Stopping Minoxidil Safely: Must-Know Tips From A Dermatologist

Medically reviewed by Dr. Ahmad Chaudhry M.B.B.S.
Written by Our Editorial Team
Last updated
You contemplating stopping minoxidil maybe because you didn't achieve your desired hair regrowth, or it didn't do anything for your pattern hair loss.

In this article, we'll go through the best ways to stop using minoxidil that don't leave any adverse side effects.

So whether you're looking to gradually taper off the medication or want to take a break from it, we've got you covered!

    Why should you stop using minoxidil?

    man stopping minoxidil

    You should stop using minoxidil if you experience severe side effects, such as chest pain, rapid heartbeat, dizziness, or facial swelling.

    Additionally, if you have allergies to minoxidil or if a healthcare professional advises against its use due to medical conditions or medication interactions, it's essential to discontinue use.

    What happens when you stop minoxidil?

    If the hair loss treatment is stopped, any new hair that has grown will be lost, and hair fall will resume at its pre-treatment rate.

    There is no guarantee that the side effects will stop after you stop using 5% minoxidil.

    When should you stop using minoxidil?

    time minoxidil starts working

    You're thinking about stopping because minoxidil is not working for hair loss.

    In that case, it's important to remember that minoxidil results can take time.

    Minoxidil takes 3-6 months to work since the start the hair loss treatment.

    If you've been using minoxidil for less than three months, it's possible that you simply haven't been using it long enough to see results.

    On the other hand, if you've been using minoxidil for more than six months and you do not see any results, it's unlikely that continuing treatment will be beneficial.

    What other alternatives to minoxidil are there?

    You've stopped minoxidil.

    But your androgenic alopecia is still there, and you want other alternatives.

    Here's our list of the best alternatives to minoxidil!

    minoxidil alternative ecklonia cava

    They help to regrow hair in bald patches fast or end androgenetic alopecia.

    What should you do after stopping minoxidil?

    After you've decided to stop using minoxidil, you should do a few things to ensure that your scalp and hair are healthy:

    1. Wash your scalp with a gentle shampoo to remove any residue from the minoxidil.
    2. Massage your scalp for a few minutes to stimulate blood flow. You can also apply a light moisturizer to help keep your scalp hydrated.
    3. Be sure to eat a healthy diet and drink plenty of water to support the health of your hair and scalp.

    Following these simple steps can help minimize any potential side effects from minoxidil discontinuation and avoid hair thinning.

    What is minoxidil?

    minoxidil

    Minoxidil is a peripheral vasodilator agent that was initially developed as oral minoxidil for the medical treatment of a form of hypertension.

    The users, however, reported growth in the form of hypertrichosis as a side effect of minoxidil intake.

    This led to the development of a topical formulation that can help treat a variety of hair loss from:

    Topical minoxidil can be applied directly to the scalp and is available in two forms - minoxidil foam and liquid.

    As opposed to minoxidil solution which takes time to dry and is associated with scalp irritation, minoxidil foam dries up quickly and does not cause irritation of the scalp.

    Minoxidil is effective on male pattern hair loss and female pattern hair loss.

    How does minoxidil work?

    how minoxidil works

    While the exact mechanism of action is not fully understood, minoxidil is thought to work by dilating blood vessels and enhancing blood flow to the scalp.

    This increased blood flow is believed to nourish the hair follicle and combat thinning hair. The effects of minoxidil on hair growth are attributed to its active form known as minoxidil sulfate.

    Minoxidil sulfate is synthesized from minoxidil and this reaction is catalyzed by an enzyme found in the scalp, sulfotransferase.

    In addition to promoting blood flow toward the scalp, minoxidil also acts on the different stages of the hair growth cycle.

    Minoxidil shortens the duration of the telogen phase while increasing the duration of the anagen phase of the hair growth cycle.

    It also promotes new hair growth directly by serving as an epidermal growth factor.

    Minoxidil is available in both topical and oral forms.

    It is typically used twice daily, but there are cases where you should use minoxidil once a day, too.

    While minoxidil is generally safe and effective, there are mild and severe minoxidil side effects sexually, physically, and mentally. Therefore, getting medical advice from a health care professional is crucial.

    What are the side effects of minoxidil?

    headache minoxidil side effects

    Here's a list of minoxidil side effects:

    • Minoxidil shedding
    • Continuous irritation
    • Reddened skin
    • Face swelling
    • Vision blurring
    • Sharp pain in the chest
    • Dizziness
    • Fainting
    • Irregular heartbeat
    • Flushing
    • Acne
    • Burning at scalp
    • Lightheadedness
    • Numbness or tingling
    • Body swelling
    • Rapid weight gain
    • Facial hair growth
    • Increased hair loss
    • Hair root inflammation
    • Headache

    How to boost minoxidil effectiveness?

    finasteride

    If minoxidil is slow to work, you might try these two to boost its effectiveness:

    These have been shown to work for male pattern baldness and female pattern baldness.

    Reference

    Suchonwanit, P., Thammarucha, S., & Leerunyakul, K. (2019). Minoxidil and its use in hair disorders: a review. Drug Design, Development and TherapyVolume 13, 2777-2786. https://doi.org/10.2147/dddt.s214907

    ‌ Badri T, Nessel TA, Kumar D D. Minoxidil. [Updated 2021 Dec 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482378/

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    Dr. Ahmad Chaudhry M.B.B.S. is a House Physician in the Medical Unit 3 Allied Hospital, Faisalabad, and deals with hepatic, cardiac, neurological, and dermatological issues daily. He did his MBBS from Punjab Medical College, Faisalabad. He believes that a good haircare routine is one where you nourish it naturally. During his free time, he works as a dermatologist for Scandinavian Biolabs.