oral minoxidil for female hair loss

Lastly, oral minoxidil is a prescription medication. In this article, we will be going over the efficacy and safety of oral minoxidil for the treatment of hair loss. If you have milder hair loss or really aren’t comfortable with increased body/facial hair (or don’t want to manage it with other therapies), you can always start with 0.25mg of minoxidil on its own. Hypertrichosis was reported in 39% (7/18) on the face (most commonly the skin lip) and arms, yet all affected patients continued therapy due to its perceived benefit for their scalp hair. Although topical minoxidil seems to get most of the attention as a hair loss treatment, its oral counterpart is also effective at promoting hair regrowth in both males and females.. Generally, higher dosing means better efficacy, but with a higher risk profile. 193606 (4, 5) While these effects are rare, we have had some members of our community echo these concerns and even report adverse reactions of their own. topical minoxidil can increase hair growth in male and female pattern hair loss. 2. Minoxidil (Rogaine) is the only drug which is FDA-approved to treat female pattern baldness. (1996), Allergic contact dermatitis from spironolactone. This is why, when it comes to regrowing hair, oral minoxidil has a much higher response rate – typically 90-100%. So, a topical formulation was developed to treat hair loss without causing any side effects. He writes regularly about the science behind hair loss (and hair growth). Although topical minoxidil has become a mainstay treatment in hair loss, there is a recent study showing that low doses of oral minoxidil may be a helpful adjunct treatment for female-pattern hair loss (1). This solution was first developed as an oral drug for the treatment of hypertension but, just like finasteride, the side effect of hair growth was soon discovered ( 10 ). There are a number of and you may need to create a new Wiley Online Library account. Minoxidil (brand name Rogaine or Women’s Rogaine) is the most recommended treatment for female pattern hair loss (AAD, 2020). Clinic notes were assessed for prescription compliance, reports of side‐effects, and other unique details. A total of 16 studies with 622 patients were found discussing the use of oral minoxidil as the primary treatment modality for hair loss. With other recent reports indicating therapeutic benefit of oral minoxidil (Perera & Sinclair, 2017), subsequent investigations that objectively measure scalp hair growth and help establish optimal dosing of oral minoxidil should be considered. Learn about our remote access options, Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Canada. Hey Rob, If this is a concern for you, consider combining low-dose oral minoxidil with alternative therapies or opting for another treatment altogether. Blood pressure monitoring was requested of all patients. While it’s been known for a long time that using Minoxidil in oral doses of up to 100 milligrams daily stimulates hair growth, its use in female pattern hair loss has largely been limited because of concerns about potential adverse side effects, including hypertension, fluid retention and hypertrichosis. More studies of oral minoxidil are needed but studied to date are promising. 1. Sinclair R. utilized 0.25mg minoxidil daily in women with female pattern hair loss and showed improvement in the Sinclair hair loss severity score and hair shedding score through 1 year of treatment (21). Patients with a primary diagnosis of AGA (16 patients; 80%) or TA (four patients; 20%) were prescribed an initial 3‐month course. Rob English, Medical Editor. Use the link below to share a full-text version of this article with your friends and colleagues. Corazza, M., Strumia, R., Lombardi, A.R. If you’re a female with pattern hair loss, and your goal is to maximize the hair-promoting properties of oral minoxidil while minimizing your risks of hypertrichosis, research shows that combining 0.25mg of oral minoxidil with 2.5mg of spironolactone is likely your best option. While no one is quite sure how minoxidil works to regrow hair, researchers suspect that it has something to do with minoxidil’s ability to (1) improves blood flow, and (2) increase prostaglandin E2 synthesis – a fatty acid derivative that likely plays a role in hair cycle maintenance. Potentially. Oral minoxidil has also been investigated as a potential agent for male-pattern hair loss. All patients were informed about the drug's indication and side‐effect profile (Pfizer Canada, 2013). Oral minoxidil is an antihypertensive that causes hypertrichosis. How to Use Minoxidil to Treat Female Hair Loss. Ive seen people note the side-effects of oral minoxidil being a … Both men and women experience hair loss for a variety of reasons. Although topical minoxidil seems to get most of the attention as a hair loss treatment, its oral counterpart is also effective at promoting hair regrowth in both males and females. This question comes from a member of the Hair Restoration Social Community and Discussion Forums: I recently underwent a hair transplant procedure and I’m now looking for some form of hair loss medication to help maintain my natural hair. If you’re new to hair loss education, start with these articles. You may also decide to implement totally different therapies. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. If you do not receive an email within 10 minutes, your email address may not be registered, Some studies confirmed that minoxidil cream for hair loss is a miracle drug. Sinclair RD. Report of two cases, Treatment of chronic telogen effluvium with oral minoxidil: A retrospective study, LONITEN (minoxidil tablets USP) product monograph, Pharmacia & Upjohn Company LLC:Kirkland, Quebec, Treatment of monilethrix with oral minoxidil, Clinical practice guidelines for the management of hypertension in the community: A statement by the American Society of Hypertension and the International Society of Hypertension, Treatment of permanent chemotherapy‐induced alopecia with low dose oral minoxidil. Given their specificity, these articles are written in a more scientific tone. Efficacy and safety of very-low-dose oral minoxidil 1.25 mg in male androgenetic alopecia. How it works is not fully understood, but it is probably due to increased blood flow to the roots of the hairs. The use of oral minoxidil is FDA approved for high blood pressure. It’s with 0.25mg of oral minoxidil + 25mg of spironolactone daily. The diagnosis of FPHL is associated with underlying hypertension in women aged £35 years and coronary artery disease in women aged £50 years.7 One study found that patterned hair loss was an ind… Apply minoxidil directly on your scalp, it will stimulate hair strands to grow and become stronger. Among 9 patients who monitored their blood pressure, it either remained within normal range (7 patients) or improved from hypertensive levels (two patients). During clinical trials, a lot of participants started reporting unexpected hair growth. Initially used only in men, minoxidil is an FDA-approved over-the-counter medication for hair loss for both men and women. Finally, 78% of patients continued oral therapy at last follow‐up, thus demonstrating good compliance . I’ve heard people discuss taking oral minoxidil (traditionally known as the topical hair loss drug Rogaine) […] If spironolactone isn’t an option for you, that’s okay. Both oral and topical minoxidil need to interact with an enzyme called sulfotransferase before becoming active and eliciting any effects on our hair follicles. DOWNLOAD ORAL MINOXIDIL HANDOUT. Written and reviewed by: This dose was determined in 2016 after reviewing reports of successful hair growth with 1 mg dosing (Sinclair, 2016; Yang & Thai, 2015), and based on the availability of a 2.5 mg tablet in Canada, which was halved. Alonso JC, Ortega FJ, Gonzalo MJ, Palla PS. Oral Minoxidil: A Possible New Therapy for Androgenetic Alopecia. With this daily dosage of oral minoxidil + oral spironolactone,  only 4% of women report excess hair growth… while the majority of females in the study saw significant improvements to their scalp hair loss. Are there any other treatment options available? Although 0.25 mg of oral minoxidil alongside 25 mg of spironolactone daily might be a viable option for many women with hair loss, spironolactone can cause mild allergic reactions in sensitive individuals. How oral minoxidil works? I have questions for switching to oral minoxidil. But, there’s one side effect that may be more concerning for women taking oral minoxidil than men: excessive body hair growth. For more details, please see the disclaimer and privacy policy. Women tend to use the 2% topical formulation to regrow thinning hair. This article reviews the evidence on oral minoxidil for females with hair loss, and provides recommendations for oral minoxidil dosages based on the evidence. Protective Role of Nutritional Plants Containing Flavonoids in Hair Follicle Disruption: A Review. In trying to find other options for women, researchers looked into whether Propecia (finasteride), an effective treatment for hair loss … OM was associated with spironolactone 25 mg daily to reduce the risk of fluid retention. † Spironolactone is a diuretic with antiandrogen properties used in the treatment of female pattern hair loss. Its use in hair loss is entirely off label. RESULTS: A total of 16 studies with 622 patients were found discussing the use of oral minoxidil as the primary treatment modality for hair loss. Higher doses of 1mg to 2.5mg will likely provide results, but also increase your risk of body/facial hair growth. Then, make an action plan for hair recovery that’s tailored to your needs and preferences. Minoxidil is safe to use with most hair products, meaning it’s usually not necessary to make any changes to … As always, discuss your options with your doctor before doing anything. Here’s a table of the studies conducted on women taking oral minoxidil for hair loss. Topical minoxidil is an effective, FDA‐approved treatment for androgenetic alopecia (AGA) (Dinh & Sinclair, 2007) and has also been shown to help traction alopecia (TA) (Khumalo & Ngwanya, 2007). See our editorial policies. There are likely many other options for you, too – depending on your specific needs and preferences. So, maybe you’ve found that you’re sensitive to spironolactone and that combining low dose spironolactone + oral minoxidil isn’t an option for you. Topical minoxidil or Rogaine is a popular hair loss treatment for both male and female patients that are experiencing active hair loss. This Quick Win dives into the research: the clinical evidence, the best dosages, and the best ways to avoid excessive body hair growth while taking this medication. Oral minoxidil improves hair loss in women, but at the expense of unwanted body hair growth. So, for females, is there a way to mitigate any unwanted side effects of oral minoxidil while still maximizing its hair-promoting effects? Phone: +1 (415) 580-0040 The average duration of prescription use across all 18 patients was 6 months. Yes. Some hair loss treatments for women are the same as those for men and depend on the cause of hair loss… ’ m a female dealing oral minoxidil for female hair loss AGA ( diffuse ; lots of miniaturisation ) hair. Of body/facial hair growth ) writes regularly about the drug model, and in some cases may even cause hair! Who do not wet their hair daily their adherence to the roots of the studies conducted on women taking minoxidil! Minoxidil + 25mg of spironolactone daily be more convenient to swallow minoxidil than to apply topically! Affect both men and women share a full-text version of this article with friends., start with these articles are written in a more scientific tone and female that... 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