Rosemary Oil Vs Minoxidil: Here's What Works For You

Medically reviewed by Dr. Amy Revene M.B.B.S.
Written by Our Editorial Team
Last updated

Wondering which will work better for your hair growth goals - the natural rosemary oil or the clinically proven minoxidil?

This comparative analysis of rosemary oil versus minoxidil delves into the plant-based versus pharmaceutical approaches for treating hair thinning and loss, examining the key differences in their mechanisms, effectiveness, potential side effects and more to help you decide.

Rosemary oil vs Minoxidil: A comparative analysis

Comparing rosemary vs minoxidil, minoxidil is clinically proven to regrow hair while rosemary oil shows early promise. For normal hair loss, rosemary oil is worth trying due to its low cost and minimal risk. For best results, minoxidil remains a scientifically backed way to treat more severe hair loss.

Mechanism of Action:

  • Rosemary oil contains carnosic acid and rosemarinic acid, which are strong antioxidants. They may stimulate hair follicles and increase circulation to the scalp by dilating blood vessels. However, the exact mechanism is still under research.
  • Minoxidil is a vasodilator approved by the FDA to treat hair loss. It works by opening up potassium channels in hair follicles, allowing more blood flow and nutrients to reach the follicle. This extends the anagen or growth phase of the hair cycle.

Effectiveness:

  • A few small studies indicate rosemary oil may help promote hair growth when massaged onto the scalp daily. However, more high-quality trials are needed to fully assess its effectiveness. Results may vary per individual.
  • Numerous clinical studies show minoxidil is highly effective at regrowing hair and reducing hair loss for the majority of men and women when used as directed over a period of months. It is one of the few topical treatments approved by the FDA to treat androgenetic alopecia.

Side Effects:

  • Rosemary oil is generally well-tolerated when used as recommended. Rare potential side effects include irritation, itching or allergy in sensitive individuals. No serious safety concerns reported.
  • Common temporary side effects of minoxidil include dryness, redness, burning/tingling, inflammation and irritation at the application site. Dandruff may also occur. Rare cases of accelerated heartbeat have been reported.

Ease of Use:

  • Rosemary oil simply needs to be massaged onto the scalp once or twice daily. No special techniques required.
  • Minoxidil needs to be applied to the scalp, including hairline, once or twice per day as directed on the product label for consistency. Left on for 4 hours before washing out.

Cost Comparison:

  • A bottle of pure rosemary essential oil costs around $10-15 and lasts several months with daily use. A natural and inexpensive option.
  • Initial prescription costs for minoxidil range from $30-60 without insurance. Ongoing costs of regular repurchases add up over time, making minoxidil a more expensive long-term treatment.

Rosemary oil vs Minoxidil: Which one is right for you?

Choosing between rosemary oil and minoxidil depends on your personal preferences and hair loss circumstances.

If you prefer natural remedies, rosemary oil, with its nourishing and antimicrobial properties, may be ideal. If you're facing severe hair loss or want a clinically-backed solution, minoxidil might be more suitable.

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What is rosemary oil?

rosemary oil vs minoxidil

Rosemary oil is an essential oil extracted from the leaf extract of the Rosemary plant, in the Mediterranean region- scientifically known as Rosmarinus officinalis. It's renowned for its aromatic, culinary, and medicinal uses, including its potential benefits for hair health.

The use of rosemary oil for hair health is not a new phenomenon. This aromatic herb was used in traditional medicine long before it found its way into today's hair products. 

Rich in antioxidants and anti-inflammatory compounds, rosemary oil is believed to stimulate blood circulation to the scalp, promoting healthier and potentially thicker hair growth.

How does rosemary oil increase hair growth?

Rosemary oil for hair loss is believed to enhance hair growth through its ability to improve blood circulation. By applying it to the scalp, or mixing it with shampoo, it can stimulate the hair follicles by increasing blood flow, which can potentially lead to increased hair growth. 

Additionally, rosemary oil might also inhibit the action of the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone (DHT), a hormone shown to cause hair loss. By potentially blocking this process, rosemary oil could help to slow or prevent hair loss and thinning.

Clinical studies and results

Indeed, several scientific studies have suggested that rosemary oil could be an effective treatment for androgenic alopecia, also known as male or female pattern baldness. A prominent 2015 randomized comparative trial demonstrated that rosemary oil performed on par with minoxidil (Rogaine), a popular pharmaceutical treatment for this type of hair loss. 

Notably, those using rosemary oil reported fewer side effects than the minoxidil group, such as itchy scalp, a common complaint among minoxidil users. 

Male pattern baldness is largely driven by dihydrotestosterone (DHT), a derivative of the hormone testosterone. DHT binds to receptors in hair follicles, leading to hair thinning and eventual loss. 

As men typically have higher testosterone levels than women, they often experience hair loss more frequently, more severely, and at a younger age.

Intriguingly, a 2013 study on mice found that rosemary oil could potentially counter this process. 

Mice with testosterone-related hair loss exhibited hair regrowth when treated with rosemary oil, leading researchers to speculate that the oil might prevent DHT from binding to hormone receptors in the hair follicles, thus averting hair loss. 

What are the side effects of using rosemary oil?

Here are the major side effects and risks associated with using rosemary oil: 

  • Rosemary oil may not be safe during pregnancy or breastfeeding (chestfeeding). Some labels on 100% rosemary products warn against use as it could potentially affect the fetus or lead to a miscarriage.
  • Rosemary essential oil can potentially irritate the skin if applied in high concentrations or without a carrier oil. Symptoms can include discomfort, redness, itching, or a burning sensation. To avoid this, it's recommended to dilute the essential oil with a carrier oil like coconut or jojoba oil before applying it to your scalp.
  • Allergic reactions are possible, especially for individuals with known sensitivities to the Lamiaceae family of plants, to which rosemary belongs. Symptoms of an allergic reaction may include rashes, breathing difficulties, or swelling. 
  • Ingesting large amounts of rosemary oil can lead to serious side effects, including vomiting, spasms, or even pulmonary edema. 

What is Minoxidil?

rosemary oil vs minoxidil

Minoxidil is a medication primarily used to stimulate hair growth and slow balding. It is widely known under the brand name Rogaine and is available over-the-counter in various forms, including topical foam and solution.

Originally developed as a treatment for high blood pressure, Minoxidil's hair growth stimulating properties were used to treat hair loss.  

Minoxidil is commonly used to treat androgenetic alopecia, also known as male or female pattern hair loss, or thinning hair. It has proven effectiveness in numerous clinical studies for male pattern hair loss.

How does minoxidil increase hair growth?

Minoxidil promotes hair growth by extending the anagen phase, which is the active growth phase of hair follicles. It achieves this by opening potassium channels, which results in increased blood flow and oxygen, nutrients, and hormonal delivery to the hair follicles. This, in turn, stimulates the follicles and encourages them to produce new, healthy hair

However, the exact mechanism by which Minoxidil stimulates hair growth is not entirely understood. 

It's important to note that while Minoxidil can help to stimulate hair growth, it doesn't specifically target the hormonal cause of hair loss, such as DHT.

Clinical studies and results

Two significant studies focusing on the effects of 5% Minoxidil for treating male-pattern hair loss and alopecia areata have shown promising results.

The first study, conducted over a year, involved 984 men with male-pattern hair loss. The participants applied 1 ml of 5% minoxidil solution twice a day to the areas of the scalp affected by hair loss. 

Throughout this period, participants collected their lost hair during washing for laboratory counting. By the end of the year, dermatologists observed that hair loss areas had decreased in size for 62% of the patients, demonstrating a significant increase in hair count. 

The second study, conducted over 4 months and involving 743 men with male-pattern hair loss, yielded similarly encouraging results. 

At the end of the study period, 67.3% of men judged their hair loss areas to be smaller, while 31.9% reported no change, and only 0.8% observed larger areas of hair loss. 

Importantly, 7.5% of men found the 5% minoxidil solution very effective in stimulating new hair growth, and 74.2% reported improved hair density.

These studies highlight the efficacy of Minoxidil in not only slowing down hair loss but also promoting new hair growth, emphasizing its potential as a viable treatment for male-pattern hair loss.

What are the side effects of using Minoxidil?

Here are some of the potential side effects of using Minoxidil:

  • Application site reactions: The area of skin where minoxidil is applied can experience burning, stinging, or redness.
  • Unwanted facial/body hair: In some cases, minoxidil can cause hair growth in unwanted places, including the face and other parts of the body.
  • Dizziness or fainting: This can occur if the medication is absorbed into the bloodstream, which is more likely if more than the recommended amount is used.
  • Rapid or irregular heartbeat: This is a rare but serious side effect that requires immediate medical attention.
  • Immune system reactions: Minoxidil can react with the immune system and cause certain diseases if not regulated. 
  • Fatigue, tiredness, and nausea: These are less common side effects, but if they persist or worsen, medical help should be sought.

FAQs

How long do rosemary oil and minoxidil take to work?

Both rosemary oil and minoxidil require consistent application over several months before noticeable results are seen. On average, minoxidil usually shows results within 3 to 6 months of regular use.

Rosemary oil's timeline might be similar, but it can vary based on individual responses and the severity of hair loss. 

Remember, patience and consistency are key when using these treatments for hair loss.

Can you use rosemary and minoxidil together?

While there's no rule against using rosemary oil and minoxidil together, the effectiveness and safety of this combination haven't been extensively studied. 

Using both could potentially enhance the benefits, given their similar mechanisms of promoting hair growth. 

However, as with any treatment regimen, it's best to consult a healthcare professional before starting to ensure it's safe and suitable for your specific needs and circumstances.

References

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Dr Amy Revene M.B.B.S. graduated from the University of Sharjah in the United Arab Emirates. She is currently working as a General Physician at New Hope Medical Center. Amy has a passion for research and offers her expertise and opinions to help people in their quest to lead healthy, happy lives.