Unapproved Hair Loss Tablet Gains Popularity, However, Doubts Persist
In a significant development for those struggling with hair loss, a group of 43 hair loss specialist dermatologists from 12 countries have jointly recommended oral minoxidil as an effective treatment. The consensus, published in JAMA Dermatology, aims to expand awareness and understanding of this treatment among their peers and patients.
Oral minoxidil, while primarily used to lower blood pressure in people with severe hypertension, has been a niche treatment in dermatology due to being off-label and lack of knowledge about its correct dosage and potential contraindications. However, the experts agree that it can be considered if topical minoxidil application is logistically challenging, or results in undesirable hair styling issues or scalp irritation, or has not been effective, or is more affordable.
The pill version of minoxidil, the active ingredient in Rogaine, is significantly cheaper in cost compared to the topical version. This affordability, combined with its potential to avoid limitations such as redness, burning, and toxicity to pets, makes oral minoxidil an appealing alternative for many.
The consensus suggests that low-dose oral minoxidil may be particularly beneficial for teens and adults with hair loss who are not satisfied with the topical version of minoxidil. Dermatologists and hair loss specialists have recommended therapy options including oral minoxidil combined with other treatments such as finasteride, dutasteride, or hair transplantation procedures to enhance hair density and strength.
However, it is important to note that the use of oral minoxidil comes with a black box warning that its use could possible raise the risk of heart issues. People with certain heart conditions like pericarditis should not be given oral minoxidil. Moreover, people with other heart or health conditions should first clear the use of oral minoxidil with their primary care doctor or relevant specialist.
The use of oral minoxidil in dermatology is still quite new, and many doctors do not yet feel comfortable prescribing it. The group of dermatology experts have gathered to provide recommendations surrounding the use of low-dose oral minoxidil, hoping to give dermatologists more confidence in its use. The consensus statement provides a lot of useful information regarding indications, dosing, and adverse effects.
Studies have continued to show support for oral minoxidil as a hair loss treatment over the years. The group's endorsement will likely expand awareness of this treatment among dermatologists and their patients. As more doctors become familiar with oral minoxidil, it is hoped that it will become a more mainstream treatment option for those struggling with hair loss.
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