
minoxidil non-prescription
Topical minoxidil, also known as brand name Men's Rogaine and Women's Rogaine, is an over-the-counter (OTC) product used to treat hair loss in people with a family history. It comes as a topical solution, foam, or spray. You apply it to your scalp once or twice a day, depending on the product. Common side effects include scalp irritation and temporary hair shedding when you first start using it.
What is Minoxidil (Rogaine)?
What is Minoxidil (Rogaine) used for?
How Minoxidil (Rogaine) works
Minoxidil (Rogaine) is a vasodilator that acts directly on your hair follicles, but the exact way it works isn't fully known.
It's thought to increase blood flow to your scalp, which brings more oxygen and nutrients to your hair follicles. It also helps move your hair from a "resting phase" into a "growth phase", which can help promote new hair growth.
Drug facts
| Common Brands | Men's Rogaine, Women's Rogaine |
|---|---|
| Drug Class | Vasodilator |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | Lower-cost generic available |
| Availability | Over-the-counter |
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Side effects of Minoxidil (Rogaine)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Hair shedding (during the first few weeks)
- Scalp irritation
- Dry, flaky scalp
Less Common Side Effects
- Changes in hair texture or color
- Greasy or sticky feeling on the scalp
- Unwanted hair growth
- Headaches
Minoxidil (Rogaine) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Heart problems: chest pain, heart palpitations, dizziness, fainting, trouble breathing
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The following Minoxidil (Rogaine) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Burning, itching, crusting, or peeling of treated skin
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
- Change in hair color or texture
- Dizziness
- Irritation at application site
- Unexpected hair growth
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Pros and cons of Minoxidil (Rogaine)
Pros
- Available over-the-counter (OTC)
- Works for both men and women
- Comes as a foam, topical solution, or spray
- Applied once or twice a day
Cons
- Takes several months to see improvement
- Must be used daily to maintain results
- Can cause scalp irritation
- Doesn't work for all types of hair loss
Pharmacist tips for Minoxidil (Rogaine)
- There are many minoxidil products available. They come in different strengths and forms and have different application instructions. Read the product label and follow the directions carefully, and ask your pharmacist or another healthcare professional if you have questions.
- Minoxidil (Rogaine) is meant for male or female pattern hair loss on the scalp. Don’t use it if your hair loss is sudden, patchy, unexplained, started in childhood, or doesn’t match what’s shown on the product label.
- It can take about 2 to 4 months for minoxidil (Rogaine) to start working. Contact your primary care provider if you don’t see results after using it regularly for 6 months.
- You need to keep using minoxidil (Rogaine) to maintain results. If you stop, hair loss will likely start again.
- Results can be different for each person using minoxidil (Rogaine). Don’t use more than directed because it won’t work faster and might raise your risk for side effects.
- It’s normal to have some hair shedding when you first start minoxidil (Rogaine). This can be a sign that new hair is starting to grow.
- Pregnancy and Breastfeeding: Don't use minoxidil (Rogaine) if you're pregnant or breastfeeding. The medication might harm your baby even though it’s applied to the skin.
How to apply minoxidil (Rogaine):
- Apply the medication to a clean, dry scalp in the area where your hair is thinning.
- Gently massage it into your scalp with your fingers, then wash your hands well after applying.
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Risks and warnings for Minoxidil (Rogaine)
Minoxidil (Rogaine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Possible risk of heart problems
- Risk factors: Heart problems
Although it’s very rare, minoxidil (Rogaine) can affect your heart. This can cause symptoms like dizziness, feeling faint, chest pain, a fast or pounding heartbeat, or trouble breathing. It can happen if some of the medication gets absorbed into your body. If you have heart problems, ask your cardiologist if minoxidil (Rogaine) is safe for you. Stop using it and get medical help right away if you notice any of these symptoms.
Harm during pregnancy or breastfeeding
Minoxidil (Rogaine) might not be safe to use during pregnancy or while breastfeeding. Even though it's applied to your scalp, some of the medication can pass into breastmilk and might harm your baby, especially if your baby is premature. Talk to your OB-GYN provider before using minoxidil (Rogaine) if you’re pregnant, planning to become pregnant, or breastfeeding.
Flammable
Some forms of minoxidil (Rogaine) are flammable, which means they can catch fire easily. Don’t smoke while applying it or right after. Keep the product away from open flames or heat sources.
Keep out of reach of children
Minoxidil (Rogaine) isn't approved for children or teens under 18 years old. Talk to your child’s pediatrician if you notice hair loss.
Store this medication up and away from children because it can be dangerous if swallowed. If your child accidentally swallows it, get medical help or call Poison Control at 1-800-222-1222 right away.
Minoxidil (Rogaine) dosage
Typical dosage for Minoxidil (Rogaine)
There are many minoxidil products available. They come in different strengths and forms, and have different dosing and application instructions. Be sure to read the product label and follow the directions carefully. In general:
Foam:
- Men's Rogaine 5% foam: Massage half a capful to the affected area on the scalp twice a day.
- Women's Rogaine 5% foam: Massage half a capful to the affected area on the scalp once a day.
Topical solution:
- Men's Rogaine 5% topical solution: Apply 1 mL to the affected area on the scalp twice a day.
- Women's Rogaine 2% topical solution: Apply 1 mL to the affected area on the scalp twice a day.
Spray:
- Minoxidil 2% spray: Apply 6 sprays to the affected area on the scalp twice a day.
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How much does Minoxidil (Rogaine) cost?
$7.51
Minoxidil (Rogaine) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Minoxidil (Rogaine) will not be safe for you to take.
- No family history of hair loss
- Hair loss that's sudden and/or patchy
- Children and teens under 18 years old
- Use on irritated, infected, or damaged scalp
- Use with other medications on the scalp
What are alternatives to Minoxidil (Rogaine)?
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