As we all
know, both spironolactone and
eflornithine hydrochloride
can be used
for female facial hirsutism, but what are
their differences?
#1. Dosage forms
Spironolactone
is made into tablets or oral suspensions
but never used topically. While
eflornithine is mainly made into topical
creams well-known as Vaniqa of Gillette.
There was an eflornithine injection, but it
was discontinued for safety reasons.
#2. Working Mechanism
Spironolactone
is also used for facial hirsutism due to
its androgen-blocking ability.
Spironolactone works by blocking androgen’s
ability to affect the human body.
Spironolactone is similar to finasteride on
androgen blocking-mechanism. But it may
take 3 to 6 months for spironolactone to
work. Many will use birth control pills
together with spironolactone for a better
facial-hair-ridding effect because birth
control pills can reduce androgen
production.
Eflornithine
hydrochloride is also used to treat
hirsutism, but it works by interfering with
a chemical in hair follicles under the skin
to slow hair growth when applied topically.
Please note, eflornithine topical does not
permanently remove facial hair or prevent
hair growth.
#3. Social influence
The topical
eflornithine cream has long been indicated
for the treatment of facial hirsutism in
women. Eflornithine cream is the
main-stream cure for hirsutism, while
spironolactone is only auxiliary.
In clinical
studies with Vaniqa, 81% percent of women
showed clinical improvement after twelve
months of treatment. Positive results were
seen after eight weeks. However,
discontinuation of the cream caused
regrowth of hair back to baseline levels
within 8 weeks. But eflornithine topical
cream does significantly reduce the
psychological burden of facial hair.
#4. Price
Due to the
small demand for eflornithine hydrochloride
in the market, eflornithine didn’t get
commercially produced in China and its
price has been very high. While
spironolactone has been commercially
produced long ago, the cost of
spironolactone is only 1/10 of
eflornithine.