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They can identify the underlying cause of hair loss and recommend suitable treatment options. Evidence highlights that smoking has an adverse effect on hair health. Nicotine, tobacco, and other components present in cigarettes can build up in hair follicles and the hair shaft. Smoking can negatively affect many aspects of health, including hair health.
What should I watch for while using this medication?
Minoxidil may not be sufficient for certain types of hair loss such as hair loss from an autoimmune disorder like lupus, or hair loss from chemotherapy, pregnancy, or menopause. In addition to a diuretic pill, your healthcare provider will likely also prescribe a beta-adrenergic blocking medicine. Because minoxidil can increase one’s heart rate, a beta blocker can lower blood pressure by blocking epinephrine (adrenaline). Seek medical attention immediately if you are taking minoxidil and are experiencing chest pains or difficulty breathing. Visible results may be noticeable in eight weeks but may also take up to four months to see a difference in hair growth. Hair loss (shedding) may even occur at first as the new hair pushes out the older hairs, but if hair loss persists, discontinue the use of the product.
Men's Health
While it's effective at stopping hair loss, women need to know about this drug's potential side effects. Doctors often prescribe oral medications to be used along with topical minoxidil because studies show the combination boosts hair production. Low-dose oral minoxidil (prescribed off-label) has been found to be effective and safe for most patients, Mirmirani says. Other oft-used drugs include finasteride (Propecia) and spironolactone.
Serious side effects of minoxidil

If the application time for the next dose is near, wait, and apply the medicine then. Those who experience more severe shedding tend to notice better hair growth with consistent minoxidil application. During this phase, 90% of your hair follicles form new strands for two to six years. Although for some, a single hair strand continues to grow for more than seven years. Normally, healthy hair follicles shed as many as 100 hair strands daily. This occurs as your hair transitions from its resting phase to its growing phase.
However, minoxidil is used off-label for treating several hair disorders as well as increasing body hair growth. Although topical minoxidil is considered an effective and safe treatment option for various hair disorders, additional evidence-based data are needed for some applications. Oral minoxidil is mostly metabolized via the liver by conjugation with glucuronic acid.
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It’s available over the counter, so you don’t need a prescription from a doctor to get it. Minoxidil comes in the form of a liquid solution or foam, and people usually apply it twice a day. A person should ensure that their scalp and hair are dry and that their scalp is not sunburnt. Scientists originally designed minoxidil as a treatment for high blood pressure, and doctors may still prescribe the oral form of the drug for people with severe hypertension. When desperation strikes with hair loss, it’s easy to throw money at the problem and we don't blame anyone for doing so. The distressing nature of these changes can be heartbreaking to deal with.
If you have alopecia, can your hair grow back?
Be sure to not double your doses of minoxidil to make up for any missed doses. Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. If hair growth is going to occur with the use of minoxidil, it usually occurs after the medicine has been used for several months and lasts only as long as the medicine continues to be used.
What side effects may I notice from receiving this medication?
It’s recommended that women use minoxidil 2%, while men can use the 5% formula. You might have seen creators talk about the oral form of minoxidil on your TikTok "For You" page. Oral minoxidil is also used to treat hair loss and thinning in some people. "It’s a pill that is taken daily and is used to decrease blood pressure," explains Marcus. "Hypertrichosis (hair growth) is a side effect and has been noted to occur especially in the sideburn area," she adds. Unlike topical minoxidil, the oral version is only available via prescription as it has more possible side effects.
Get your personalized skincare routine with Curology
However, if irritation occurs with the liquid solution of Rogaine, switching to a foam formulation may help. Both the foam and solution work pretty much the same way, but you apply them slightly differently. With the solution, you apply the liquid to the balding area with a dropper. With the foam, you massage it into your scalp where you want it to work.
Oral minoxidil has been used off-label for hair loss treatment, and research has been shown to be beneficial for hair growth. It does come with side effects, like headaches or nausea, and everyone may not be able to use this medication. The site of application varies slightly between the different forms. The FDA has approved each of the three Men’s Rogaine products for application to the vertex of the head. The vertex is the upper-most point in the center of the scalp and represents a common location for hair loss among men. The hair growth cycle changes due to age, genetics, and other factors.
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Rogaine comes as a topical liquid or foam that you apply directly to your scalp. When applied to the skin, topical medications absorb into the skin and mainly work at the area of application. Fortunately, minoxidil (Rogaine) can help stop the hair loss in its tracks. But there are disadvantages to using the medication, which comes as a topical lotion or foam, especially for women.
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