Background: Hair thinning and hair fall are widespread concerns affecting adults across age groups, with significant psychosocial implications. Current pharmacological treatments have limited efficacy and are associated with side effects, prompting a need for safe, herbal alternatives. Objective: To evaluate the efficacy and safety of Narasimha Tablets, a traditional Ayurvedic formulation, in promoting hair growth and reducing hair fall in adults experiencing hair thinning. Methods: This 6-month open-label, comparative clinical trial enrolled 100 participants aged 25–50 years presenting with self-reported hair thinning or hair fall. Subjects were randomized into two groups: 70 received Narasimha Tablets (2 tablets twice daily post-meals), and 30 received a placebo. Efficacy endpoints, including hair density, vellus hair count, hair fall, global investigator assessment, and self-rated hair thickness (VAS), were assessed at baseline, Day 90, and Day 180. Statistical analysis was conducted using paired t-tests and ANOVA. Results: The treatment group showed statistically significant improvements in all primary and secondary outcomes. Hair density increased from 145.2 ± 12.4 to 172.4 ± 14.2 hairs/cm² (+18.7%), vellus hair count increased by 28.2%, and daily hair fall reduced by 44.4% by Day 180. Subjective and investigator scores reflected parallel improvement, with the VAS score increasing by 92.8% and the global score by 82.6% (p < 0.001). Conclusion: Narasimha Tablets demonstrated significant efficacy in promoting hair growth, reducing hair fall, and improving overall hair quality, validating its role as a holistic, herbal intervention. Further randomized controlled trials are warranted to confirm these findings.
Hair fall, Hair thinning, Narasimha Tablet, Ayurvedic formulation, Clinical trial, Herbal treatment
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