Doctor’s Note: Your Essential Guide to Oral Minoxidil
As dermatologists, we understand that hair loss can be frustrating and sometimes distressing. Oral minoxidil, an option that’s growing in popularity, offers a new way to manage hair loss effectively. Here, we’ll cover everything you need to know about oral minoxidil—from how it works to potential side effects and what to expect.
Watch the video to the right, or read on for more!
What is Oral Minoxidil?
Oral minoxidil is a medication that was originally developed to treat high blood pressure but has since been found to be effective for hair regrowth. Unlike topical minoxidil (like Rogaine), which is applied directly to the scalp, oral minoxidil is taken as a pill. This treatment has become increasingly popular for patients who want a convenient, once-daily solution for hair loss.
How Does Oral Minoxidil Work?
Oral minoxidil works by widening blood vessels, which increases blood flow to hair follicles. This improved circulation helps to nourish the hair follicles, encouraging hair growth and strengthening existing hair. In addition to promoting thicker and healthier hair, oral minoxidil can also reduce hair shedding over time.
Who Can Benefit from Oral Minoxidil?
Oral minoxidil can be helpful for individuals experiencing various types of hair loss, including:
Male and Female Pattern Hair Loss
Commonly known as androgenetic alopecia, this form of hair loss affects both men and women.
Telogen Effluvium
A temporary hair loss often triggered by stress, illness, or hormonal changes.
Alopecia Areata
An autoimmune condition where the immune system attacks hair follicles, leading to patches of hair loss.
Oral Minoxidil vs. Topical Minoxidil
Both oral and topical minoxidil help with hair growth, but they have some key differences:
Convenience: Oral minoxidil is taken as a daily pill, whereas topical minoxidil must be applied to the scalp.
Absorption: Oral minoxidil is absorbed throughout the body, while topical minoxidil works directly where it’s applied.
Effectiveness: Some patients find that oral minoxidil works better for them, especially if they had limited success with the topical version.
Side Effects: Oral minoxidil may have different side effects compared to the topical form, such as swelling, dizziness, or an increased heart rate.
How Much Oral Minoxidil Should You Take Daily?
Oral minoxidil is usually prescribed in low doses for hair loss, generally ranging from 0.25 mg to 2.5 mg per day. The specific dosage will depend on individual factors like the severity of hair loss, overall health, and how well the patient tolerates the medication.
Important Note: Always follow your dermatologist’s instructions on dosage. Do not adjust your dose without consulting your doctor.
How Long Does it Take to See Results?
Oral minoxidil takes time to show visible results. Most people start noticing changes in hair thickness and density after 3 to 6 months of consistent use. For full results, it can take up to 12 months or longer. Patience is key, as hair growth is a slow process.
Side Effects of Oral Minoxidil
While oral minoxidil can be effective, it’s essential to be aware of possible side effects. These can vary from person to person but may include:
Swelling (edema): Fluid retention can cause swelling, especially in the feet and ankles.
Increased Heart Rate (tachycardia): Some people experience a higher heart rate, so monitoring is essential.
Dizziness: Low blood pressure from the medication can cause dizziness in some users.
Unwanted Hair Growth: In rare cases, oral minoxidil can cause hair growth in areas like the face or body.
If you experience any of these side effects, consult your dermatologist. They may adjust your dose or suggest alternative treatments.
Oral Minoxidil and Shedding
It’s normal to experience a temporary increase in hair shedding when starting oral minoxidil. This phase, known as the “shedding phase,” happens as old hairs fall out to make way for new growth. While this can be unsettling, it’s a typical part of the process, and hair growth should soon improve.
Can I Combine Oral Minoxidil with Other Hair Loss Treatments?
Yes, oral minoxidil can often be combined with other treatments for hair loss. Some common combinations include:
Rogaine
Some dermatologists may prescribe medications or topical treatments to use with Rogaine, especially for women with hormonal hair loss.
Finasteride
Some dermatologists may prescribe medications or topical treatments to use with Rogaine, especially for women with hormonal hair loss.
Laser Light
Laser therapy devices, like combs or helmets, can be used along with Rogaine to stimulate hair growth.
Platelet-Rich Plasma (PRP)
PRP is a treatment where a small amount of your blood is taken, processed, and injected into areas with thinning hair. This stimulates hair follicles, leading to thicker hair.
Oral Minoxidil FAQs
Does Oral Minoxidil Cause Weight Gain?
Oral minoxidil is not typically associated with weight gain. However, some people experience fluid retention, which may cause temporary swelling.
Oral minoxidil ruined the texture of my skin – is this common?
While oral minoxidil is generally used for hair growth, some people may notice changes in their skin texture. If you experience any skin issues, consult your dermatologist, as they may adjust your dose or suggest alternative treatments.
Is it normal to have minoxidil shedding after 6 months?
Yes, shedding can happen even months into using minoxidil. This shedding phase is part of the hair growth cycle, as old hairs make way for new growth. Shedding usually improves with continued use.
Will oral minoxidil grow a beard?
Oral minoxidil may encourage hair growth in various areas, including the beard. However, results vary, and some people may see more noticeable beard growth than others.
Can minoxidil cause acne?
Some people may experience acne while using minoxidil, though it’s not very common. If you notice acne or other skin issues, consult with your dermatologist for advice.
Can I take minoxidil pills with finasteride?
Yes, oral minoxidil and finasteride are often combined to treat hair loss, especially in men. Always talk to your doctor before starting any combination of medications to ensure it’s safe for you.