Minoxidil for hair loss


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Examples


Brand Name Generic Name
Rogaineminoxidil

Minoxidil (2% or 5% solution) is a spray or lotion that you put directly on your scalp twice a day. It is available without a prescription.


How It Works


It is unclear how minoxidil affects hair growth. Minoxidil appears to increase hair follicles Click here to see an illustration. and increase the diameter of hair shafts.

Minoxidil has been approved for both men and women.


Why It Is Used


Minoxidil was originally used to treat high blood pressure. It is now also used to treat inherited hair loss (androgenetic alopecia), the most common cause of hair loss. And it is used to treat other causes of hair loss, too.


How Well It Works


Minoxidil slows hair loss and grows new hair. In men, the 5% solution appears to be more effective than the 2% solution, but it costs more and may have more side effects.1

Some people who take minoxidil only grow hair that is thin and wispy or similar to peach fuzz.

Minoxidil seems to work best on people younger than 30 years of age who have been losing hair for fewer than 5 years.2


Side Effects


The most common side effects include skin irritation, dandruff, and an itchy scalp. In women, minoxidil may promote facial hair growth, especially on the forehead and cheeks.

If you have heart problems, ask your doctor about using this medicine.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)


What To Think About


Minoxidil must be used daily. If you stop using minoxidil, any regrown hair will gradually be lost, and within 6 to 12 months the scalp will most likely appear the same as before treatment.

Women may have more hair growth if they take minoxidil with estrogen (such as hormone replacement or birth control pills).

Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.


References


Citations

  1. Olsen EA, et al. (2002). A randomized clinical trial of 5% topical minoxidil versus 2% topical minoxidil and placebo in the treatment of androgenetic alopecia in men. Journal of the American Academy of Dermatology, 47: 377–385.

  2. Habif TP (2004). Hair diseases. In Clinical Dermatology: A Color Guide to Diagnosis and Therapy, 4th ed., pp. 834–863. Philadelphia: Mosby.


Credits


Author Maria G. Essig, MS, ELS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Alexander H. Murray, MD, FRCPC - Dermatology
Last Updated June 17, 2008


Healthwise Logo
Last updated: June 17, 2008
Author: Maria G. Essig, MS, ELS
Reviewed By: Kathleen Romito, MD - Family Medicine, Alexander H. Murray, MD, FRCPC - Dermatology
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC

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