If your alopecia areata treatment isn't working, don't lose hope. There are several options you can try. Alopecia areata is a condition where your immune system attacks your hair follicles, but your hair follicles are still alive, meaning your hair can grow back. Here are some treatments you can consider: 1. **Corticosteroid Injections**: These are the most common treatments. Your doctor injects corticosteroids into the bald patches every 4-6 weeks. You might see hair regrowth within 4 weeks, but it doesn't prevent new hair loss. 2. **Topical Corticosteroids**: These reduce inflammation around hair follicles. They come in creams, foams, lotions, ointments, or solutions. If one type doesn't work, you can try another. 3. **Minoxidil**: This is a topical solution applied once or twice a day. It helps hair grow back on the scalp, eyebrows, and face. It works best when combined with topical corticosteroids. 4. **Anthralin Ointment or Cream**: This is applied to hairless patches once a day and washed off after 30-60 minutes. It may grow new hair within 8-12 weeks but can irritate your skin. For more extensive alopecia areata, stronger treatments include: 1. **Oral Corticosteroids**: Pills that promote hair regrowth but have potential side effects and health risks. They are best for healthy, young adults. 2. **Topical Immunotherapy**: A chemical treatment applied to the scalp that causes an allergic reaction to help regrow hair. Results may appear after 6 months, but side effects like itching and redness are common. 3. **Immunomodulator Drugs**: These newer drugs block your immune response and include JAK inhibitors like ruxolitinib and tofacitinib. A new drug, Olumiant, has been approved by the FDA for severe alopecia areata. Other emerging treatments include: 1. **Clinical Trials**: You might gain early access to new treatments by joining a clinical trial. 2. **Platelet-Rich Plasma Injections (PRP)**: This involves injecting platelet-rich plasma into your scalp. Some people see results after 6 months of monthly injections. Keep exploring different treatments until you find one that works for you.