Minoxidil: the most effective treatment for hair loss

Minoxidil: the most effective treatment for hair loss

Topically applied on the scalp, minoxidil causes vasodilatation of the capillaries (that is, they widen), favoring an increase in blood flow to the hair follicles. Minoxidil helps the root of the hair is better nourished and as a consequence, its growth is favored. There is currently evidence that minoxidil stimulates the growth of keratinocytes in some patients with androgenetic alopecia. And what are keratinocytes? They are hair follicle cells that produce the much prized keratin.

How many times a day do you have to use minoxidil?

The recommended daily dose is 1 ml every 12 hours (which corresponds to 6 sprays 2 times a day). The maximum recommended daily dose is 2 ml 15% minoxidil with azelaic acid and although the surface with alopecia is higher, this dose should not be exceeded. Not to apply half a bottle will be more effective, but on the contrary, adverse effects may occur. The mode of application is to start with the central zone that is going to be treated and from there, to extend.

How long do you have to use minoxidil to take effect?

For it to take place as antialopectic, minoxidil should be used continuously for at least 4 months (although this is an approximate time that may vary between different patients). Improvement is observed between 30% and 60% of cases.

If I stop using minoxidil, will my hair fall back like before?

Nothing is forever. If the treatment is interrupted, hair growth can be stopped and returned to the exit box (initial alopecia) within 3-4 months.

What are the secondary effects?

The most frequent adverse reactions are those related to different alterations in the skin such as dermatitis, itching, dryness, eczema. They are usually due to the propylene glycol excipient which is incorporated to make the minoxidil soluble.

Especially in women, it is also frequent the appearance of hypertrichosis or wolfman syndrome (appearance of facial hair). For this reason it is important to be careful and avoid that the product comes in contact with other areas of the body.

Side effects may depend on the dose (the higher the dose, the greater the damage) and they usually disappear when the treatment is stopped.


Can women use minoxidil?

Yes, minoxidil is unisex. It is marketed in doses of 5% and 2%. In some women, the 2% dose may be more advisable to avoid the side effects described above.

In what formats can we buy minoxidil?

It can be prepared in the pharmacy as a master formula although commercial presentations. They are presented in small boats with an application in different sizes: 30ml, 60ml, 120ml, and 240ml. Typically, large sizes are divided into little boats. Thus, the 180ml will be three 60ml bottles, for example.

How much does minoxidil cost?

It depends on the size and dosage. It may vary but the 240ml size is around € 20. If we take into account that we can use a maximum of 2ml per day, this container should last 120 days, that is, 4 months!

Is minoxidil really effective?

Recently, clinical studies and even meta-analysis have been published (1, 2) that indicate that minoxidil in a concentration of 5% in men and 2% in women can be effective in promoting hair growth in cases of androgenetic alopecia. . So yes, we could say that it is an effective drug.


Minoxidil is an effective compound and not necessarily more expensive than other alternatives that have not been scientifically proven to be antialopetric. Therefore, it is worth giving it a chance … yes! Although it is a medication that can be dispensed without a prescription, it is advisable to consult with the dermatologist to adjust the appropriate dose.