{"id":564195,"date":"2026-08-29T02:00:00","date_gmt":"2026-08-29T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/should-i-recommend-topical-or-systemic-treatment\/"},"modified":"2026-09-04T09:32:09","modified_gmt":"2026-09-04T07:32:09","slug":"should-i-recommend-topical-or-systemic-treatment","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/should-i-recommend-topical-or-systemic-treatment\/","title":{"rendered":"Should I recommend topical or systemic treatment?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>For localized and limited hair loss, first-line treatment usually involves the use of corticosteroids, which are administered in topical formulations and\/or as intralesional injections. Topical minoxidil is another treatment option validated in clinical trials that has been shown to be effective in promoting hair growth in alopecia areata. Among systemic treatment options, oral prednisolone remains a standard choice, but in recent years, oral Janus kinase inhibitors (e.g., baricitinib, ritlecitinib) have significantly expanded the therapeutic arsenal.<\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fshould-i-recommend-topical-or-systemic-treatment%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>For localized and limited hair loss, first-line treatment usually involves the use of corticosteroids, which are administered in topical formulations and\/or as intralesional injections. Topical minoxidil is another treatment option&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fshould-i-recommend-topical-or-systemic-treatment%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":564200,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Alopecia areata  ","footnotes":"","_members_access_role":[],"_members_access_error":""},"category":[11548,11331,11513,11340,11442,11503],"tags":[51501,17420,18249,50786,94961,31086,17435,100230,100231,65727,100232,100229,12546],"powerkit_post_featured":[],"class_list":["post-564195","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rx-en","category-allergology-and-clinical-immunology","category-congress-reports","category-dermatology-and-venereology","category-pharmacology-and-toxicology","category-studies","tag-alopecia-areata-en","tag-baricitinib-en","tag-corticosteroids","tag-kenacort-en","tag-litfulo","tag-minoxidil-en","tag-olumiant-en","tag-oral-janus-kinase-inhibitors","tag-oral-prednisolone","tag-ritlecitinib-en","tag-salt-score","tag-systemic-therapy-2","tag-topical-therapy","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-09-11 11:11:22","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":564205,"slug":"faut-il-recommander-un-traitement-topique-ou-systemique","post_title":"Faut-il recommander un traitement topique ou syst\u00e9mique ?","href":"https:\/\/medizinonline.com\/fr\/faut-il-recommander-un-traitement-topique-ou-systemique\/"},"it_IT":{"locale":"it_IT","id":564211,"slug":"e-opportuno-raccomandare-un-trattamento-topico-o-sistemico","post_title":"\u00c8 opportuno raccomandare un trattamento topico o sistemico?","href":"https:\/\/medizinonline.com\/it\/e-opportuno-raccomandare-un-trattamento-topico-o-sistemico\/"},"pt_PT":{"locale":"pt_PT","id":564217,"slug":"recomenda-se-o-tratamento-topico-ou-sistemico","post_title":"Recomenda-se o tratamento t\u00f3pico ou sist\u00e9mico?","href":"https:\/\/medizinonline.com\/pt-pt\/recomenda-se-o-tratamento-topico-ou-sistemico\/"},"es_ES":{"locale":"es_ES","id":564267,"slug":"se-recomienda-un-tratamiento-topico-o-sistemico","post_title":"\u00bfSe recomienda un tratamiento t\u00f3pico o sist\u00e9mico?","href":"https:\/\/medizinonline.com\/es\/se-recomienda-un-tratamiento-topico-o-sistemico\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/564195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=564195"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/564195\/revisions"}],"predecessor-version":[{"id":564204,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/564195\/revisions\/564204"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/564200"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=564195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=564195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=564195"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=564195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}