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Oral Minoxidil

Starting at $24/month (on an annual plan). Cancel any time.

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Treat hair loss with convenient, once-a-day tablets that contain the same active ingredient as topical minoxidil. While...

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Oral minoxidil may cause serious side effects that impact the heart, including pericardial effusion and tamponade. When tested on animals, minoxidil caused lesions of the heart as well as other adverse heart effects. See Important Safety Information and Warnings.

Meet oral minoxidil

The active ingredient in oral minoxidil is the same as the one in topical minoxidil (generic Rogaine). 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.

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. 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’s 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.

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)

of clinical trial participants in a study exploring oral minoxidil saw elongation, thickening and enhanced pigmentation of their hair.

In clinical trials studying higher doses of oral minoxidil for high blood pressure, patients noticed an unexpected effect: hair growth. Oral minoxidil is FDA-approved at higher doses to treat high blood pressure, but because of those clinical trials, doctors began prescribing low-dose oral minoxidil tablets off-label as a convenient, once-a-day hair loss treatment.

Common questions

Important safety information

What you should know before taking oral minoxidil.

Discover more from Roman

Feel your best without the hassle

Explore our full range of products and prescription treatments. If appropriate, a provider will create a personalized treatment plan for prescription treatments.

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    Compounded with finasteride to slow hair loss, minoxidil to regrow hair, and tretinoin to enhance minoxidil absorption, if prescribed.. Click below to access ISI.

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    Treat male pattern baldness in a convenient once-daily pill, if prescribed. Click below for important safety information.

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    We offer over-the-counter hair loss treatment that’s clinically proven to help regrow hair.

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    Refresh your hair at the roots: Our shampoo is enriched with saw palmetto, pumpkin seed oil, salicylic acid, and caffeine to cleanse the scalp for thicker-looking hair.

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  • Restore Conditioner

    Take care of your hair: This conditioner is formulated with targeted plant proteins, coconut oil, and shea butter to fortify and moisturize for thicker-looking hair.

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