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Minoxidil is easy to come by in its topical form, with a number of over-the-counter products just a brief trip to the shops away. Oral minoxidil, on the other hand, requires a prescription and is therefore not available to everyone.
This guide explains how to get an oral minoxidil prescription, answering common questions about the process. It also explains what oral minoxidil is, whether prescriptions are covered by insurance, and who the drug may or may not be appropriate for.
Oral minoxidil was introduced in the 1970s as a treatment for refractory hypertension (uncontrolled blood pressure even after near-maximal therapy). A frequent side effect of this treatment was hypertrichosis - excessive hair growth. Both topical and oral minoxidil options have been developed since then to try and provide these hair growth effects in a positive manner.
Topical minoxidil is known to many as Rogaine, although it is also sold under other brand names. Although effective and popular, topical minoxidil often has low patient compliance. Frequently cited reasons for poor compliance include the need to apply topical minoxidil twice a day, the cost of indefinite use, side effects including scalp irritation and shedding, and undesirable hair texture.
The exact mechanisms by which oral minoxidil works are not fully known. This review highlights that minoxidil is a vasodilator, an anti-inflammatory and an antiandrogen, and acknowledges a possible theory that minoxidil works for hair growth by changing the length of the anagen and telogen phases. We have an explanation of the phases of the hair growth cycle here.
Oral minoxidil for hair loss is an off-label treatment. This means the FDA has approved oral minoxidil for use as a treatment for something other than hair loss - in this case, hypertension. Off-label prescriptions are common and legitimate, although whether you get a prescription may be less predictable with off-label treatments than on-label treatments.
To get an oral minoxidil prescription you should be prepared to provide information about medical history and any medication you are taking, which may even include details of supplements and vitamins.
Yes. There are various online services through which you can get an oral minoxidil prescription. You will need to submit information through an online system, which will then be reviewed by a licensed healthcare provider in a given timeframe.
While this can be safe and convenient, it is extremely important to be careful when ordering medication online. To be on the safe side, we recommend reading the FDA guidance on buying medicines online.
Not everyone will be able to get an oral minoxidil prescription for hair loss. If you are refused a prescription, it is likely your doctor or pharmacist will explain the reasons why and highlight oral minoxidil alternatives.
The observed side effects of minoxidil are varied. For example, some people will experience hair growth beyond that which they desired or expected, while for others minoxidil can cause hair loss. Likewise, while some people will experience side effects like scalp irritation while taking the drug, others will only experience minoxidil side effects after stopping.
Research states that hypertrichosis and postural hypotension (a drop in blood pressure upon standing up) are the most common side effects of oral minoxidil. Minoxidil shedding and lower limb edema were noted as side effects in other studies.
There are limited side effects with minoxidil but some patients may experience mild scalp irritation. If you experience any side effects you should stop taking the medication. A complete list of side effects can be found in the Patient Information Leaflet (PIL) enclosed with your medication, which you should always read before taking it for the first time. Please report any adverse events to Yellowcard. For more information please refer to the patient information leaflet.
Six months into using the minoxidil topical solution, some people start to see physical improvements to their hair, specifically on the crown. At this stage, the minoxidil lotion will have caused hair loss to slow, or even totally cease.
After a year using minoxidil hair treatment, the medication has a chance to work and you will notice thicker hairs starting to form on your head. In time, continued use of the minoxidil solution leads to an overall improvement in hair quality and density.
If you want a more personalized approach, sign up for Hers and chat with a doctor online about the right options for your hair loss. Then, you can shop prescription oral medications, topical treatments with minoxidil, supplements, volumizing shampoo and conditioner, and more, starting at just $15 a month.
\r\nIf you have a reaction to minoxidil, stop using it and speak to your GP or pharmacist. For the full list of side effects, read the patient information leaflet that comes with your medicine.\r\n
Before we talk about off-label minoxidil, let's quickly review the most common ways to retain your hair. Short of a transplant, these are the primary medical options for balding guys. (Any supplemental efforts, like shampoos and literal supplements, are exactly that: merely supplemental.)
The top advice I have for anyone who wants to start a hair retention program is to visit a dermatologist (or a hair restoration surgeon like Bauman). That's also going to be the only way to get oral minoxidil.
Minoxidil is an orally effective direct acting peripheral vasodilator that reduces elevated systolic and diastolic blood pressure by decreasing peripheral vascular resistance. Minoxidil is also used topically to treat androgenetic alopecia. Microcirculatory blood flow in animals is enhanced or maintained in all systemic vascular beds. In man, forearm and renal vascular resistance decline; forearm blood flow increases while renal blood flow and glomerular filtration rate are preserved. The predominant site of minoxidil action is arterial. Venodilation does not occur with minoxidil; thus, postural hypotension is unusual with its administration. The antihypertensive activity of minoxidil is due to its sulphate metabolite, minoxidil sulfate.
Approximately 90% of the administered drug is metabolized, predominantly by conjugation with glucuronic acid at the N-oxide position in the pyrimidine ring, but also by conversion to more polar products. Known metabolites exert much less pharmacologic effect than minoxidil itself.
2. Ghonemy, Soheir, Abeer Alarawi and Hagar Bessar. Efficacy and safety of a new 10% topical minoxidil versus 5% topical minoxidil and placebo in the treatment of male androgenetic alopecia: a trichoscopic evaluation. National Library of Medicine, National center for biotechnology information.Pubmed.gov.2021. [Accessed on 5th July 2022]
Regenix states that its products are suitable for most people who are experiencing hair thinning or loss. People may use these products alongside other hair loss treatments, such as minoxidil and finasteride.
According to health experts, minoxidil is most effective for those under the age of 40 years with recent hair loss. However, this treatment may cause some side effects such as scalp itching, burning, and flaking.
A 2018 study on 68 men found that topical minoxidil led to an increase in hair count within a targeted area of 1 square inch (sq. in). The group receiving a combination treatment of minoxidil and microneedling saw an increase in hair count of 12.52 sq. in. However, the group receiving minoxidil only experienced an increase in hair count of 1.89 sq. in. This suggests that topical minoxidil treatment works best in conjunction with microneedling. 041b061a72