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You should use it as instructed by the brand or by your dermatologist for the best results. Minoxidil is applied directly to a dry scalp twice a day; for women, sometimes application is only necessary once a day. Unlike other treatments — including platelet-rich plasma (PRP) therapy and microneedling — minoxidil is a noninvasive solution to hair loss. It causes little disruption to everyday life, requires no downtime, scary-looking needles, or lengthy (and expensive) in-clinic sessions.
Prescription oral medications
If the minoxidil comes into contact with the eyes or skin, a person should wash the area with cool water. Minoxidil does not cross the blood-brain barrier, and a person’s kidneys filter 95% of this drug within 4 days. It also provides information on how to use this treatment and the possible side effects. If you miss a dose of this medicine, apply it as soon as possible.
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Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Yes, minoxidil does more than just encourage new hair growth; it also thickens your hair. From making comments about cancer to suggesting treatments that worked for friends facing hair loss, here are the top statements experts avoid voicing... “Within the last seven years, it has increasingly been used off-label for different types of hair loss at low doses,” he adds.
Can Rogaine (Minoxidil) Make Hair Loss Worse?
As you continue the treatment, expect new hair growth within 4 to 8 months.²⁷ So watch for these new hairs, as they’re the tangible results of your patience with the treatment. In summary, minoxidil hair shedding is a temporary phase that occurs due to the medication’s effect on the hair cycle. It accelerates the transition of hair follicles from the resting to the growing phase, which can initially cause shedding. So far, there isn’t enough high-quality research to support oral minoxidil for hair loss. But a handful of small studies suggest that oral minoxidil can help treat hair loss, and may be more effective for some patients than topical treatments, Dr. Sattur says. Most users see results after consistent use for about two months.
Proscar is only indicated for male BPH but is sometimes prescribed off-label for hair growth. One study followed the treatment results of 51 participants with androgenetic alopecia (AGA) for three years. The results indicated that 65% of the individuals had scalp hair growth, and 27% experienced a decrease in how much their hair shed. Dermatologists may recommend minoxidil, an FDA-approved topical drug, for people with hair loss. Another form of minoxidil, high-dose minoxidil pills, has FDA approval for high blood pressure treatment.
If it’s been 4 months and you’re still seeing hair shedding, it may not be related to minoxidil. It’s also possible that minoxidil isn’t the right product for you. If you see a lot of your hair falling out after 4 months of use, speak with your doctor about alternative treatments. CCCA and LPP fall under the umbrella of lymphocytic scarring alopecia.
Some healthcare providers prescribe a similar medication called Avodart (dutasteride) off-label for hair loss, but the FDA hasn't approved it for this use. Other side effects seen in some patients taking lower doses of oral minoxidil for hair loss include dizziness, heart palpitations, and fluid retention, adds Dr. Jiménez Cauhé. Many studies have shown the effectiveness of Rogaine (Minoxidil) as a treatment for hair loss.
It’s possible to be allergic to minoxidil itself or another ingredient found in Rogaine called propylene glycol. If you’re allergic to propylene glycol, you can try using the foam form of Rogaine that doesn’t contain this ingredient. If you’re allergic to minoxidil, you should cease this treatment altogether.
If you stop, you will start losing the new hair growth within three to four months. In short — yes, but the results vary widely from person to person, and it needs to be used consistently over several months to see results. But if you've noticed hair loss and are worried by it, see a GP or dermatologist for a diagnosis before trying any treatments. Products claiming to reverse hair loss are everywhere, but few have been scientifically tested for how well they work. To conclude, minoxidil’s effectiveness can vary depending on a person’s condition. Its efficacy depends on several factors, like the patient’s age, the severity of hair loss, and the root cause of it.
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Most Rogaine products require a twice-daily application for the best results. The exception to this is the Women’s Rogaine aerosol foam, which requires once-daily application. Twice-daily application of the higher strength (5%) is generally more effective than the 2% strength. The foam is generally easier to apply, dries faster, and doesn't contain propylene glycol, a potential irritant found in the liquid solution. Still, it's well worth looking into (and speaking with your doctor about) as part of a potential treatment plan if you're suffering with androgenetic alopecia.
Neither Proscar nor Propecia is indicated for use in women, although sometimes the medications may be prescribed off-label for women who are past childbearing age. It is important to note that finasteride can cause fetal abnormalities in a male fetus. Women who are pregnant or of childbearing age should not take Proscar or Propecia and should avoid handling crushed or broken tablets. Individuals younger than 18 years old should not use minoxidil products like Rogaine.
Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Remember, while hair shedding can be a normal part of starting minoxidil, persistent or severe shedding should be evaluated to ensure no other underlying causes. Minoxidil isn’t an instant solution—it requires patience and consistency. This shedding is somewhat comparable to skin purging observed during the initial phase of acne treatment. Essentially, it’s a commonly known potential side effect, although it can be a bit unsettling at first. Side effects are generally less of a concern with topical treatments, as they target a single area of the body, than with systemic medications like pills, which act beyond just a single body part.
The exact mechanism of action for minoxidil (the active ingredient) isn’t actually clear. But people believe that it works by partially enlarging hair follicles and elongating the growth phase of hair. With more follicles in the growth phase, you’ll see more hair coverage on your scalp. If your hair is thinning, shedding, or balding, you might be a good candidate for Minoxidil. When applied to a responder, Minoxidil shows increased hair thickness, decreased shedding, and increased growth within 3-9 months. However, only people with the SULT1A1 enzyme will respond to Minoxidil.
However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. If your scalp becomes abraded, irritated, or sunburned, check with your doctor before applying minoxidil. Alopecia causes vary, and for androgenetic alopecia specifically, various risk factors from genetics to age could be the root of your symptoms. It’s a significant indicator that you’re on your way to growing new and healthier hair.
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