Before you begin treatment you need to know …

1 Approximately 17-70% of patients, immune system to prepare for regular Before you begin depending on the extent and duration of your AA. exposure to DPCP. treatment you need to You should leave the DPCP on your Hair Clinic 7. DPCP is not the only way to treat AA. Please speak with Dr. Shapiro about scalp for 48 hours. You should keep your scalp/hair covered with a hat or know that other treatment options and their scarf for the two days, as the solution associated risks. can break down with exposure to light. DPCP 1. DPCP is an experimental chemical and Once the 48 hours are up please shampoo your scalp to ensure the Patient Information it is not approved by Health Canada therefore, ONLY specially trained 8. DPCP is not a cure for AA. It is only one method that Dr. Shapiro uses to solution is completely removed. Registered Nurses or Dr. Shapiro will assist you in re-growing your hair. You apply it. It is a clear liquid, which is will find that you go through periods of Care must be taken to ensure that the swabbed on to the skin using a large remission, when you will grow more DPCP is not transferred from your What is DPCP?

2 Cotton Q-tip . hair. At other times, even with scalp to other parts of your body or to treatment , you will find you lose some someone else's. Try to avoid touching or all of your hair again. This is normal your scalp for the 48 hours that the DiPhenylCyloPropenone (DPCP) is a 2. DPCP has side effects, some or all of when dealing with AA. DPCP is on your scalp. If you or chemical that is applied to the scalp in order which you may experience. These someone else accidentally touches your to treat hair loss due to Alopecia Areata include itching, dry flaking skin, severe scalp, simply wash the area with plain (AA). eczema, blistering, lightening or soap and water as soon as possible. AA is a condition that causes patchy hair loss darkening of the treated skin and to any part of the body that grows hair. No enlarged lymph nodes. Side effects will one really knows what causes AA but the best be dealt with on an individual basis as On your next visit, one week later, we evidence suggests that it is an autoimmune they arise.

3 Will apply the lowest strength of DPCP. disorder. This means that your immune to half of your scalp. The strength of the system mistakenly thinks your hair is foreign DPCP will then be increased on a and is attacking it as it would any other 3. You will be required to sign a consent weekly basis until you experience an invading force. As a result of this attack, the form prior to treatment that states that itch (eczema) to the treated side. If you root of your hair becomes disabled and the you understand the risks mentioned find during the 48 hours after hair falls out. above. treatment , that your scalp becomes too itchy, is burning or blistering, WASH. THE DPCP OFF EARLY. More is not How does it work? 4. Women of childbearing age must use a reliable method of contraception, as the better in this case. A slight TOLERABLE. itch is sufficient to be effective. effects of DPCP on a fetus are not Essentially, DPCP acts like a decoy;. drawing your immune system's attention known.

4 Now you are ready to away from your hair, allowing your hair to Once you reach a dose that produces an grow again. The immune system stops begin : itch (eczema), Dr. Shapiro will write you attacking your hair in order to focus on the 5. This is a weekly treatment . Therefore a prescription for the DPCP. Not all DPCP because it sees the DPCP as more of a you must commit to coming in to Dr. pharmacies can fill this prescription so threat. The DPCP creates a minor allergic Shapiro's office once a week. On your first visit you will be sensitized you will have to go to one of the three reaction on the skin, similar to eczema or to the DPCP. This means that a small pharmacies listed on the back of this dermatitis. You will know that the DPCP is amount of the strongest dose of DPCP pamphlet. You will be required to buy working when your scalp becomes itchy. This 6. DPCP does not work for everyone. will be applied to a small area of your this medication and bring it into the is sometimes accompanied by dry, flaky skin Depending on the duration and extent scalp.

5 This initial dose allows your clinic for application by the nurse. DO. and redness. of hair loss DPCP is successful in NOT apply this medication at home. It approximately 17-70% of patients, immune system to prepare for regular Before you begin depending on the extent and duration of your AA. exposure to DPCP. treatment you need to You should leave the DPCP on your Hair Clinic 7. DPCP is not the only way to treat AA. Please speak with Dr. Shapiro about scalp for 48 hours. You should keep your scalp/hair covered with a hat or know that other treatment options and their scarf for the two days, as the solution associated risks. can break down with exposure to light. DPCP 1. DPCP is an experimental chemical and Once the 48 hours are up please shampoo your scalp to ensure the Patient Information it is not approved by Health Canada therefore, ONLY specially trained 8. DPCP is not a cure for AA. It is only one method that Dr. Shapiro uses to solution is completely removed.

6 Registered Nurses or Dr. Shapiro will assist you in re-growing your hair. You apply it. It is a clear liquid, which is will find that you go through periods of Care must be taken to ensure that the swabbed on to the skin using a large remission, when you will grow more DPCP is not transferred from your What is DPCP? cotton Q-tip . hair. At other times, even with scalp to other parts of your body or to treatment , you will find you lose some someone else's. Try to avoid touching or all of your hair again. This is normal your scalp for the 48 hours that the DiPhenylCyloPropenone (DPCP) is a 2. DPCP has side effects, some or all of when dealing with AA. DPCP is on your scalp. If you or chemical that is applied to the scalp in order which you may experience. These someone else accidentally touches your to treat hair loss due to Alopecia Areata include itching, dry flaking skin, severe scalp, simply wash the area with plain (AA). eczema, blistering, lightening or soap and water as soon as possible.

7 AA is a condition that causes patchy hair loss darkening of the treated skin and to any part of the body that grows hair. No enlarged lymph nodes. Side effects will one really knows what causes AA but the best be dealt with on an individual basis as On your next visit, one week later, we evidence suggests that it is an autoimmune they arise. will apply the lowest strength of DPCP. disorder. This means that your immune to half of your scalp. The strength of the system mistakenly thinks your hair is foreign DPCP will then be increased on a and is attacking it as it would any other 3. You will be required to sign a consent weekly basis until you experience an invading force. As a result of this attack, the form prior to treatment that states that itch (eczema) to the treated side. If you root of your hair becomes disabled and the you understand the risks mentioned find during the 48 hours after hair falls out. above. treatment , that your scalp becomes too itchy, is burning or blistering, WASH.

8 THE DPCP OFF EARLY. More is not How does it work? 4. Women of childbearing age must use a reliable method of contraception, as the better in this case. A slight TOLERABLE. itch is sufficient to be effective. effects of DPCP on a fetus are not Essentially, DPCP acts like a decoy;. drawing your immune system's attention known. Now you are ready to away from your hair, allowing your hair to Once you reach a dose that produces an grow again. The immune system stops begin : itch (eczema), Dr. Shapiro will write you attacking your hair in order to focus on the 5. This is a weekly treatment . Therefore a prescription for the DPCP. Not all DPCP because it sees the DPCP as more of a you must commit to coming in to Dr. pharmacies can fill this prescription so threat. The DPCP creates a minor allergic Shapiro's office once a week. On your first visit you will be sensitized you will have to go to one of the three reaction on the skin, similar to eczema or to the DPCP. This means that a small pharmacies listed on the back of this dermatitis.

9 You will know that the DPCP is amount of the strongest dose of DPCP pamphlet. You will be required to buy working when your scalp becomes itchy. This 6. DPCP does not work for everyone. will be applied to a small area of your this medication and bring it into the is sometimes accompanied by dry, flaky skin Depending on the duration and extent scalp. This initial dose allows your clinic for application by the nurse. DO. and redness. of hair loss DPCP is successful in NOT apply this medication at home. It is not for self-application and you will be deemed inappropriate for this Frequently Asked treatment if you are found to be doing so. Questions: Pharmacy Information Initially only half of your head will be 1. I have to miss one or two Hair Clinic treated with the DPCP. By doing this, week(s) of treatment . Will I Your DPCP prescription can be filled at we may be sure that you are growing lose my hair again? the following pharmacies: hair due to the DPCP and not simply because your AA is in remission.

10 Once it is clear that you are growing No, missing the odd treatment will not Skin Care Centre Pharmacy If you have any questions or cause your hair to start falling out again. 835 West 10th Avenue more hair on the treated side of your concerns about your treatment please Let's face it, you have a life beyond your hair head than the non-treated side, your and sometimes you just can't get in for Vancouver, BC V5Z 4E8. entire head will be treated. 604-875-4331 contact the clinic: treatment . That's okay; however, remember that you will find the treatment more Mon-Fri 9am to 5pm effective if you attend regularly for at least Most people will see some hair Dr. Jerry Shapiro the first year. Keep in mind your AA can growth after 3 months of beginning flair up at any time despite treatment , Royal Oak Drugs 835 West 10th Avenue treatment (with regular weekly clinic 6440 Royal Oak causing increased hair loss again. attendance). Other people respond Vancouver, BC V5Z 4E8. slower.