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Stimulate hair growth with oral minoxidil

With Roman, you can get oral minoxidil prescribed online and delivered to your door. It’s a simple once-a-day tablet so you can get results without the mess or itchy scalp from topical treatments.

$15/month on first order

Non-hormonal treatment

See results in 3-6 months

Prescribed to promote visibly thicker hair

Free online visit & unlimited follow-ups

oral minoxidil pill bottle with Ro

Convenient, once-a-day tablets that contain the same active ingredient as topical minoxidil

While topical minoxidil is FDA-approved to treat hair loss and is available without a prescription, oral minoxidil is considered “off label” and requires a prescription.

Oral minoxidil is an off-label treatment for men’s hair loss

Healthcare providers have the discretion to prescribe medications off-label if they believe it is an appropriate course of treatment for a particular patient. Learn more about off-label treatment.

Side effects may include low blood pressure and leg swelling

The most common side effect is hypertrichosis (additional hair growth on the face or body). Read through the full Important Safety Information (including a boxed warning).

More on oral minoxidil

The active ingredient in oral minoxidil is the same as the one in topical minoxidil (generic Rogaine). While topical minoxidil is FDA-approved to treat hair loss and is available without a prescription, oral minoxidil is considered “off label” and requires a prescription.

Oral minoxidil is FDA-approved (at higher doses) to treat high blood pressure. Doctors began prescribing low-dose oral minoxidil tablets as a convenient, once-a-day, non-hormonal hair loss treatment because in clinical trials studying higher doses of oral minoxidil for high blood pressure, a large percentage of patients experienced “elongation, thickening, and enhanced pigmentation of body hair,” including on the scalp.

Healthcare providers have the discretion to prescribe medications off-label if they believe it is an appropriate course of treatment for a particular patient. Learn more about off-label treatment here.

The jury is still out on exactly how minoxidil works with regards to hair loss. While the exact mechanism is not fully understood, it’s thought to extend the growth phase of hair follicles and increase the size of hair follicles, which is thought to promote hair regrowth.

Minoxidil is also thought to relax smooth muscle in blood vessel walls, causing them to widen and increase blood flow. This may be one of the ways that minoxidil works to stop or slow hair loss and, in some cases, maybe even regrow hair.

Many patients find it easier to take one pill a day vs. applying a topical treatment twice a day. A simpler routine can help to improve treatment adherence and consistency (in other words, it’s easier to make and keep a daily treatment habit), which supports better results.

Oral minoxidil may also be preferred by men who do not want to risk the known slight chance of sexual side effects from taking finasteride.

While a patient’s preference is always taken into consideration, treatment recommendations will be primarily informed by the individual’s medical history along with the contraindications and side effects of finasteride and oral minoxidil.

The history of oral minoxidil

finasteride from Ro
finasteride from Ro

While oral minoxidil is considered an “off-label” treatment for male pattern baldness, it is FDA-approved (at higher doses) to treat high blood pressure.

Doctors began prescribing low-dose oral minoxidil tablets as a convenient, once-a-day hair loss treatment because in clinical trials studying higher doses of oral minoxidil for high blood pressure, 80% of patients experienced hypertrichosis—"elongation, thickening, and enhanced pigmentation of fine body hair,” including on the scalp.

Healthcare providers have the discretion to prescribe medications off-label if they believe it is an appropriate course of treatment for a particular patient.

Common questions

Important safety information

What you should know before taking oral minoxidil.