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Steroid Creams For Hair Loss
Dr Mir Malkani
Medically reviewed by
Dr Mir Malkani
Updated on February 3, 2023

Steroid creams are often prescribed to treat various skin and scalp conditions, including severe dandruff, seborrheic dermatitis, and pityriasis amiantacea. But steroid creams have also shown promising results for tackling hair loss.

One in every 170 UK adults suffers from alopecia areata [1]. And it can affect children, too. Alopecia areata can have a serious knock-on effect on your confidence. So many patients are pleased to learn that topical steroid creams can effectively treat this type of hair loss.

In this article, you’ll learn:

  • Whether it’s safe to use steroid creams for alopecia
  • Which steroid creams can help with hair loss
  • Which steroid cream is most effective.

Do steroid creams help with hair loss?

First, it’s important to distinguish steroid creams (also known as topical corticosteroids) from anabolic steroids, which are used to build muscle tissue. Anabolic steroids may cause hair loss. But in this article, we’re focusing on the former, as evidence suggests that some steroid creams are effective at tackling hair loss.

However, not all types of hair loss will respond to this treatment. For example, male pattern baldness and female pattern hair loss can’t be tackled with steroid creams.

Alopecia areata and alopecia barbae (alopecia areata of the beard) are the two most common types of hair loss that steroid creams can treat.

Patients with alopecia areata typically have follicular inflammation caused by white blood cells attacking the hair follicles. Steroid creams reduce inflammation, helping the follicles recover and stimulating regrowth.

Fungal infections like seborrheic dermatitis can also cause hair loss. Steroid creams are often prescribed to treat fungal infections [2]. In these cases, any hair loss related to the condition will start to regrow after successful topical steroid treatment.

Is it safe to put steroid cream on your scalp?

Yes. If a steroid cream has been prescribed to you for a scalp condition, it should be safe. However, you may experience side effects; always check the label so you know what to expect.

There are also some hair-related side effects to be aware of when you stop using topical corticosteroid creams. These include inflammation and/or infection of the hair follicles [3].

One study has found that certain types of folliculitis can be misdiagnosed as a result of topical steroid use [4]. If you develop red spots or acne in the area, get your scalp checked by a trichologist.

If a steroid cream has been prescribed to you for another condition, check with your GP if it’s suitable for scalp use before you apply it.

Steroid cream may make your hair feel greasy while you’re using it. This is a short-term side effect that shouldn’t stop you using the appropriate treatment. To avoid excessive greasiness, part your hair before applying the cream directly to the skin.

Types of steroid cream for hair loss

Here are some of the most common steroid creams for hair loss, and how effective they are.

Clobetasol propionate

Clobetasol propionate is a relatively strong steroid cream. Evidence suggests it’s one of the most effective steroid creams for hair loss caused by alopecia areata, particularly in children [5-6].

Clobetasol propionate is also among the least painful treatments for alopecia areata, while providing moderate hair regrowth [6].

Because clobetasol propionate is relatively strong, overuse can result in more significant side effects. Use it no more than twice a day for a week, unless otherwise prescribed.

Betamethasone valerate

Like clobetasol propionate, betamethasone valerate is one of the stronger corticosteroid creams available. It’s often used to treat scalp psoriasis. Studies show that, when combined with Minoxidil, it can be an effective treatment for alopecia areata [7].

Betamethasone is available as a specially formulated scalp lotion or scalp foam. These are the best ways to treat scalp conditions and hair loss with this type of topical steroid.

Triamcinolone acetonide

Triamcinolone acetonide cream can treat beard hair loss. Twice daily topical application of this steroid cream led to complete beard regrowth in a patient with alopecia barbae after six months [8].

Before steroid cream use:

alopecia barbae - before steroid cream use

After six months of steroid cream use:

alopecia barbae - after steroid cream use

Mometasone furoate

Mometasone furoate works the same way as other topical steroid creams. One study found that using mometasone furoate to treat alopecia areata led to 71% hair regrowth on the scalp [9]. The same study found that combining mometasone with adapalene gel increased the regrowth rate to more than 90%.

Apply mometasone furoate the same way as other steroid creams. Avoid getting it on your face or other sensitive areas. Generally, you should only use it for short periods if using it for eczema or a fungal infection. But your doctor may recommend you use it for longer to treat alopecia areata.

Hydrocortisone acetate

Hydrocortisone acetate is the mildest steroid cream on this list. It’s also the only one available over-the-counter.

Hydrocortisone is a commonly used steroid cream, but evidence suggests it’s less effective than other hair loss steroid creams [5, 10]. One study examined the use of 1% hydrocortisone cream and topical Minoxidil to treat alopecia areata over 3 months, but the lesions didn’t respond well to the treatment [5].

Most doctors and trichologists will prescribe a stronger steroid cream if you don’t see results after using hydrocortisone.

Which is the best steroid cream for hair growth?

No studies have compared the effectiveness of all steroid creams for hair growth. Only clobetasol propionate and hydrocortisone have been directly compared for treating alopecia areata [5]. Results found that the stronger steroid cream — clobetasol propionate — was better at stimulating hair regrowth.

That said, it may not be necessary to use a high-strength steroid cream to treat your alopecia. Doctors often prescribe or recommend milder steroid creams like hydrocortisone at first. If these don’t work, you can move on to stronger solutions.

How to apply steroid creams for hair loss

  1. Wash your hands before handling the steroid cream.
  2. Part or flatten your hair with one hand to avoid getting too much cream in your hair.
  3. Apply a thin layer of cream to your hair loss patches.
  4. Wash your hands afterwards to avoid applying it elsewhere on the body.
  5. Re-apply after 8-12 hours (or 24 hours if using just once a day).

Try to avoid washing your hair within an hour of using the steroid cream, and don’t apply other creams like moisturisers or serums at the same time.

What other treatments are available for alopecia areata?

Steroid creams aren’t the only way to treat alopecia areata. Steroid injections into the hair loss patches can also stimulate hair regrowth. Other treatments include:

  • JAK inhibitors — Lilly’s Olumiant and Pfizer’s alopecia drug ritlecitinib have both shown promise as a treatment for alopecia areata
  • Contact immunotherapy — triggering a deliberate allergic reaction to suppress the body’s autoimmune response in the follicles
  • Methotrexate — an immunosuppressant that reduces the body’s autoimmune reaction.

At the Wimpole Clinic, our trichology team can help you find the right treatment for your hair loss. Book a free consultation to get started.

Steroid Creams For Hair Loss, Wimpole Clinic

Sources:

  1. The epidemiology of AA: a population-based cohort study in UK primary care
  2. Topical anti-inflammatory agents for seborrhoeic dermatitis of the face or scalp
  3. Topical steroid withdrawal reactions: a review of the evidence
  4. Malassezia (Pityrosporum) Folliculitis Incognito: Malessezia-associated Folliculitis Masked by Topical Corticosteroid Therapy
  5. Clobetasol Propionate, 0.05%, vs Hydrocortisone, 1%, for Alopecia Areata in Children
  6. Corticosteroids for alopecia areata in children
  7. Efficacy of topical latanoprost versus minoxidil and betamethasone valerate on the treatment of alopecia areata
  8. Incipient Diabetes Mellitus and Nascent Thyroid Disease Presenting as Beard Alopecia Areata: Case Report and Treatment Review of Alopecia Areata of the Beard
  9. Use of adapalene in alopecia areata: Efficacy and safety of mometasone furoate 0.1% cream versus combination of mometasone furoate 0.1% cream and adapalene 0.1% gel in alopecia areata
  10. High-Potency Topical Corticosteroids Effective for Alopecia Areata in Children
  11. Successful Treatment of Alopecia Areata with Topical Calcipotriol
Dr Mir Malkani
Medically reviewed by Dr Mir MalkaniUpdated on February 3, 2023
The Wimpole Clinic offers FUE Hair, Beard & Eyebrow Transplants & Trichology.
Talk to a specialist ☎ 020 7935 1861.
Dr Mir Malkani
Medically reviewed by
Dr Mir Malkani
Updated on February 3, 2023

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