minoxidil topical (OTC)

Brand and Other Names:Rogaine, Women's Rogaine
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Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

topical solution

  • 2%
  • 5%

topical foam

  • 5%

Androgenetic Alopecia

Male: Apply 1 mL of 2% or 5% solution to affected areas of scalp q12hr (qAM & qHS); no more than 2 mL in 24 hours

Female: Apply 1 mL of 2% solution or 5% foam to affected areas of scalp q12hr (qAM & qHS)

Hair growth may require 4 months of therapy

Safety and efficacy not established

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Adverse Effects

Frequency Not Defined

Irritation

Eczema

Hypertrichosis

Allergic contact dermatitis

Local erythema

Exacerbation of hair loss

Burning

Respiratory infections

Tendinitis

Back pain

Fractures

Sinusitis

Edema

Anxiety

Erythema at site of application

May see systemic effects (hypotension)

Dizziness

Lightheadedness

Faintness

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Warnings

Contraindications

Hypersensitivity to drug or components

Cautions

Once started, need to use indefinitely; hair growth should be apparent by 4 months

Do not apply to other parts of body

Can be easily removed from scalp; avoid contact with scalp once applied

Use caution in patients with heart disease

Solution is flammable; keep away from fire or flame

Avoid contact with eyes; in accidental contact with eyes, rinse eyes with large amounts of cool tap water

Not for use when infection, redness, inlfammation present

Changes in hair color and texture reported

Product will not work for everyone

Not for use if degree of hair loss is different from carton; product may not be for you

Do not use if hair loss is sudden and/or patchy or there is no family history of hair loss or hair loss is associated with childbirth

Not for use if reason for hair loss is not known, or patient is under 18 years of age, or if scalp is red, infected, inflamed, painful or irritated

Do not use other medicines on scalp

Discontinue use and see healthcare professional if scalp irritation or redness occurs, hands or feet swell, unwanted facial hair growth occurs, sudden and unexplaised weight gain occur, or if hair regrowth does not occur in 4 months

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: Following topical application of the drug is not known, but the drug has been shown to distribute into milk following oral administration in lactating women

Pregnancy Categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

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Pharmacology

Mechanism of Action

Acts at the level of the hair follicle, possibly involving direct stimulation of hair follicle epithelial growth; may increase cutaneous blood flow, and stimulate resting hair follicles

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Images

BRAND FORM. UNIT PRICE PILL IMAGE
Hair Regrowth Treatment topical
-
5 % solution
Rogaine topical
-
5 % foam
Rogaine topical
-
2 % solution
Rogaine topical
-
5 % foam
Rogaine topical
-
5 % foam
Rogaine topical
-
5 % foam
minoxidil oral
-
10 mg tablet
minoxidil oral
-
2.5 mg tablet
minoxidil oral
-
2.5 mg tablet
minoxidil oral
-
10 mg tablet
minoxidil oral
-
10 mg tablet
minoxidil oral
-
2.5 mg tablet
minoxidil topical
-
5 % solution
minoxidil topical
-
5 % solution
minoxidil topical
-
2 % solution
minoxidil topical
-
2 % solution

Copyright © 2010 First DataBank, Inc.

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Patient Handout

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Patient Education
minoxidil topical

MINOXIDIL - TOPICAL

(min-OX-id-ill)

COMMON BRAND NAME(S): Rogaine

USES: Minoxidil solution and foam are used to help hair growth in the treatment of male pattern baldness. It is not used for baldness at the front of the scalp or receding hairline in men. The foam and 2 percent minoxidil solution is also used to help hair growth in women with thinning hair.Minoxidil belongs to a class of drugs known as vasodilators. It is not known how minoxidil causes hair growth. This medication is not used for sudden/patchy hair loss, unexplained hair loss (for example, if you have no family history of hair loss), or hair loss after giving birth.Do not use this product if you are 18 years old or younger.

HOW TO USE: Read and follow all directions on the product package before using this product. If you have any questions, ask your doctor or pharmacist.Clean and dry the scalp area before applying the medication. You may apply this product to damp hair. To use the solution, fill the applicator with 1 milliliter of medication (to the 1 milliliter line), or use 20 drops. Part your hair in the area of thinning and apply the solution evenly to the affected area of the scalp. Gently rub in. Allow the solution to dry completely before using other styling products (e.g., gels, mousse) or before going to bed.To use the foam, rinse your hands in cold water and dry well. Apply about 1/2 capful of foam to the scalp and rub in gently. Allow the foam to dry completely before styling or going to bed.If scalp irritation is a problem, you may need to avoid using minoxidil on the same days that you have your hair colored or chemically treated (for example, permed).Do not use on other parts of the body unless directed by your doctor. Do not use on skin that is red, painful, irritated, scraped, cut, or infected. Wash hands thoroughly after application. Avoid getting the medication in your eyes. If this occurs, rinse your eyes with large amounts of cool water.Do not use this medication more often, apply more of it than as directed, or apply it to an irritated or sunburned scalp. Doing so can cause the drug to be absorbed into your body and result in serious side effects. This product may contain alcohol and can be irritating and drying to the scalp. Ask your doctor or pharmacist how to use this product safely.It takes time for hair to regrow. Most people need to use this medication regularly for 4 months to see benefit. This medication must be used continuously to maintain hair growth. If your condition does not improve or worsens after using this medication for 4 to 6 months, or if you think you may have a serious medical problem, tell your doctor.

SIDE EFFECTS: Burning, stinging, or redness at the application site may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly.If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Rarely, this medication can be absorbed through the skin and cause side effects. Stop using this medication and tell your doctor right away if you have any serious side effects, including: unwanted facial/body hair, dizziness, fast/irregular heartbeat, fainting, chest pain, swelling of hands/feet, unusual weight gain, tiredness, difficulty breathing especially when lying down.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using minoxidil, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.If you have any of the following health problems, consult your doctor or pharmacist before using this product: diseases of the scalp (e.g., eczema, infection, cuts), heart problems (e.g., chest pain, heart attack, heart failure), kidney disease, liver disease.During pregnancy, this product should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: drugs for high blood pressure (e.g., guanethidine), drugs that interact with alcohol (e.g., disulfiram, metronidazole).

OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: dizziness, drowsiness, fainting, flushing.

NOTES: Keep all regular medical and laboratory appointments.

MISSED DOSE: If you miss a dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

STORAGE: Store at room temperature away from heat. This product is flammable. Keep it away from fire, and avoid open flame after treatment until the medication has completely dried. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Information last revised August 2021. Copyright(c) 2021 First Databank, Inc.

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.