@@profLidiaRudnicka I do have a lot of regrowth! My 28 month appointment is coming up really soon. My scalp has been around 90% regrowth for over a year and my brows and lashes are ok-could be thicker but they are there.
I live in the UK and have alopecia universalis, and unfortunately none of the jak drugs have been approved on this side of the pond for treatment of any form of alopecia. The decision was made by the powers that be back in June 23. It's left me feeling angry and dissolutioned and not knowing where to turn next. For those of you over in the United States, I wish you all the best with this exciting new treatment and really hope the these drugs work 100% for you ❤
Thanks for your videos. Please consider editing TH-cam's automatic transcription because all the important information gets mangled. It wouldn't take much effort on your part, and it would help your viewers, especially viewers who speak English as a second language. Plus, edited transcriptions help with YT's algorithm, so more viewers would find your videos. TIA!
Hi Dr.Rudnica My son 14 years old started seeing improvement from taking Baricitinib . We see black specks all over his head, few on eyebrows. He has alopecia universalis My question is , how long does he need to be on it? One year will it be enough? How long do people usually be on it? Do you lower the dosage before stopping it completely? I would appreciate it a lot if you will answer my questions Thank you a lot for giving out valuable information ❤️❤️
Thank you very much. Today I published a short video about frontal fibrosing alopecia. I am putting lichen planopilaris on my To-Do list. Thank you for the suggestion!
Hi Dr Rudnicka, thank you so much for these videos they give me so much hope. I'm in Toronto Canada and haven't been able to find a dermatologist with expertise in alopecia, do you have any recommendations?
Baricitinib is approved for alopecia areata, atopic dermatitis, rheumatoid arthritis and COVID-19 (in certain clinical situations). In other autoimmune diseases, the doctors are considering off-label on individual basis.
Thank you for your research-based discussion. I follow your and some other's discussion on this topic, but nowhere I see a very important point to be discussed. Which is, after full regrowth, if someone stops JAK inhibitor, will the small patch come back or the regrowth is sustainable?
If the withdrawal of the treatment is too early, then the re is a very high probability of relapse within few weeks. Long treatment is likely to give more durable results
@@profLidiaRudnicka thank you very much for your kind reply. I did not expect a reply from you :D I have alopecia areata only on my beard for the last 5 years. I took all possible treatment available. Hair comes back but falls again after the treatment. I used JAK inhb. for 5months, but had to stop because German doctors are very skeptical about the side effects. I am also slightly diabetic from the time I have alopecia. I have no other blood issue at all. Not sure if the diabetics is the reason for this. Do you have any opinion on this?
Thank you, I've learned so much from your videos. What are you thoughts on the use of JAK inhibitors with young adult patients that have had chemo therapy for CHL, and now have chemo induced AA?
Hello Dr.Rudnicka, I just read New York Times article about Olumient being FDA approved. I have AU for about 2 years, after childbirth. And had AT in 2018, after which the hair regrew without treatment (may be only Rogaine). Basically I believe it’s stress related alopecia. But now it’s AU and the hair doesn’t want to regrow very much, but I got my facial hair back, and a little hope on my head, but still it’s 2 years almost. My question is - does my case can be the reason for prescribing me Olumient? I’m desperate and planning to order other jak inhibitor from other country may be… plus cannot find dermatologist specialising in alopecia under my insurance (Chicago suburbs, Chicago area)…
How affective are Jak inhibitors at treating alopecia barbae I believe it’s called of beard alopecia? My dermatologist gave me a prescription for it but shortly after using it I got Covid which I never had before and it scared me. I haven’t used it since but I’m sure I didn’t use it enough time to see results.
Hi Prof. My new derm said all treatments don’t affect my FFA at all(I’m on Isotretinoin,Dutasteride,Cyclosporine,Prednisone and Plaquenil). He wants me to start Clexane injections once a week(he said there are few studies that show great results on LP). What do you think? He said if it doesn’t work we’ll try Xeljanz. What do you think on Xeljanz for FFA? Big thank you as always!
@@profLidiaRudnicka Yes he’s done 3 biopsies-one from my scalp,one from my arm and one from my right thigh. They all showed LPP. I’m losing eyelashes,eyebrows,leg hair,arm hair, I lost already few inches of my frontal hair line and underarm hair😢😢 What about Otezla? Did you use it in LPP/FFA? I’m on LPP facebook group and they’re saying it is a miracle drug lowering inflammation and even capable of regrowing some of the lost hair
In regard to indications the two drugs are for two different diseases. Finasteride is for androgenetic alopecia and Olumiant (baricitinib) is for alopecia areata.
Hello. Do you think that these JAK-inhibitors are suitable to treat regular androgenic alopecia? I saw a video of some studies that were done on androgenic alopecia and the JAK inhibitors works on that as well according to those studies. What is your opinion on this?
Hi, in the uk, jak inhibitors are not approved for hair loss treatments and I think its only available for arthritis etc. Can I visit a doctor in the USA and obtain say 12 months treatment plan of jak inhibitors for me to use back in the uk , if so any suggestions for the west coast ? Thanks Mike
It is difficult for me to suggest. In the European Union baricitinib was approved in 2022 and ritlecitinib is expected to be approved soon. Maybe waiting for a UK approval is the best strategy?
Hello, I am suffering from ophiasis alopecia. My dermatologist suggested Tofacitinib 2*5mg. My queries are: 1. For how long I have to take this medicine. 2. How it is going to impact the immune system? 3. If i stop this medicine after 5 6 months, what will happen? Is there a rebound. If yes, how can I avoid it?
I am a patient of OCD and taking psychotic medicine last 6 years. My main concern is my hair fall started when I was 14. Now I am 31 years old. Totally bald. Probably Norwood 7. But the problem is I have losing hair from lower and side portion of the head. Maybe retrograde alopecia. And also losing beard.almost 70% of my beard density has gone and losing my beard line. I saw many dermatologist but nothing works. I just want to know is it treatable?
Is it alopecia areata? If so, then there at least few options of treatment with possible efficacy. I would prefer a non-steroid treatment in someone who has a psychotic condition. JAK inhibitors are just one of the options
I have total alopecia, I'm on baracitinib for 7 months now and had complete regrowth but 2 months ago my hair started falling again and I lost all of it (I did not stop the medication). What can cause this and do you recommend trying another type of inhibtor in my case?
hello doctor i seriously need your suggestion,im victim.of alopecia and its been a month since im taking baricitinib,i havent find any hair follicle to grow but i develop small pores all over my body .what does these small pores mean.is it sign that hair follicles will start to grow through these pores and please let me know how long it takes for hairy follicle to appear on skin
I’ve had alopecia since i was around 4yrs old started as AA and as i got older it turned into AT. I believe my AT started in my early 20’s give or take. I’m 33 now and still with AT. Just asking for your educational answer but do u think if i were to take any of these JK drugs would may hair growth % be low since I’ve had alopecia for so long?
@Alfredo and@@MeMe-ht2hd every alopecia is different and nobody knows. In my opinion, the chance for cosmetically acceptable regrowth decreases over the years/decades. In any case, the chances are never zero. Regarding a history of 13 years, I had some patients good with regrowth (on classic treatment).
Hello Professor I was taking tofacitinib from 1.5 years. After full regrow my doctor told me to stop the medication. Now after 6 weeks I am loosing a lot of hairs and again got bald patches. What should I do as my doctor is not understanding.
I hope that meanwhile your hair regrew. There are many possible reasons for discontinuation of a mediacation. The treatment of severe alopecia takes usually few years, but it may be significantly shorter in some cases.
Thanks for the reply.... So You had no hair but have full head and moustache? And also what is the plan, for how long doctor suggested you to continue the medicine? I am asking this because I have read like until you take this medicine it's fine but you may see a rebound effect after you stop the medicine.
as someone that has suffered from alopecia areata to now alopecia totalis for 9 years, i’ve done every treatment possible. so far, everything has worked only temporarily including PRP (with both blood, and chemiclas) cupping, homeopathy, aurvedic, steroids, vitamins, creams, oils, solutions. everything has side effects. everything works but for me it was temporary. one of india’s best dermatologist has advised me to take elocon and tofajak, (tofacitinib) i have definitely seen some results, such as thin hair growth around my scalp, but it relapses once my skin gets flakey and if i’m out of the dosage. would you recommend increasing the dosage? or using a different jak? i hope to find a cure for alopecia soon! x willing to try jak’s ruxolitnib, but why it is it so expensive 😩 it’s as expensive as my human hair wig
@@profLidiaRudnicka okay thank you. I have diffuse thinning caused by a hyperthermia event that never grew back and continues to get worse. Do you think topical steroids would be a better option than injections?
Dr. My daughter is having Alopecia areata. She is 19 years old. Dermatologists has strated Tnib 5mg tofacinib. Is this medicine ok for her hair growth. How long it will take to grow hair. Please reply
Do you have to take this your whole life or can you stop taking it once your hair regrows. What is the point in this cure if it needs 1 year to fully grow back but relapses after 8 weeks
The course of the disease is very variable and unpredictable. In many of my patients, the hair grew back and there was no relapse. But a pessimistic scenario is also possible, unfortunately
Dzień dobry, Pani profesor Jestem kobietą i mam 26 lat oraz pcos. Ze wględu na pcos mam wysoki testeron (2x górna granica normy). Zdiagnozowano u mnie łysienie androgenowe. Włosy wychodzą garściami od 3 lat, dziennie 300 sztuk. Od 8 miesiecy stosuję finasteryd 5 mg, spironol 25 mg, minoxidil doustny w dawce 0.001 (1mg). Po 4.5 mięsiaca była poprawa w trichoskopii, aczkolwiek leczenie w żadnym stopniu nie zmniejszyło wypadania, tracę objętość włosów, boję się je dotykać. Wypada mi dużo baby hair, takich 5-7 cm, a włosy mam za łopatki. Czy to dobry pomysł, aby zastąpić finasteryd dutasterydem i włączyć Alopexy albo zmodyfikować to leczenie? Wypadanie takiej ilości jest dla mnie bardzo uciążliwe.
Wszystkie leki, które Pani wymieniła są stosowane w łysieniu androgenowym kobiet poza wskazaniami. Zawsze lekarz - razem z Panią - będzie podejmował decyzję o wyborze leczenia. W przypadku finasterydu i dutasterydu szczególnie trzeba pamiętać o skutecznej antykoncepcji i czasie jej stosowania po leczeniu.
thank you for this video. it is very insightful. i have been on olumiant (4mg) for 1.5 months now and i am still losing a lot of hair. however i am also seeing regrowth. is it normal to be shedding on olumiant? is tofacitinib better than olumiant? can i switch my jak inhibitor?
I would wait for few (4-6) months to have an opinion about the efficacy in your case. In some people it starts working after 4 months or more. Regrowth is a good sign. Olumiant (baricitinib) is FDA approved for alopecia areata and tofacitinib is not. There are no studies which compare these two drugs
olumiant works but the moment i stopped taking it, my hair started falling out again. was wondering if its safe to stay on this medication forever. please let me know. thanks!
Hello doctor, I am from India. I am also suffering from alopecia for about 8 years. It is not getting cured. How can it be cured and how can my hair come back? Please help me.
This has to be decided individually. I would not use it as first line treatment, but in general tofacitinib should be taken at a dose not higher than 2x5 mg
There are very few data, but yes, we may expect some efficacy in active, progressing LPP. They may theoretically decrease the speed of progression in some patients.
Hi , there are jaks from different brand for example Cipla , dr . Reddys in India , these are very cheap compared to Lilly’s which is expensive , so u think I can substitute other brands in place of Lilly’s ?
Mam I am taking tofacitinibe 5 mg for 2 month but not hair re growth on scalp ..a little bit re growth eye brow..can I hope that my hair will re growth??
Hello ma'am how we can get treatment with Jak inhibitor? I mean where can I buy it? I'm from Iran and my 5 years old Sun have alopecia areata and I don't know how can I get treatment for him? please answer me
Needs to be prescribed by medical professional and the patient needs to remain under their care. I wouldn’t advise just buying off the internet. Also the drug is extremely expensive, in the uk at cost price Novartis sells to the NHS for upto £3000!!!
@@faisalkhan786fk Thank you I really appreciate your help, but you know because of embargo I can't buy it from abroad and I think can't find it in my country
Hi professor I thank for your brilliant information. I have alopecia totalis for 22 years now ,11 years ago my dr. Prescribed for me prednisone that is gradually decreased from 5 tabs to 1 tab I got a few hair back but I stopped it .the few hair I got is still alive now but now I having small patch on my beard on my chin I am taking minoxidil 5% and Dr. Also Prescribed for me methotrexate 7.5 MG a week with folic acid but I didn't take it. So plz professor help 😫 should I take it and get better I need advice plz ,,I lost my scalp hair but am not going to lose my beard plz help .I have hair all my body except my scalp .help me for the sake of God 10q
I am sorry to hear about your problem and that it is impossible to help with individual problems via TH-cam. Methotrexate is one of the drugs used in alopecia areata and it has a good safety profile. I can not predict whether it will be effective or not in your situation. Minoxidil alone (in monotherapy) is unlikely to be effective in alopecia areata.
Hii madam., I have the same alopecia areata for the last 11 years.. But i had taken lots of medicine in Alopathy, homeopathy and ayurveda ect. But i didn't get well in that all treatments. Is this treatment is useful for me. What is your opinion.. Plz reply madam... 😩😟
Mam i have had an alopecia areata since 5 yrs ,then my doc prescribed me many medicine like sazoo 500 at first ,then my hair patches got cleared but relapses happen again n again ,finally my doc prescribed me tofacitinib for 3 months and my patches recovered totally ,but these days again I saw a small patch at temple side ...i m worried now ...after 5 months ,again relapse ,plz do suggest me what to do now
I am very sorry, I think I don't know hair experts in Banglore. You may try looking here for some names: find-a-derm.aad.org/?location=Banglore&keywords=&condition=&procedure=&practicefocus=&name=
I have alopecia totally universal from 14 years .I use ollumiont 7 month without any good result nothing happened .I used after that three month zjelganz without good result .now I use litfullo from three month .I am truying to use rinvoq at the same time with litfullo .is that normal .I take alsoo oral minoxidil 9 month 2.5 mg. Please i need your advice
You're great at your area of expertise ma'am.
Thank you :)
I'm on the ritlecitinib trial and this is a great explanation of how the drugs work and how promising they are! There is so much hope!
Thanks a lot! Do you already have some regrowth?
@@profLidiaRudnicka I do have a lot of regrowth! My 28 month appointment is coming up really soon. My scalp has been around 90% regrowth for over a year and my brows and lashes are ok-could be thicker but they are there.
@@april99noel That's great! I am really happy for you 🙂
How does your doc decide if ritlecitinib is the right jak fro u ?
any side effects ?
Baricitinib just got FDA approved !! Thank you for the video prof.
Thank you!
This is an excellent and very easy to understand - well done.
Glad it was helpful!
Excellent presentation. You have made a complicated thing simple and easy to understand.
Thank you!
I live in the UK and have alopecia universalis, and unfortunately none of the jak drugs have been approved on this side of the pond for treatment of any form of alopecia. The decision was made by the powers that be back in June 23. It's left me feeling angry and dissolutioned and not knowing where to turn next.
For those of you over in the United States, I wish you all the best with this exciting new treatment and really hope the these drugs work 100% for you ❤
Thank you for your excellent update.... as always. Please elaborate on Topical JAK inhibitors next VDO.
Thank you. This is a great idea! Thanks a lot !
@@profLidiaRudnicka we miss your newest videos Prof. Rudnicka 🙏🏻🙏🏻🙏🏻
Thank you for creating a very informative video about this product ❤️
Thank you 😊
you are the best!!!!
Thank you very much! So nice of you!
Thanks for your videos. Please consider editing TH-cam's automatic transcription because all the important information gets mangled. It wouldn't take much effort on your part, and it would help your viewers, especially viewers who speak English as a second language. Plus, edited transcriptions help with YT's algorithm, so more viewers would find your videos. TIA!
Thank you for your suggestion. I am afraid that this is too difficult for me, but I will try!
Hi Dr.Rudnica
My son 14 years old started seeing improvement from taking Baricitinib . We see black specks all over his head, few on eyebrows.
He has alopecia universalis
My question is , how long does he need to be on it? One year will it be enough? How long do people usually be on it?
Do you lower the dosage before stopping it completely? I would appreciate it a lot if you will answer my questions
Thank you a lot for giving out valuable information ❤️❤️
Jak miło posluchac po polsku ...
Bardzo dziekuję !
Hello from Mexico I love your videos, when are you going to talk about only about
lichen planopilares?
Thank you very much. Today I published a short video about frontal fibrosing alopecia. I am putting lichen planopilaris on my To-Do list. Thank you for the suggestion!
Going on this month!!
Hi Dr Rudnicka, thank you so much for these videos they give me so much hope. I'm in Toronto Canada and haven't been able to find a dermatologist with expertise in alopecia, do you have any recommendations?
Thank you very much. The only Canadian dermatologist who comes to my mind is Harvey Lui in Vancouver.
Hi! Thank you for explaining this so well. Is this treatment also for androgenic alopecia ? Where can I find this meds if I live in Bolivia?
Thank you very much. No, the treatment is not designed for androgenetic alopecia
Great thanks prof ❤❤❤
You are welcome 😊
Can Barcitinib work for telogen effluvium which is caused by an autoimmune disease?
Baricitinib is approved for alopecia areata, atopic dermatitis, rheumatoid arthritis and COVID-19 (in certain clinical situations). In other autoimmune diseases, the doctors are considering off-label on individual basis.
Thank you for your research-based discussion. I follow your and some other's discussion on this topic, but nowhere I see a very important point to be discussed. Which is, after full regrowth, if someone stops JAK inhibitor, will the small patch come back or the regrowth is sustainable?
If the withdrawal of the treatment is too early, then the re is a very high probability of relapse within few weeks. Long treatment is likely to give more durable results
@@profLidiaRudnicka thank you very much for your kind reply. I did not expect a reply from you :D
I have alopecia areata only on my beard for the last 5 years. I took all possible treatment available. Hair comes back but falls again after the treatment. I used JAK inhb. for 5months, but had to stop because German doctors are very skeptical about the side effects. I am also slightly diabetic from the time I have alopecia. I have no other blood issue at all. Not sure if the diabetics is the reason for this. Do you have any opinion on this?
Thank you, I've learned so much from your videos. What are you thoughts on the use of JAK inhibitors with young adult patients that have had chemo therapy for CHL, and now have chemo induced AA?
FOr the hematologist to decide; probably I would be rather looking for a different solution
Hello professor
I'm pharmacist and caring for learning evry things about hair
Could you advise me from your beautiful experience?
Thanks alot for you
How can I help?
Ma'am please suggest the one of them best jak inhibitors tab for alopecia areata
In USA ritlecitinib and baricitinib are both approved for adults.
Hello Dr.Rudnicka, I just read New York Times article about Olumient being FDA approved. I have AU for about 2 years, after childbirth. And had AT in 2018, after which the hair regrew without treatment (may be only Rogaine). Basically I believe it’s stress related alopecia. But now it’s AU and the hair doesn’t want to regrow very much, but I got my facial hair back, and a little hope on my head, but still it’s 2 years almost. My question is - does my case can be the reason for prescribing me Olumient? I’m desperate and planning to order other jak inhibitor from other country may be… plus cannot find dermatologist specialising in alopecia under my insurance (Chicago suburbs, Chicago area)…
Sorry I am not able to comment on individual situations, because I don’t know the details, lab results etc
Did you get the JAK inhibitor?
Hello Dr Rudnicka I’m from Manteca, CA can u help me to find a best dermatologist for alopecia treatment in my area
How affective are Jak inhibitors at treating alopecia barbae I believe it’s called of beard alopecia? My dermatologist gave me a prescription for it but shortly after using it I got Covid which I never had before and it scared me. I haven’t used it since but I’m sure I didn’t use it enough time to see results.
There are no scientific data on isolated alopecia areata of the beard. We can only extrapolate data from results in scalp hair loss.
Hi Prof. My new derm said all treatments don’t affect my FFA at all(I’m on Isotretinoin,Dutasteride,Cyclosporine,Prednisone and Plaquenil). He wants me to start Clexane injections once a week(he said there are few studies that show great results on LP). What do you think? He said if it doesn’t work we’ll try Xeljanz. What do you think on Xeljanz for FFA? Big thank you as always!
Your diagnosis is sure? There are no scientific data for tofacitinib and FFA. If nothing else worked, maybe I would consider
@@profLidiaRudnicka Yes he’s done 3 biopsies-one from my scalp,one from my arm and one from my right thigh. They all showed LPP. I’m losing eyelashes,eyebrows,leg hair,arm hair, I lost already few inches of my frontal hair line and underarm hair😢😢 What about Otezla? Did you use it in LPP/FFA? I’m on LPP facebook group and they’re saying it is a miracle drug lowering inflammation and even capable of regrowing some of the lost hair
Dr Rudnicka can you please answer me about oluminant for androgenic alopecia ? Can be used with Finastreide? Thanks a lot 😊
In regard to indications the two drugs are for two different diseases. Finasteride is for androgenetic alopecia and Olumiant (baricitinib) is for alopecia areata.
Hello. Do you think that these JAK-inhibitors are suitable to treat regular androgenic alopecia? I saw a video of some studies that were done on androgenic alopecia and the JAK inhibitors works on that as well according to those studies. What is your opinion on this?
No, according to current medical knowledge there is no reason to believe that they could be effective in androgenetic alopecia.
@@profLidiaRudnicka Ok, thanks for the reply!
Hi, in the uk, jak inhibitors are not approved for hair loss treatments and I think its only available for arthritis etc.
Can I visit a doctor in the USA and obtain say 12 months treatment plan of jak inhibitors for me to use back in the uk , if so any suggestions for the west coast ?
Thanks Mike
It is difficult for me to suggest. In the European Union baricitinib was approved in 2022 and ritlecitinib is expected to be approved soon. Maybe waiting for a UK approval is the best strategy?
Hello,
I am suffering from ophiasis alopecia.
My dermatologist suggested Tofacitinib 2*5mg.
My queries are:
1. For how long I have to take this medicine.
2. How it is going to impact the immune system?
3. If i stop this medicine after 5 6 months, what will happen? Is there a rebound. If yes, how can I avoid it?
Please advise
Ask your doctor mate. She/he can tell better
I am a patient of OCD and taking psychotic medicine last 6 years. My main concern is my hair fall started when I was 14. Now I am 31 years old. Totally bald. Probably Norwood 7. But the problem is I have losing hair from lower and side portion of the head. Maybe retrograde alopecia. And also losing beard.almost 70% of my beard density has gone and losing my beard line. I saw many dermatologist but nothing works. I just want to know is it treatable?
Is it alopecia areata? If so, then there at least few options of treatment with possible efficacy. I would prefer a non-steroid treatment in someone who has a psychotic condition. JAK inhibitors are just one of the options
If we take tofacitinib 5mg twice for life long mean , what will be the side effect will get ??
When taking long-term, adequate monitoring is necesarry
I have total alopecia, I'm on baracitinib for 7 months now and had complete regrowth but 2 months ago my hair started falling again and I lost all of it (I did not stop the medication). What can cause this and do you recommend trying another type of inhibtor in my case?
Yes it is possible. This should be discussed with your doctor, but yes it is definetly worth trying (if available)
hello doctor i seriously need your suggestion,im victim.of alopecia and its been a month since im taking baricitinib,i havent find any hair follicle to grow but i develop small pores all over my body .what does these small pores mean.is it sign that hair follicles will start to grow through these pores and please let me know how long it takes for hairy follicle to appear on skin
Hair regrowth with JAK inhibitors may be sometimes as late as after 6 months of treatment
I’ve had alopecia since i was around 4yrs old started as AA and as i got older it turned into AT. I believe my AT started in my early 20’s give or take. I’m 33 now and still with AT. Just asking for your educational answer but do u think if i were to take any of these JK drugs would may hair growth % be low since I’ve had alopecia for so long?
Your story is my story. Mine started at 16
@Alfredo and@@MeMe-ht2hd every alopecia is different and nobody knows. In my opinion, the chance for cosmetically acceptable regrowth decreases over the years/decades. In any case, the chances are never zero. Regarding a history of 13 years, I had some patients good with regrowth (on classic treatment).
Hello Professor
I was taking tofacitinib from 1.5 years. After full regrow my doctor told me to stop the medication. Now after 6 weeks I am loosing a lot of hairs and again got bald patches. What should I do as my doctor is not understanding.
I hope that meanwhile your hair regrew. There are many possible reasons for discontinuation of a mediacation.
The treatment of severe alopecia takes usually few years, but it may be significantly shorter in some cases.
Dr. Please what is your opinion to take tab.Tofacitinib 5mg for alopecia areata
My opinion is good. With all restrictions to keep in mind.
Thank you D. I’m now on tofacitinb for alopecia. Is there any dangerous side effects on long term
There are no known significant adverse effects beyond the time of taking the drug
@@profLidiaRudnicka thank you D.
Hi Nawar, my doctor suggested me for Tofacitinib. Do you see any regrowth? Please share your experience and also the side effects if any?
@@sanketg2 hello Sanket yes i have now almost full mustache head hear there are some improvement but need more time
Thanks for the reply.... So You had no hair but have full head and moustache?
And also what is the plan, for how long doctor suggested you to continue the medicine?
I am asking this because I have read like until you take this medicine it's fine but you may see a rebound effect after you stop the medicine.
as someone that has suffered from alopecia areata to now alopecia totalis for 9 years, i’ve done every treatment possible. so far, everything has worked only temporarily including PRP (with both blood, and chemiclas) cupping, homeopathy, aurvedic, steroids, vitamins, creams, oils, solutions. everything has side effects. everything works but for me it was temporary. one of india’s best dermatologist has advised me to take elocon and tofajak, (tofacitinib) i have definitely seen some results, such as thin hair growth around my scalp, but it relapses once my skin gets flakey and if i’m out of the dosage. would you recommend increasing the dosage? or using a different jak? i hope to find a cure for alopecia soon! x willing to try jak’s ruxolitnib, but why it is it so expensive 😩 it’s as expensive as my human hair wig
It is not recommended to increase the dose above the doctor’s advice, in particular in case of tofacitinibie. Full dose Treatment is usually long
What was your experience with steroids? I’m getting scalp injections tomorrow
@@austinzizzi1142 in general very good
@@profLidiaRudnicka okay thank you. I have diffuse thinning caused by a hyperthermia event that never grew back and continues to get worse. Do you think topical steroids would be a better option than injections?
10 q dr for your information can this medication treat alopecia totalis for 21 years
Thank you! Posssibly yes, but the probability of success is not very high in my opinion
Dr. My daughter is having Alopecia areata. She is 19 years old. Dermatologists has strated Tnib 5mg tofacinib. Is this medicine ok for her hair growth. How long it will take to grow hair. Please reply
I can not comment on individual situations, but in general there were studies in young people an the results were very promising
How’s your daughter
Now?
Do you have to take this your whole life or can you stop taking it once your hair regrows. What is the point in this cure if it needs 1 year to fully grow back but relapses after 8 weeks
The course of the disease is very variable and unpredictable. In many of my patients, the hair grew back and there was no relapse. But a pessimistic scenario is also possible, unfortunately
@@profLidiaRudnicka and are there serious side effects to this drug? I read that some patients got cancer because of it
Dzień dobry, Pani profesor
Jestem kobietą i mam 26 lat oraz pcos. Ze wględu na pcos mam wysoki testeron (2x górna granica normy). Zdiagnozowano u mnie łysienie androgenowe. Włosy wychodzą garściami od 3 lat, dziennie 300 sztuk. Od 8 miesiecy stosuję finasteryd 5 mg, spironol 25 mg, minoxidil doustny w dawce 0.001 (1mg). Po 4.5 mięsiaca była poprawa w trichoskopii, aczkolwiek leczenie w żadnym stopniu nie zmniejszyło wypadania, tracę objętość włosów, boję się je dotykać. Wypada mi dużo baby hair, takich 5-7 cm, a włosy mam za łopatki. Czy to dobry pomysł, aby zastąpić finasteryd dutasterydem i włączyć Alopexy albo zmodyfikować to leczenie? Wypadanie takiej ilości jest dla mnie bardzo uciążliwe.
Wszystkie leki, które Pani wymieniła są stosowane w łysieniu androgenowym kobiet poza wskazaniami. Zawsze lekarz - razem z Panią - będzie podejmował decyzję o wyborze leczenia.
W przypadku finasterydu i dutasterydu szczególnie trzeba pamiętać o skutecznej antykoncepcji i czasie jej stosowania po leczeniu.
Hello please show the way how can I get treatment for my 5years Old son???
He has Alopecia areata
First step is to see a dermatologist.
thank you for this video. it is very insightful. i have been on olumiant (4mg) for 1.5 months now and i am still losing a lot of hair. however i am also seeing regrowth. is it normal to be shedding on olumiant? is tofacitinib better than olumiant? can i switch my jak inhibitor?
please let me know. thank you. i have been struggling and losing hope as nothing seems to be working.
I would wait for few (4-6) months to have an opinion about the efficacy in your case. In some people it starts working after 4 months or more. Regrowth is a good sign.
Olumiant (baricitinib) is FDA approved for alopecia areata and tofacitinib is not.
There are no studies which compare these two drugs
How’s your alopecia now? Are you still taking olumiant? Thanks
olumiant works but the moment i stopped taking it, my hair started falling out again. was wondering if its safe to stay on this medication forever. please let me know. thanks!
@@JoselynLin After how many months has your hair stopped falling out?
Hello doctor, I am from India. I am also suffering from alopecia for about 8 years. It is not getting cured. How can it be cured and how can my hair come back? Please help me.
Every situation is different. Sorry I can not help over TH-cam.
Your dermatologist will be the best source of information
Tell me one thing can my hair grow back again after 8 years please tell me
Tofacitinib 5mg tab is available in India . Is this the jak inhibitor drug to be taken Professor? Please let me know. Thanks
This has to be decided individually. I would not use it as first line treatment, but in general tofacitinib should be taken at a dose not higher than 2x5 mg
Hello A K.. Did Tofacitnib worked for you?
So bro which brand did you used ? Is there any recovery on that product?
@AK-dx4ex bro pls do reply
Is jak inhibitors effective in lichenplanoplaries
There are very few data, but yes, we may expect some efficacy in active, progressing LPP. They may theoretically decrease the speed of progression in some patients.
Hi , there are jaks from different brand for example Cipla , dr . Reddys in India , these are very cheap compared to Lilly’s which is expensive , so u think I can substitute other brands in place of Lilly’s ?
I have very limited knowledge about pharmaceutics available in India. There are no less expensive options in Europe and America
bro from where did you bought this ? its not available now in the market
@minisparadise9202 bro where did you bought that
Mam I am taking tofacitinibe 5 mg for 2 month but not hair re growth on scalp ..a little bit re growth eye brow..can I hope that my hair will re growth??
How are you doing? Is it 5 mg twice per day?
Hello ma'am how we can get treatment with Jak inhibitor? I mean where can I buy it? I'm from Iran and my 5 years old Sun have alopecia areata and I don't know how can I get treatment for him? please answer me
Needs to be prescribed by medical professional and the patient needs to remain under their care.
I wouldn’t advise just buying off the internet. Also the drug is extremely expensive, in the uk at cost price Novartis sells to the NHS for upto £3000!!!
@@faisalkhan786fk Thank you I really appreciate your help, but you know because of embargo I can't buy it from abroad and I think can't find it in my country
@@sonahosseinnasab7652 go into pakistan get it there and go back. Novartis manufacture it.
@@faisalkhan786fkDo you have any experience with improve the disease with this medicine??
@@sonahosseinnasab7652 nope no experience unfortunately. But I am an pharmacist.
Hi professor I thank for your brilliant information. I have alopecia totalis for 22 years now ,11 years ago my dr. Prescribed for me prednisone that is gradually decreased from 5 tabs to 1 tab I got a few hair back but I stopped it .the few hair I got is still alive now but now I having small patch on my beard on my chin I am taking minoxidil 5% and Dr. Also Prescribed for me methotrexate 7.5 MG a week with folic acid but I didn't take it. So plz professor help 😫 should I take it and get better I need advice plz ,,I lost my scalp hair but am not going to lose my beard plz help .I have hair all my body except my scalp .help me for the sake of God 10q
I am sorry to hear about your problem and that it is impossible to help with individual problems via TH-cam. Methotrexate is one of the drugs used in alopecia areata and it has a good safety profile. I can not predict whether it will be effective or not in your situation. Minoxidil alone (in monotherapy) is unlikely to be effective in alopecia areata.
@@profLidiaRudnicka thank you so much for your replay 💜 what advice will you give me anything I can do plz 🙏
Can Olumiant medication Cure of male pattern baldness ???
No, there are currently no data to suspect that it could be effective
Hii madam., I have the same alopecia areata for the last 11 years.. But i had taken lots of medicine in Alopathy, homeopathy and ayurveda ect. But i didn't get well in that all treatments. Is this treatment is useful for me. What is your opinion.. Plz reply madam... 😩😟
Unfortunately, it is not possible to solve individual medical problems via TH-cam
Mam i have had an alopecia areata since 5 yrs ,then my doc prescribed me many medicine like sazoo 500 at first ,then my hair patches got cleared but relapses happen again n again ,finally my doc prescribed me tofacitinib for 3 months and my patches recovered totally ,but these days again I saw a small patch at temple side ...i m worried now ...after 5 months ,again relapse ,plz do suggest me what to do now
Sorry, it is not possibile to advice in individual health problems
How’s your alopecia now?
Alhumdullelah now it z all clear,but sometimes a minute patch appears on off ....but I hve realised it happens mostly due to stress
Today i m taking levamasole tab twice in a week ,to prevent to relapse again
Hello how long u used it... And did u used minoxidil?....
Plz reply bro.... Im in tension i also having aa al almost 4years....
Where are you located Doctor
Warsaw, Poland, but often I can recommend dermatologists in other parts of the World who are experts in hair
can 15/16 yrs old take jak inhibitors (Alopecia areata)
It would be off-label but it is possible
doctor, do i have to take the jak inhibitor lifelong?
Or i interrupt it once the hair regrows?
I have discovered the medicine for this disease.
Please share a link to the professional publication with clinical trial results which confirm this statement.
Жаль, что нет перевода на русский язык
I am sorry for this
Im from INDIA.. I want TPC 543 12MG TABLETS
Unfortunately, CTP-543 is not available (yet). It is an investigational drug.
Plz madam I am India form banglore I have alopecia I lost hairs plz give me regrowth area for hair plz mam
I am very sorry, I think I don't know hair experts in Banglore. You may try looking here for some names: find-a-derm.aad.org/?location=Banglore&keywords=&condition=&procedure=&practicefocus=&name=
@@profLidiaRudnicka I am suffering 8 years alopecia new tablet use full to hair regrowth mam
Hi Pavan. Which medicines you are on?
@pavanakil582 is there any update or recovery on your medication?? What are the products you used
SALT 100 here.... 😑
ارجوك الرد
What is the question? From my perspective I do not see your question.
I have alopecia totally universal from 14 years .I use ollumiont 7 month without any good result nothing happened .I used after that three month zjelganz without good result .now I use litfullo from three month .I am truying to use rinvoq at the same time with litfullo .is that normal .I take alsoo oral minoxidil 9 month 2.5 mg. Please i need your advice
How can i get the jak inhibitor
I recommend talking to your dermatologist. Approved JAK inhibitors (for AA) are not yet available, but there are some off-label options
Please reply
Replied below 🙂
???
Sorry for the delay. I responded you your question in the other place.
this medication is way too expensive for people who can't afford it or poor, once again the people with the money get all the toys
Hopefully it will become less expensive over the time