What You Need to Know About Oral Minoxidil

Dr. Aguh was recently featured in a NY Times article discussing the use of oral minoxidil to treat androgenetic alopecia also known as male/female pattern thinning. Here, she goes into more detail about its benefits

[@H.E.M.]

I’m a really slow gainer to minoxidil. 4 months into topical and I’m just now starting to see vellus hairs. I hate seeing all these people with great results in less than 3 months so I’m starting oral minoxidil next week. Hopefully all goes well and if I die from a heart attack at least I won’t be bald.

[@patriciacastro8235]

any results?

[@itsallaboutthatbass8558]

@@patriciacastro8235He died

[@ryanranard5187]

@@itsallaboutthatbass8558😂

[@akanksharathod]

How is your hairs with oral minox

[@patmelton43]

LOL

[@anuwijetunga6171]

Very well explained, I have androgenetic alopacia. I am in my perimenoposal stage. I hhave been prescribed with oral minoxidil. I haven't been taking yet because I am scared of the initial shedding phase. But this video convices me I need to start my treatment.

[@mattstone8878]

Better to have Alopacia than Alopoocia... 💩

[@maelmare9280]

Dr. Aguh, would you please make a video about CCA/ Scarring Alopecia and treatments?

[@winnersmakenoexcuses2360]

I would have been very useful if you had talked about the unwanted hair growth (like on the forehead, back,...) caused by oral minoxidil and how that side effect can be eliminated (if possible at all).

[@dualscreengrant]

I use dutasteride and oral minoxidil, and they are amazing drugs. I had severe diffuse thinning due to androgenic alopecia, and finasteride on its own wasn't strong enough to stop my hair loss. The off-label drugs are hard to get, but they work even better than the FDA-approved drugs (finasteride and topical minoxidil).

[@dualscreengrant]

Shedding is normal, and four months is a very short amount of time to be on finasteride. It takes at least six months to determine whether finasteride is working, but it might take a year or longer. Maybe you should cut your hair short in order to make the shedding less noticeable. When I started minoxidil, I had a guard zero haircut. It technically doesn't help reduce shedding, but when your hair is too short to have noticeable shedding, you won't feel stressed about it.

[@dualscreengrant]

It's normal to have shedding because you're still at only five months. There might be other contributing factors that cause excessive shedding, such as stress or poor diet. It helps to have a good primary care physician to help with your general health, a dermatologist or hair transplant surgeon to help with your hair loss drugs, and a mental health professional. I've been using anti-anxiety drugs for over 18 years. Lots of people need a mental health professional to help them deal with the psychological damage that comes from hair loss. I know I do, which is why I have a psychiatrist. For dealing with the shedding, my advice was to get a short or shaved haircut. If you don't want to do that but want a cosmetic solution for your diffuse thinning, then you should use hair fibers. I used to use Toppik, and it made my hair look much denser and thicker.

[@shubhamthakur6256]

@@dualscreengrant Hello Brother I am also following the same treatment for 5 months now. No noticeable difference till now, still a lot of shedding. How much time it took for you to see a satisfying result?

[@dualscreengrant]

I had good results after nine months of using oral minoxidil.

[@midhunasachin8906]

@@dualscreengrant what dose r u taking?

[@ashanticrawford6033]

Hi Crystal! Thanks for this video that timely popped up on my news feed! My dermatologist (Dr. Temitayo Ogunleye) recently prescribed this for me. Fortunately I trust her recommendation but as someone who is hesitant against taking medications, it’s great to hear a confirming second opinion. I hope all continues to be well with you both personally and professionally and look forward to hearing more from you via your KZbin and LinkedIn pages. Best.

[@The_Eleventh_Sign]

any updates? growth, side effects ?

[@ashanticrawford6033]

@@The_Eleventh_Sign So far, so miraculous!!! My hair grew in pretty noticeably within 3 months. I still monitor how “thin” I think my hair is and it’s back to the baseline of before my rapid hair growth (meaning not as thick as when I was a teen, obviously, but at least where I’d been in my mid to late 30s before my hair drastically took a nose dive). The only side effect I would say is that I have some slight increased facial hair on my cheeks (this isn’t too bad because I’d always had it but about a year before I started minoxidil, I’d done facial lasering and my skin was smooth as a baby’s butt, so it just went back to baseline but I’m a tad salty. Lol. However, the hair growth on the top of my hair is worth it). I have a pack of hair that’s growing thicker on the jawline of right side, but that could also be attributed to my recent diagnosis of PCOS. FINALLY REVIEW: 💯% worth it!!!

[@JOY-tf7gj]

@@ashanticrawford6033 what about when stopping minoxidil? I'm hearing it cause permanent hairloss at a much faster rate and worse shedding after quitting. That the minoxidil has to be taken for life after starting? What are your thoughts?

[@mpgfoo]

Fabulous explanation, thank you

[@ExtaTer]

Oral minoxidil sounds good on paper, but they have to determine the lowest effective dose first - I've seen a study claiming effectiveness with 0.25mg daily. The lower the dose, the better because oral minoxidil has cardiovascular effects - lowers blood pressure, increases heart rate, edema.

[@crystalaguhmd7333]

Yes, the lowest effective dose is best determined by your dermatologist. Fortunately, most people tolerate it well with minimal side effects at low dose.

[@chopshop523]

This is false! I had a shiny bald patch in the middle of my head for 6 years. I’m 38 and minoxidil has filled my hair in almost completely. Like it amazingly grew in with topical and switch to oral soon.

[@gaildavis9825]

This is true people should simply try it for 3-6 months to see if it works for them. I was told if you are pass 7 yrs. You can forget about it, but this is not true either I was 10 yrs. AGA and my hair has grown back!

[@najiyakhatun7380]

How much quantity you use of oral minoxidil

[@Jackjack1978.]

I also concur, this is false. I have had a lot of hair come back from being completely bald in just 70 days. This is hair that has been gone on my head for over 10 years. I'm at 87 days currently. Can't wait for 6 months!!!:) I'm on 1.25 mg finasteride And 2.50 minoxidil Both ORAL...

[@zweety1417]

Is it true that if If you stop using minoxidil , the new growth hair falls back out. Is PHP and stem cell treatment a better option for female pattern hair loss in a peri menopausal woman?

[@susiq1121]

I hope this can work with my estrogen suppressant therapy.

[@hotmessexpress7056]

So let me get this right - for men, thinning is serious enough to use oral minox regardless of their age but for women, they need to be almost bald because they should accept just getting old. The patriarchal health care system in full swing, coming from a female doctor at that.

[@Abhianand420]

😂😂😂

[@BeardedMounjarbro]

Great video! Doing a review on oral minoxidil for my head and beard! Great results so far!

[@crystalaguhmd7333]

That's great to hear! Thanks for the feedback!

[@KennyBucketz]

Has it greatly impacted your beard? What was it like before and after for your beard and hair? How long have you been on it?

[@aregularguy44]

I'm curious about using oral minoxidil and how a person's age affects the outcome. Is it less effective after age 50 or 60 or 70?

[@ken239]

Very informative great video. Thank you.

[@crystalaguhmd7333]

Thank you for watching!

[@Re3iRtH]

Thank you for teaching this to a lowly diagnostic radiologist :D

[@crystalaguhmd7333]

Thank you for watching!

[@tomdemianvingsgard4532]

Nih did a radio-labled study on topical minox 2 x daily. 3 mg minox went systemically so the lack of transferase in the scalp is a non issue as the systemic leak of 3 mg is anyway converted in the liver. I seriously doubt there is any local effect at all...It seems like a gimmic in order to sell the topical stuff which mostly ends up on the pillow :)

[@mscocobread5106]

Can we talk about topical metformin?

[@abriyahyasha-rahla2656]

So this is not effective for chronic telogen effluvium?!

[@bree5075]

What about it's effect on collagen? Dr Hasson has gone on record saying that he has observed degraded scalp skin on his HT patients who have been on minoxidil

[@jordonwaddel8970]

I’m searching for this answer as well . 2021 I started using Foam Minoxidil and by December my hair was back. I discontinued the minoxidil and the thinning got a bit worse ( I found out that i wasn’t suppose to stop once i started). So then i started round 2 of Minoxidil Foam and then i started to look older in the face, had bags and darkness under my eyes. Did research found out it was taking collagen away. IMMEDIATELY i stopped and just had a hair transplant instead . Taking my supplements and my skin is back to normal. My main Question is will Oral minoxidil have the same effect. But Tbh i don’t know if i want to try it and find out anymore 😅

[@jojobrooklyn5285]

Does it stop hair loss?

[@jeepgurl1379]

Who benefits from using Metformin solution?

[@allegrostore6779]

Hello Doctor, we need a video about people who live in countries that do not provide oral minoxidil, and if they can use a topical minoxidil solution for that, such as drinking 2-4 drops of the solution, each 1 ml contains 50 mg minoxidil , and 1 ml equals 40 drops, so 2 drops = 2.5 mg, 4 drops equal 5 mg, and if we look at the topical ingredients of Minoxidil, we can see propylene glycol, ethanol and water, all these ingredients cannot harm us because they are already made up in our food and drinks, can we do that?

[@sabrinathompson4678]

Would this pill work for trichotillomania?

[@molho761]

Hi, I use 2.5 mg oral minox, and want to also use topical minox 5, instead of increasing to 5 mg oral, in order to avoid side effects. Is this combination recommended?

[@wspears617]

I recently went to barber shop and the barber ran out of Barbasol and used Got 2 B hair glue to razor line me. My hairline has pushed back and I noticed it hasn't grown back yet. It's been a couple months now. Is it wise to use Hydrafacial Keravive at this point. How long before my hair comes back, will it grow back? Are my pores clogged up ?Please help me 🙏🏾 Dr. Crystal Aguh

[@MiltV121]

Gorgeous Doctor🔥

[@priyankakandu1248]

Is this medicine for female also

[@janpoole910]

Yes it's for women also.

[@dipaldonna]

Can we do oral min , with topical fin min , please let me know as oral fin doesn suit me , thank you dr

[@sonalfonseka1543]

Is this medicine good for people who have started balding and the hairline has gone back and they have a wide forehead? can i regrow hair on my forehead

[@augustya7543]

So Dr for a Man like me in his Mid 40's who is suffering from Nale Pattern Baldness but my Hair Loss is stabilised ? what is the safest does to start with Oral Minoxidil ?

[@swisstrader]

1MG

[@ambrosia1917]

thoughts on minoxidil for CCCA?

[@crystalaguhmd7333]

Minoxidil will not grow in hair in areas that are scarred but it can be helpful for many patients with CCCA who also have age related hair thinning. For that reason, many patients will still benefit from its use

[@ambrosia1917]

@@crystalaguhmd7333 thanks for your response! i had an adverse reaction to ILK (moth-eaten hairloss at all injection sites) so im trying your lipoderm and metformin mixture. would minox be helpful for someone at age 28? I also have pcos so i think i might have AGA but the biopsy didnt show that

[@ciaran1495]

Does anyone know if oral minoxidil works for beard alopecia?

[@g-1west455]

...from what I've read you should grow hair everywhere with the oral minoxidil. Be aware of the side effects tho.

[@ExtaTer]

I don't think so. Your beard alopecia is probably not androgenic alopecia, for which minoxidil is indicated. Consult with a dermatologist to determine the cause - it could be something else.

[@crystalaguhmd7333]

For some men on minoxidil, thicker facial hair is noticed and I have had some patients notice more ease growing beard hair. That being said, hair loss in this area can be from other forms of alopecia that are more difficult to treat so you should discuss this with your dermatologist.

[@april3867]

does anyone know how i can get minoxidil in florida?🙏🏻

[@justritasimi]

Musely is an RX online company that prescribes oral minoxidil to anywhere in the US...

[@garyflooks2778]

Dr Crystal, can you take oral Minoxodil if over 50 yrs old with high blood pressure?, thank you.

[@incognitotorpedo42]

Since Minoxidil was originally approved for high blood pressure, it seems like a good choice. Lots of people over 50 use Minoxidil.

[@soyboymcgee8529]

What the other comment said - but if you’re not getting the minoxidil from your doctor, make sure you let your doctor know you’re taking it

[@crystalaguhmd7333]

Yes, in fact, I find that it is often better tolerated in older adults (between the ages of 50-70) than in younger adults just because younger adults are more likely to have low blood pressure. Also, certain blood pressure medications, like diuretics, can possibly lessen the chance of you developing fluid retention while on minoxidil. These are things you can discuss with your dermatologist to help you decide if oral minoxidil is a good option.

[@sherifdoc]

I have been on 0.625 mg oral minoxidil daily for hair loss. It has been one week since I started, no change in blood pressure, hair fall kinda stopped. However, I feel my erection becoming softer and doesn’t last, also I lost my morning erection. Not sure it’s minoxidil effect since this all happened one day after starting it ?! Or what ?! Any thoughts?!

[@incognitotorpedo42]

That could be a finasteride side effect, but is not likely to be due to minoxidil.

[@Felipe_CiprianoAF]

Only one week my man. Wait to see if its really related to it. 7 days isnt enough not just to see any results but also to know if theres any correlations whatsoever. Just be carefull to diagnose yourself wrong for something that could potentially bring benefits for you. Good luck!

[@Krishnaaa2244]

Any update brother??

[@soyboymcgee8529]

It’s probably psychogenic, minoxidil has nothing to do with erections

[@ExtaTer]

Observe for a longer period. It is possible that topical (and by generalization oral) minoxidil can cause erectile problems: www.ncbi.nlm.nih.gov/pmc/articles/PMC5347675/

[@SuperDodoe]

side effects of fin? C'mon youre amplifying silly conspiracy theories

[@mattstone8878]

Yo! Finasteride effects sperms? Huh?