Low-dose oral minoxidil for hair loss in adults and children.

Low dose oral minoxidil for hair loss in adults and children.
This video descibes the typical dose, common adverse effects, avoiding severe adverse effects and mechanism of action.
#profLidiaRudnicka
#notjusthairdiseases

[@Elsalvador932]

So interesting and well explained! I started 2.5 3 months and all was right, just last days noticed, in some part of the day, like a chest pression discomfort but: no tachicard, no edema, no heart rate. I went to a cardiologist and I took: ECG, Stress Test and echocardiogram and all was ok, so strange: also noticed, a day, the chest pain was increasing or decreasing moving body to a specific side: left/right: Any hint or suggestion? Thank you

[@profLidiaRudnicka]

Sorry, it is not possible to advise in individual situations via KZbin

[@a-sf8hi]

Thank you so much for the helpful and useful information. And thank you for the visuals/info, too, about the hair follicle being surround by blood vessels. Thanks again!!!

[@profLidiaRudnicka]

Thanks a lot for your feedback!

[@MegaKundzio]

Kochana Pani Profesor, to dzięki Pani mam cały czas gęste włosy. Wielkie dzięki

[@profLidiaRudnicka]

Bardzo się cieszę! Życzę dużo zdrowia!

[@MarkusVanTruyen]

Czy możesz podzielić się tym, czego używasz?

[@artemzelenyuk]

Dear Professor Rudnicka! I absolutely adore your videos! You have the best trichology and dermatology channel on KZbin! Dear doctor, could you please tell me if you are accepting new patients? If yes, how can I book a consultation with you? I’m dealing with androgenic alopecia and would be really grateful to have an amazing doctor like you look into my case. Thanks a lot!

[@profLidiaRudnicka]

Thank you! So nice of you! Here are the detials of my office dermatolodzy.com.pl/home/

[@Northdallasguy00]

5 mg a day been working good for me for 10 months

[@AdnanKhan-kg6ek]

No side effects like leg edema, palpitations, postural hypotension???

[@roxannasadoughifar3824]

Informative for patients and professionals!🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

[@profLidiaRudnicka]

Thanks a lot! 💕

[@MarkusVanTruyen]

*@profLidiaRudnicka* *1. Soo Professor are you stating the oral is more effective compared to topical due to enzyme conversion to active form? what if this mechanism is activated in the topical route to avoid systemic side effects? what would you suggest is the best activated topical formula that gets the best of both world? ie topical application without the side effects of the oral but only the benefits of the oral by converting it to the active form?* - as don't see any other reason to take oral minoxdil for hair loss, if there is do let me know... *2. minoxidil lowers diastolic BP and that in turn can cause the heart rate to increase to compensated for the loss in pressure hence its not suitable for the heart long term, any thoughts on mediating against this? - what can one do to counteract this?* *3. also whats your thoughts on other advanced mesotherapy solutions that trigger regrowth and stimulation of the hair follicles that are proving superior to PRP and Polynucleotides etc?* *PS: I have found a few companies willing to compound the topical to the active form*

[@MarkusVanTruyen]

@profLidiaRudnicka

[@profLidiaRudnicka]

The study indicates that the efficacy is comparable. What I was saying was that topical hair/scalp treatments have many variables that are difficult to control. For example, the same dose will have a different biological effect in a person with long hair compared to a shaved scalp, because of a different penetration to the scalp. 2. Minoxidil decreases the blood pressure by an average of ~3 mmHg. That is considered biologically non-relevant. There is no proof whatsoever for your conclusion. If this would be correct, then every person with hypertension would have bradycardia and every treatment for hypertension would be toxic. 3. Mezotherapy = intradermal injections. Thus, the injected substance will finally also have a systemic effect. My conclusion is that we should not inject substances that were not investigated in clinical trials and are formally approved. This being said, yes, I believe that in some diseases (e.g. androgenetic alopecia) a direct approach via intradermal injections could be beneficial. However, we should not be misled by the concept that for mezotherapy we do not need to have any systemic safety concerns.

[@samirashirzadeh5732]

Dear Professor Rudnika, Thank you for the video. I was looking for the answer about stop using the minoxidil, but couldn't find the answer in your video. I am considering to take 0.25 mg of minoxidil for hair loss due to stress. But I would like to know how challenge it would be if I want to stop it after a while?

[@profLidiaRudnicka]

@@samirashirzadeh5732 It is always in the hands of the dermatologist to advise about the dose and about the procedure of tapering the dose

[@gregbirds8153]

Hi dr, thanks for the great video. If you experience hypertrichosis, if you then stop taking the oral minoxidil, should the hypertrichosis be fully reversed too? Thanks again.

[@profLidiaRudnicka]

It is reversible

[@KarolinaS-zt1kl]

Thank you! I'm after the first month of topical minoxidil but I noticed terrible shedding. Is it normal? I also take vit. D and saw palmetto.

[@profLidiaRudnicka]

there may be a transient phase of telogen effluvium

[@iyeh6404]

Dear Doctor. I want to follow your rule to start lower dosage 1.25 mg then increase slowly, but the only tablet in my country is 10 mg. Can I cut it to 4 parts 2.5 mg and take it once every two days? Thank you.

[@profLidiaRudnicka]

It has to be compounded in the Pharmacy to have an exact dose

[@wassierehman8821]

Dear Professor... I want to start Oral Minoxidil. What do you think would be a safe dose to start with? Also is it safe to be taken with Finasteride? Please help me out with the dosage. I have used topical finsteride before and it didnt have any side effects as such but I want to switch to oral for better results.

[@profLidiaRudnicka]

The dose should be decided by your dermatologists. It depends on many Medical factors

[@gadigadigadigadi]

How does low dose minoxidil effect your liver over time ? 2.5mg a day that is

[@profLidiaRudnicka]

I am not aware of data that would show hepatotoxicity

[@JaZ-qz1bm]

Have you seen where oral minoxidil didn’t work for user but topical did?

[@profLidiaRudnicka]

No, but I never performed a true comparison.

[@Noisyboy143]

Does minoxidil regrows hair in sebborhiec dermatitis hair loss

[@profLidiaRudnicka]

This is a complex question. In general first line treatment is related to the cause (SD). Minoxidil may be an adjuvant therapy

[@DelandaThornton]

I had 2.5 gave me a headache. I cut the pill in half. It seems to be a lot better.

[@profLidiaRudnicka]

Yes, the dose needs to be individually adjusted

[@F1sara]

Dear professor, I hope you read my question❤. recently I went to a hairclinic and they gave me dutasteride 0,15 mg per day, because of androgentic alopecia.I am a female , 59. I am a bit lost, could not find recearch about dutasteride for woman in my age in this dosing and if I am to old now. Is it worth trying and will I have hairshedding. I read and hear terrible things. Or is oral minoxidil better, greetings from the Netherlands. Al confused dutchie.

[@profLidiaRudnicka]

Here are same data about dutasteride in women:kzbin.info/www/bejne/h6W3aYuLbJiKns0feature=shared

[@F1sara]

@@profLidiaRudnicka thank you for taking the time to answer. Much appreciated. I will watch it. Is it true that Finasteride or Dutasteride can cause shedding? I have been reading horror stories ;( if they are true than I can use a pincet instead of a brush to combe my thin hair.

[@MarkusVanTruyen]

also are you available for consultations ?

[@profLidiaRudnicka]

I do not do online consultations

[@MarkusVanTruyen]

@@profLidiaRudnicka how do you do the consultations?

[@RebapAcousticBand]

❤

[@profLidiaRudnicka]

❤️

[@favaia91]

Thank you !!!!!

[@profLidiaRudnicka]

Thanks for your feedback!

[@roxannasadoughifar3824]

❤

[@profLidiaRudnicka]

Thank you 💕

[@TamarDabrundashvili]

Thank you

[@profLidiaRudnicka]

Thanks a lot for your comment! 🙂

[@nicolaslorenzo78]

Thank you for the video. I was under 5% topical minoxidil for one year but no effect. No it's already almost one year under 5mg/day of oral minoxidil but the results are very minor .... A compound pharmacy do capsules with minoxidil powder inside. Do you think I should ask another form ? (Sublingual or something else ?)

[@profLidiaRudnicka]

I am sorry that it is not possible to solve individual problems via KZbin. I am sure that your dermatologist will have the best possible advice. Good luck! 🍀

[@nicolaslorenzo78]

@@profLidiaRudnicka thank you Unfortunately most of dermatologist are not aware about this ....

[@MarkusVanTruyen]

​@@nicolaslorenzo78 most of them are useless have to do ure own homework, I know more than most anyway,...ive had a few private dermas totally clueless just want $$$$ for chatting stuff u can google in 5 secs.....

[@gisselromero6596]

If I lower oral minoxidil from 2.5 to 1.25 will I experience scalp hair shedding? I want the hypertrichosis to go away 🫤

[@profLidiaRudnicka]

Soory, I can not comment on individual cases on KZbin