer, blood clots, and death for JAK inhibitors that treat certain chronic inflammatory conditions.Meah N, Wall D, York K, et al.The Alopecia Areata Consensus of Experts (ACE) study: results of an international expert opinion on treatments for alopecia areata.J Am Acad Dermatol. 2020;83(1):123-130. doi:10.1016/j.jaad.2020.03.004Trüeb RM, Dias MFRG.Alopecia areata: a comprehensive review of pathogenesis and management.Clinic Rev Allerg Immunol. 2018;54(1):68-87. doi:10.1007/s12016-017-8620-9National Alopecia Areata Foundation.Treatments for alopecia areata.Maeda T, Taniguchi M, Matsuzaki S, Shingaki K, Kanazawa S, Miyata S.Anti-inflammatory effect of electroacupuncture in the C3H/HeJ mouse model of alopecia areata.Acupunct Med. 2013 Mar;31(1):117-9. doi:10.1136/acupmed-2012-010240American Academy of Dermatology.Hair loss: diagnosis and treatment.Patterson E, Wall R, Fitzgerald GF, Ross RP, Stanton C.Health implications of high dietary omega-6 polyunsaturated fatty acids.J Nutr Metab.2012;2012:539426. doi:10.1155/2012/539426Bulló M, Casas R, Portillo MP, et al.Dietary glycemic index/load and peripheral adipokines and inflammatory markers in elderly subjects at high cardiovascular risk.Nutr Metab Cardiovasc Dis. 2013;23(5):443-50. doi:10.1016/j.numecd.2011.09.009Harvey CJ.Combined diet and supplementation therapy resolves alopecia areata in a paediatric patient: A case study.Cureus. 2020;12(11):e11371. 2020 Nov 7. doi:10.7759/cureus.11371Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary & alternative medicine for alopecia areata: a systematic review.J Am Acad Dermatol.doi:10.1016/j.jaad.2019.12.027Ezekwe N, King M, Hollinger JC.The use of natural ingredients in the treatment of alopecias with an emphasis on central centrifugal cicatricial alopecia: A systematic review.J Clin Aesthet Dermatol. 2020;13(8):23-27.Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary and alternative medicine for alopecia areata: A systematic review.J Am Acad Dermatol. 2023;88(1):131-143. doi:10.1016/j.jaad.2019.12.027Rizg WY, Hosny KM, Elgebaly SS, et al.Preparation and optimization of garlic oil/apple cider vinegar nanoemulsion loaded with minoxidil to treat alopecia.Pharmaceutics. 2021;13(12):2150. Published 2021 Dec 14. doi:10.3390/pharmaceutics13122150Yang DQ, You LP, Song PH, Zhang LX, Bai YP.A randomized controlled trial comparing total glucosides of paeony capsule and compound glycyrrhizin tablet for alopecia areata.Chin J Integr Med.2012;18(8):621-5. doi:10.1007/s11655-012-1173-0Darwin E, Arora H, Hirt PA, Wikramanayake TC, Jimenez JJ.A review of monochromatic light devices for the treatment of alopecia areata.Lasers Med Sci.2018 Feb;33(2):435-444. doi:10.1007/s10103-017-2412-6Trink A, Sorbellini E, Bezzola P et al.A randomized, double-blind, placebo- and active-controlled, half-head study to evaluate the effects of platelet-rich plasma on alopecia areata.Br J Dermatol.2013 Sep;169(3):690-4. doi:10.1111/bjd.12397American Academy of Dermatology.Hair loss types: alopecia areata self-care.
18 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.UpToDate.Alopecia areata: management.Food and Drug Administration.FDA requires warnings about increased risk of serious heart-related events, cancer, blood clots, and death for JAK inhibitors that treat certain chronic inflammatory conditions.Meah N, Wall D, York K, et al.The Alopecia Areata Consensus of Experts (ACE) study: results of an international expert opinion on treatments for alopecia areata.J Am Acad Dermatol. 2020;83(1):123-130. doi:10.1016/j.jaad.2020.03.004Trüeb RM, Dias MFRG.Alopecia areata: a comprehensive review of pathogenesis and management.Clinic Rev Allerg Immunol. 2018;54(1):68-87. doi:10.1007/s12016-017-8620-9National Alopecia Areata Foundation.Treatments for alopecia areata.Maeda T, Taniguchi M, Matsuzaki S, Shingaki K, Kanazawa S, Miyata S.Anti-inflammatory effect of electroacupuncture in the C3H/HeJ mouse model of alopecia areata.Acupunct Med. 2013 Mar;31(1):117-9. doi:10.1136/acupmed-2012-010240American Academy of Dermatology.Hair loss: diagnosis and treatment.Patterson E, Wall R, Fitzgerald GF, Ross RP, Stanton C.Health implications of high dietary omega-6 polyunsaturated fatty acids.J Nutr Metab.2012;2012:539426. doi:10.1155/2012/539426Bulló M, Casas R, Portillo MP, et al.Dietary glycemic index/load and peripheral adipokines and inflammatory markers in elderly subjects at high cardiovascular risk.Nutr Metab Cardiovasc Dis. 2013;23(5):443-50. doi:10.1016/j.numecd.2011.09.009Harvey CJ.Combined diet and supplementation therapy resolves alopecia areata in a paediatric patient: A case study.Cureus. 2020;12(11):e11371. 2020 Nov 7. doi:10.7759/cureus.11371Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary & alternative medicine for alopecia areata: a systematic review.J Am Acad Dermatol.doi:10.1016/j.jaad.2019.12.027Ezekwe N, King M, Hollinger JC.The use of natural ingredients in the treatment of alopecias with an emphasis on central centrifugal cicatricial alopecia: A systematic review.J Clin Aesthet Dermatol. 2020;13(8):23-27.Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary and alternative medicine for alopecia areata: A systematic review.J Am Acad Dermatol. 2023;88(1):131-143. doi:10.1016/j.jaad.2019.12.027Rizg WY, Hosny KM, Elgebaly SS, et al.Preparation and optimization of garlic oil/apple cider vinegar nanoemulsion loaded with minoxidil to treat alopecia.Pharmaceutics. 2021;13(12):2150. Published 2021 Dec 14. doi:10.3390/pharmaceutics13122150Yang DQ, You LP, Song PH, Zhang LX, Bai YP.A randomized controlled trial comparing total glucosides of paeony capsule and compound glycyrrhizin tablet for alopecia areata.Chin J Integr Med.2012;18(8):621-5. doi:10.1007/s11655-012-1173-0Darwin E, Arora H, Hirt PA, Wikramanayake TC, Jimenez JJ.A review of monochromatic light devices for the treatment of alopecia areata.Lasers Med Sci.2018 Feb;33(2):435-444. doi:10.1007/s10103-017-2412-6Trink A, Sorbellini E, Bezzola P et al.A randomized, double-blind, placebo- and active-controlled, half-head study to evaluate the effects of platelet-rich plasma on alopecia areata.Br J Dermatol.2013 Sep;169(3):690-4. doi:10.1111/bjd.12397American Academy of Dermatology.Hair loss types: alopecia areata self-care.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
UpToDate.Alopecia areata: management.Food and Drug Administration.FDA requires warnings about increased risk of serious heart-related events, cancer, blood clots, and death for JAK inhibitors that treat certain chronic inflammatory conditions.Meah N, Wall D, York K, et al.The Alopecia Areata Consensus of Experts (ACE) study: results of an international expert opinion on treatments for alopecia areata.J Am Acad Dermatol. 2020;83(1):123-130. doi:10.1016/j.jaad.2020.03.004Trüeb RM, Dias MFRG.Alopecia areata: a comprehensive review of pathogenesis and management.Clinic Rev Allerg Immunol. 2018;54(1):68-87. doi:10.1007/s12016-017-8620-9National Alopecia Areata Foundation.Treatments for alopecia areata.Maeda T, Taniguchi M, Matsuzaki S, Shingaki K, Kanazawa S, Miyata S.Anti-inflammatory effect of electroacupuncture in the C3H/HeJ mouse model of alopecia areata.Acupunct Med. 2013 Mar;31(1):117-9. doi:10.1136/acupmed-2012-010240American Academy of Dermatology.Hair loss: diagnosis and treatment.Patterson E, Wall R, Fitzgerald GF, Ross RP, Stanton C.Health implications of high dietary omega-6 polyunsaturated fatty acids.J Nutr Metab.2012;2012:539426. doi:10.1155/2012/539426Bulló M, Casas R, Portillo MP, et al.Dietary glycemic index/load and peripheral adipokines and inflammatory markers in elderly subjects at high cardiovascular risk.Nutr Metab Cardiovasc Dis. 2013;23(5):443-50. doi:10.1016/j.numecd.2011.09.009Harvey CJ.Combined diet and supplementation therapy resolves alopecia areata in a paediatric patient: A case study.Cureus. 2020;12(11):e11371. 2020 Nov 7. doi:10.7759/cureus.11371Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary & alternative medicine for alopecia areata: a systematic review.J Am Acad Dermatol.doi:10.1016/j.jaad.2019.12.027Ezekwe N, King M, Hollinger JC.The use of natural ingredients in the treatment of alopecias with an emphasis on central centrifugal cicatricial alopecia: A systematic review.J Clin Aesthet Dermatol. 2020;13(8):23-27.Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary and alternative medicine for alopecia areata: A systematic review.J Am Acad Dermatol. 2023;88(1):131-143. doi:10.1016/j.jaad.2019.12.027Rizg WY, Hosny KM, Elgebaly SS, et al.Preparation and optimization of garlic oil/apple cider vinegar nanoemulsion loaded with minoxidil to treat alopecia.Pharmaceutics. 2021;13(12):2150. Published 2021 Dec 14. doi:10.3390/pharmaceutics13122150Yang DQ, You LP, Song PH, Zhang LX, Bai YP.A randomized controlled trial comparing total glucosides of paeony capsule and compound glycyrrhizin tablet for alopecia areata.Chin J Integr Med.2012;18(8):621-5. doi:10.1007/s11655-012-1173-0Darwin E, Arora H, Hirt PA, Wikramanayake TC, Jimenez JJ.A review of monochromatic light devices for the treatment of alopecia areata.Lasers Med Sci.2018 Feb;33(2):435-444. doi:10.1007/s10103-017-2412-6Trink A, Sorbellini E, Bezzola P et al.A randomized, double-blind, placebo- and active-controlled, half-head study to evaluate the effects of platelet-rich plasma on alopecia areata.Br J Dermatol.2013 Sep;169(3):690-4. doi:10.1111/bjd.12397American Academy of Dermatology.Hair loss types: alopecia areata self-care.
UpToDate.Alopecia areata: management.
Food and Drug Administration.FDA requires warnings about increased risk of serious heart-related events, cancer, blood clots, and death for JAK inhibitors that treat certain chronic inflammatory conditions.
Meah N, Wall D, York K, et al.The Alopecia Areata Consensus of Experts (ACE) study: results of an international expert opinion on treatments for alopecia areata.J Am Acad Dermatol. 2020;83(1):123-130. doi:10.1016/j.jaad.2020.03.004
Trüeb RM, Dias MFRG.Alopecia areata: a comprehensive review of pathogenesis and management.Clinic Rev Allerg Immunol. 2018;54(1):68-87. doi:10.1007/s12016-017-8620-9
National Alopecia Areata Foundation.Treatments for alopecia areata.
Maeda T, Taniguchi M, Matsuzaki S, Shingaki K, Kanazawa S, Miyata S.Anti-inflammatory effect of electroacupuncture in the C3H/HeJ mouse model of alopecia areata.Acupunct Med. 2013 Mar;31(1):117-9. doi:10.1136/acupmed-2012-010240
American Academy of Dermatology.Hair loss: diagnosis and treatment.
Patterson E, Wall R, Fitzgerald GF, Ross RP, Stanton C.Health implications of high dietary omega-6 polyunsaturated fatty acids.J Nutr Metab.2012;2012:539426. doi:10.1155/2012/539426
Bulló M, Casas R, Portillo MP, et al.Dietary glycemic index/load and peripheral adipokines and inflammatory markers in elderly subjects at high cardiovascular risk.Nutr Metab Cardiovasc Dis. 2013;23(5):443-50. doi:10.1016/j.numecd.2011.09.009
Harvey CJ.Combined diet and supplementation therapy resolves alopecia areata in a paediatric patient: A case study.Cureus. 2020;12(11):e11371. 2020 Nov 7. doi:10.7759/cureus.11371
Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary & alternative medicine for alopecia areata: a systematic review.J Am Acad Dermatol.doi:10.1016/j.jaad.2019.12.027
Ezekwe N, King M, Hollinger JC.The use of natural ingredients in the treatment of alopecias with an emphasis on central centrifugal cicatricial alopecia: A systematic review.J Clin Aesthet Dermatol. 2020;13(8):23-27.
Tkachenko E, Okhovat JP, Manjaly P, Huang KP, Senna MM, Mostaghimi A.Complementary and alternative medicine for alopecia areata: A systematic review.J Am Acad Dermatol. 2023;88(1):131-143. doi:10.1016/j.jaad.2019.12.027
Rizg WY, Hosny KM, Elgebaly SS, et al.Preparation and optimization of garlic oil/apple cider vinegar nanoemulsion loaded with minoxidil to treat alopecia.Pharmaceutics. 2021;13(12):2150. Published 2021 Dec 14. doi:10.3390/pharmaceutics13122150
Yang DQ, You LP, Song PH, Zhang LX, Bai YP.A randomized controlled trial comparing total glucosides of paeony capsule and compound glycyrrhizin tablet for alopecia areata.Chin J Integr Med.2012;18(8):621-5. doi:10.1007/s11655-012-1173-0
Darwin E, Arora H, Hirt PA, Wikramanayake TC, Jimenez JJ.A review of monochromatic light devices for the treatment of alopecia areata.Lasers Med Sci.2018 Feb;33(2):435-444. doi:10.1007/s10103-017-2412-6
Trink A, Sorbellini E, Bezzola P et al.A randomized, double-blind, placebo- and active-controlled, half-head study to evaluate the effects of platelet-rich plasma on alopecia areata.Br J Dermatol.2013 Sep;169(3):690-4. doi:10.1111/bjd.12397
American Academy of Dermatology.Hair loss types: alopecia areata self-care.
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