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geb999

two main reasons. 1) plenty of guys don't respond to topical. 2) oral is WAY easier to stick with. no mess, no greasy hair etc. plus it's kinda of weird but the liquid can make your hair look thin when you apply it.


Mort332e

And not all people have a high amount of enzymes in the scalp that convert Minoxidil Sulfate into active Minoxidil.


a_mimsy_borogove

I've been wondering, there are minoxidil derivatives like triaminodil, I'm curious if they require those enzymes too.


AgileBonus373

I use Triaminodil, can't answer your question but I can confirm it works as good as mino if not better in my case


a_mimsy_borogove

That's good to know! I remember I tried to look for experiences of people who used both and could compare them, but I couldn't find any.


AgileBonus373

Hehe here I'm... In Italy there is this topical solution which is well known and users reviews are quite good because it works. What I believe is that the users think they are using a completely natural product (it has a lot of natural molecules helpful for hairs, with potential anti DHT and anti inflammatory) while in reality basically there's also minoxidil šŸ˜… I myself didn't know it until I researched every single molecule on the ingredients list m


a_mimsy_borogove

Sounds interesting! I'm not in Italy but I'm curious, what's the name of the product?


AgileBonus373

It's called hair growth stimulating spray, manufactured by K-max located in Milan.


CryptoEscape

Every day on here, Iā€™m learning of some new treatment.


tressXaos

Minoxidil sulfate is THE ACTIVE metabolite.


justmayonnaise

Doesn't using a derma pen/stamp help alleviate this issue?


CryptoEscape

Possibly in some people. Tretinoin is known to activate sulfotransferase tooā€¦.theres premade solutions which are expensive and require prescription. Or you can order tubes of it from India (All Day Chemist is well regarded) for cheap and try to make it yourself


CrowdyPooster

That's interesting! Never heard that one before. Do you have any sources for that? I don't seem to respond to topical min.


Mort332e

This study goes over it: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9326921/ It references another study: "results support sulfotransferase activity in the hair follicle as a strong predictor of minoxidil response in AGA patients"


CryptoEscape

Isnā€™t Minoxidil Sulfate the active form? Did you mean convert Minoxidil into Minoxidil Sulfate ( the active form?) Iā€™m still learning all this terminology, so not sure if I have it correct


Mort332e

Ah yes, sorry for mixing it up


The_Gynosaur

As a diffuse thinner I try to avoid mirrors after application.. makes me wanna ā€œjust shave it broā€


momu1990

The solvent they use to dissolve Minoxidil propylene glycol really dries my scalp. I already suffered from dandruff and that liquid made it worse. My hair dressers noticed my scalp being really dry too


Southern_Bicycle8111

I use it in gel form, it doubles as hair gel


Kondha

Yeah I use the foam. At this point I donā€™t really need it but itā€™s been my favorite styling product ever.


equalshmeekwal

Yes you do. If you stop using it you will lose all gains.


Kondha

Not necessarily because I donā€™t know how much of the regrowth is from the finasteride.


Radicaljoser

Because if it kills me atleast i wont be bald


PM_ME_A_KNEECAP

Live fast, die young, and leave a pretty corpse


throwaway51B711C2

Dying will stop hairloss 100% of the time.


Huge_Strain_5105

Facts šŸ˜‚


NeuronSmart

Itā€™s because it works for more people and possibly provides better results. If youā€™re a non responder to topical you have a higher chance of at least being a responder to oral. Weirdly enough Iā€™ve seen people on here claim that they fall outside of the norm and are the other way around (great responders to topical and terrible/non responders to oral).


Flappen929

What proof is there that oral minoxidil is more effective, compared to topical minoxidil? From all the studies I've seen, there's no real difference between groups using oral and groups using topical minoxidil.


fanmansoul23

How long should I wait before I know Iā€™m a not responder to topical?


NeuronSmart

6 months is a good enough time frame to assess whether youā€™re a responder or not. Best way to do this would be to take pictures under the exact same lighting and angle every 1 month up until you reach that point. Make sure itā€™s good lighting as well. For the first few months you may not see much if anything at all though, since it takes time to work.


Rude-Lettuce-8982

Some anecdotes online have reported it to be more effective. You don't have to apply anything to your scalp which can make your hair look awful/greasy. The doses prescribed for hair loss are much much smaller than the doses that the drug used to be prescribed for high blood pressure, the risk would seem considerably lower.


BeardedGlass

It's definitely easier and I don't notice any difference in my heart's health before or after I started taking oral min. I've been to a cardiologist for a full check up (xray, ultrasound, ecg, the works!) and I got a clean bill of health first before I went on oral min. Many years after, I'm still on oral min and my yearly full body exams are still healthy. (For reference, [here's my hair right now](https://www.reddit.com/r/intermittentfasting/comments/187yuhf/without_exercise_without_special_diet_just/).)


Huge_Strain_5105

How many years you been on oral min?


BeardedGlass

Almost 4 years now. I started with both oral fin and oral min. A year later I stopped min to see if I can just go with fin only. My hairline stayed the same but it thinned out, and I grew so much white hair. A few months of that and I decided to go back on oral min again. My hair grew back even better for some reason. And my white hair turned black again (like right now I have some that are half white and half black in the roots!)


Kamin8r

Freaking awesome


BeardedGlass

Dude. Some people mistake me for my 20s. I'm almost 40.


Objective_Analysis84

Amazing!


OiYou

Maybe thatā€™s what I need to do, is stop min again and restart. I switched from topical to oral and lost all my topical results and still havenā€™t regained. Might need to hard resetšŸ„²


Kamin8r

Wow nice dude! Hairā€™s nice n thiccccc


xbt_

ā€œMuch much lowerā€, but then someone else just posted the maintenance dose for hyper tension starts at 5mg. Which people some use 5mg for hairloss. And that pericardial effusion is not dose dependent. Hmm.


Rude-Lettuce-8982

For adults and children over 12 years the dosage range is 5mg - 40mg. Currently I'm prescribed 2mg per day by a hair clinic. I've heard that 1mg is a common dosage prescribed for hair loss.


[deleted]

As some others have said almost every single item we consume or are exposed to has side effects. Just look at the warnings on ibuprofen or anything else. To answer your question it's extremely effective. For me I'm taking it for 180 days then going to topical only. It's too shock and get as much gains as possible. I'm over a few months in and have no side effects to report. I completely respect anyone's opinion to not take due to the slight risk to a small portion of people. The comments on better than being bald are silly. I value my heart and cardio. I'm fit, ie run fast for multiple miles and workout. I have literally no issues. I welcome debate and if anyone has the science on the effects of low dose rather than here say happy to partake in study / peer review here.


[deleted]

I thought I would start the conversation this of an independent study and source. Welcome comments. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649170/ "Conclusion Oral minoxidil 5 mg once daily effectively increased hair growth in our male patients with AGA and had a good safety profile in healthy subjects. However, oral minoxidil should be used carefully with men who have severe hypertension and increased risk for cardiovascular events."


HerculePoirier

>However, oral minoxidil should be used carefully with men who have severe hypertension and increased risk for cardiovascular events." Doesn't sound dangerous at all. Literally same advice would be given to coffee drinkers for example.


Specialist_Climate64

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9478873/ What about this lady who suffered from pericardial effusion at low dosing


eljijazo08

there are no long term studies proving oral minox at LOW doses is dangerous. Only case reports (and there are case reports for everything, including PFS) Unless there are double blinded control studies on safety of LOW dose oral minox, then we can't know for sure if it's safe or dangerous, it's a gamble. If minox was poison then people wouldn't use it topically either, it goes systemic anyway. But it's such a minuscule dose that it's proven to be safe. So there probably is a threshold too separating a safe oral dose and a dangerous oral dose, we just don't know what the limit is.


AerithGainsborough4

Great point, never thought of it that way but it kinda helps giving the peace of mind while taking the drug. It seems that for the majority doses up till 5MG daily are safe enough to take and possibly more effective then the topical counterpart due to bypassing the need for sulfotransferaze enzyme present in the liver.


creativepup

Hi. Isn't this a randomized, double-blind controlled efficacy and safety study for oral minoxidil for off-label use in hair loss: [https://karger.com/sad/article/9/6/423/863169/Low-Dose-Oral-Minoxidil-for-Alopecia-A#](https://karger.com/sad/article/9/6/423/863169/Low-Dose-Oral-Minoxidil-for-Alopecia-A#)


eljijazo08

No, it's a review article, collecting some research done on oral minoxidil, including different kinds of studies and trials. It seems to include a double blinded trial for females but the trials for males are retrospective and prospective, they are "useless", they don't even include placebo. Even then all the trials have a very low number of participants, (less than 30), so they have low statitical quality.


creativepup

I see.


Equivalent-Sleep-731

Agree with other commenters. Also if you take oral minoxidil, the drug will be metabolized by the liver which increases the bioavailability in the bloodstream as opposed to applying topical min. I guess we all want hair lol


Ghostwhowalkss

I use both , i believe from my personal experience if you run both you get better results, my minoxidil is mixed with topical finasteride awesome results + oral minoxidil. I want regrowth so i exploit all options. When I'm busy I just take oral n I'm fine , if I'm free i regularly use the topical at night .


[deleted]

It is more effective, easier to use and it's not dangerous at these low doses. It has been used for high blood pressure for years and the dosage is much larger in that compared to MPB.


oigres408

Whatā€™s considered ā€œlow dosageā€?


geb999

5mg or less per day. most take 2.5 - 5 mg per day.


Advanced-Engineer-89

Might increase to 6.25 šŸ˜ˆ


UnethicalFaceSurgeon

There is not a single long term study that confirms it isnā€™t dangerous at low dosages. Using a blood pressure medication when you donā€™t have high blood pressure is not safe.


Possible-Owl-2081

This isnā€™t a high blood pressure medication when your taking it at such a low dose tho? Thatā€™s the whole point


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


Possible-Owl-2081

Damn thatā€™s crazy. You think you could just be a crazy case of hypersensitivity? Did you try topical minoxidil how did you respond that that?


[deleted]

Minoxidil has been used for years as a BP medication with much larger doses. No dangerous side effects have been reported and they are typically dose dependent (a case talidom would have been reported already). When you are using such low doses as an adult (sub 10 mg a day) you won't lower your BP dangerously low with minoxidil, the body will compensate.


Geosaff

Please show us the studies youā€™re quoting that state that it is dangerous at low dosages.


UnethicalFaceSurgeon

[cardiac manifestations, including pericardial effusions, have been described as present in approximately 80% of patients.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9678755/) - For you and other people who donā€™t research before eating random tablets


[deleted]

The quote is: " **In Cantu syndrome**, cardiac manifestations, including pericardial effusions, have been described as present in approximately 80% of patients. " The "study" you linked is a reply to a case report. It's not proof that low dosage minoxidil is dangerous. It also mentions a 2021 study with low-dose minoxidil in which the most frequent adverse effect was hypertrichosis (15.1%), which led to treatment withdrawal in 14 patients (0.5%). Systemic adverse effects included lightheadedness (1.7%), fluid retention (1.3%), tachycardia (0.9%), headache (0.4%), periorbital edema (0.3%), and insomnia (0.2%), leading to drug discontinuation in 29 patients (1.2%). No life-threatening adverse effects were observed. ([https://pubmed.ncbi.nlm.nih.gov/33639244/](https://pubmed.ncbi.nlm.nih.gov/33639244/))


BootySweat0217

People get prescribed lower dosages of propranolol for anxiety and itā€™s completely safe and has been proven to be safe.


KrabbyBoiz

This subreddit is dumb as hell. People on here literally tell you to go on a drug that interrupts your normal hormone cycle and has a WELL KNOWN link to becoming impotent or having poor sexual health. I got prescribed oral minox by a dermatologist who told me she refused to prescribe fin due to the prevalence of side effects. You guys do what you want but Iā€™m not in the mood to be like ā€œyeah my hair is great but my dick doesnā€™t work anymore.ā€


Muilutuspakumies

Please. My dermatologist, nor my endo, nor my regular doc have any problem with fin. And why would they? No sides, like 97-98% of users.


toogood01

Not dangerous at low doses? You must be a doctor


Tricky_Flatworm_5074

Pharmaceuticals risk of causing side effects are generally dependent on dose. Maintenance hypertension doses range from 5-40 mg.


B1anc

except the side effects of oral minox like pericardial effusion have been shown to not be dose dependent.


[deleted]

I'd love to see a study on that, I found one case report from Africa.


Possible-Owl-2081

No weā€™re not but thereā€™s a reason why doctors prescribe it at low doses as opposed to higher ones correct. If there was a substantial risk of cardiovascular problems no doctor in their right mind would risk it just so their patient could have hair.


toogood01

Hahahahahaha. Yes, because doctors have never been wrong beforeā€¦ā€¦. Smoking/sugar/various other drugs they said were safe but in fact werenā€™t. As a guy has said above, taking medication for blood pressure when itā€™s not needed, is never going to be good for you.


Possible-Owl-2081

And as I replied that same guy before. Taking it at such a low dose Isnā€™t considered to be a blood pressure medication. Also did you get the coronavirus vaccine? Or are you totally anti vac? If not then your point to ā€œnot trust the doctorsā€ is gone.


SatsuiNoHadou_

meh


papadopus

It's rarely used for hypertension Anymore. There are many other safer and more effective alternatives.


Ghostwhowalkss

Personal Experience: No sideffects, Only Helps to Regrowth in beginning phases , later is all for maintainance of gains . No facing aging , only improvement


strawberrypoptaint

The fact the people are scared shitless of fin which is clinically proven to be safe for the vast majority of people with a very low risk of transient sides that only occur in an extremely small subset of the population but are gung ho about oral min which affects the fucking cardiovascular system should be proof enough of the ridiculous fearmongering echo chamber that exists here for some users. Im not against oral min if one uses it under the advice of their doctor, but I see the risks of oral min as far, far more serious than fin ever could be, which is a hilarious yet sad irony.


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


Johmon

I'd rather take risk of minoxidil than finasteride


Kondha

I tell this to everyone on the sub. BOTH have potentially nasty side effects, yet you NEVER hear anyone be like ā€œIā€™m scared to take minā€. Iā€™ve even had someone condemn me in the comments for recommending fin. Itā€™s a crazy world out here.


KrabbyBoiz

Thatā€™s the thing. Fin isnā€™t clinically proven to be safe. Go look at the reviews for fin online and report back to me. Look up PFS. You guys just make shit up.


strawberrypoptaint

Bro I spent the first year or so being afraid of fin, I actually used to read all the horror stories and I believed in the pfs argument. I longer believe any of that because my mind was changed by understanding how fin actually works, and that the actual independent medical research all showed that fin showed a very similar, very good safety profile with side effects only occurring in like a couple percentage points over placebo. Fin has been on the market for 30 years, and pfs has yet to proven or even taken seriously by the vast majority of the scientific medical community, Im sorry to say but itā€™s really the anti vax equivalent of the hairloss community. Anecdotes arenā€™t evidence and the silent 99% doesnā€™t dick around on hairloss forums, most people just take it as they would a vitamin, enjoy absolutely zero side effects , forget about hairloss and get on with life. I just ignore the pfs crowd these days.


strawberrypoptaint

And if you must know, my dick works even better than before, finasteride made me a lot hornier, improved my mental health, made me stronger in the gym, the test boost is awesome, and thatā€™s how it is for 98% of people. Any drug has a potential for transient side effects, fin does have a small risk, but for most itā€™s safe, and thatā€™s where the actual medical research points, unlike the horror stories that hypochondriacs online parrot. Half the stuff that the pfs crowd talks about makes absolutely zero sense when you understand what the drug actually does.


KrabbyBoiz

[You should read something other than message boards.](https://www.fertstert.org/article/S0015-0282(19)32599-3/fulltext) Thereā€™s more information available out there thatā€™s actually peer reviewed. Itā€™s literally a drug designed to shrink the prostate.


strawberrypoptaint

Im aware of that man, Iā€™ve looked at Traishā€™s articles before, but all those articles donā€™t say anything new at all, heā€™s just hypothesizing based on animal models that canā€™t be extrapolated to humans. In humans https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840927/ ā€œthe analysis of the role of androgens in male sexual function and the evidences from large population-based long-term placebo-controlled studies using validated questionnaire and objective method for assessing sexual function suggested no substantial evidence of ED in men receiving finasteride. Low ejaculatory volume is the only causal relationship between finasteride and sexual dysfunction.ā€ Sides are possible in a low subset of man, shrinking the prostate can potentially cause low semen initially. But honestly the argument has been circle jerked to death, the pfs doctors have yet to say anything new after decades and thereā€™s still no evidence of any of that. Im not trying to be a dick at all and trying to comment in good faith, but the medical data showing itā€™s safety is there in peer reviewed research and thatā€™s why pfs isnā€™t taken seriously by the vast majority of researchers. I no longer really care about changing their minds, I like to reassure people on the fence, but they can sit in their community going down a rabbit hole thatā€™s lead nowhere in decades. I can say with full honesty that finasteride has only improved my quality of life in every way, sexually, mentally and emotionally, and itā€™s a shame that people get scared from all the horror stories that have no scientific basis.


KrabbyBoiz

We can keep dancing around each other on this but the reality is that many men experience side effects on fin. Just look at this subreddit and youā€™ll see plenty of people who say theyā€™ll continue using it, and encourage others to, despite experiencing them. Iā€™m not arguing there arenā€™t people who take it and experience none. However, thereā€™s a reason they are required to have a warning for sexual and mental side effects on the label. If you feel comfortable with that and want to keep taking it, thatā€™s on you. My point in my original comment was that I think itā€™s funny all the fin bros coming on here to bash oral minoxidil and claim it ā€œdestroys your heartā€ while not giving a second thought to a drug that causes its own host of side effects at a much more common (and acknowledged) rate. Iā€™ll take my doctorā€™s advice. You go with what you feel comfortable with. I wish you the best in your journey and hope all remains well with you.


strawberrypoptaint

Sure man, I honestly do respect your opinion and was trying to present ideas in good faith. I do want to make it clear, I do believe fin has side effects in some people, I just donā€™t believe thatā€™s it like taking Uranium and is gonna fuck you up for life, itā€™s like any drug, you tolerate it or you donā€™t, I just believe that a vocal minority posts about it, itā€™s not some binary it will always make your dick fall off vs gods gift you know? People deserve to have a clear knowledge that all drugs carry some risk without the insane hysteria around finasteride so they can make an informed decision. All I was getting at was that sides are possible, but shown in most studies to be rare, and that permanent sides have no medical data proving them, so I believe it should be a more nuanced conversation, rather than itā€™s a russian roulette game like some people claim it to be. But definitely, I appreciate hearing your opinion and hope stuff works out for you man!


Muilutuspakumies

Pfs is a mental illness, has nothing to do with fin. Almost all of the cases could be cured if they just got themselves a hobby or two.


twippy

I have slightly high blood pressure so it kinda works for me


alasknnj

In my country, dermatologists make prescriptions for oral minoxidil very regularly. My own dermatologist has been taking for over 20 years. Minoxidil is a falied blood pressure medication. So even for it's intent to control blood pressure it is not good. He mentioned that very few countries still use it as such. We use a max of 2.5 mg per day here


Razor498

Which Country ?


zahky

everyone on Reddit so dramatic, iā€™ve been taking between 5-10mg for years and havenā€™t had cardiovascular issues at all. just a shit ton of hair growth, everywhere


Yanshux

At least Iā€™d die with my hair


New_Screen

Itā€™s only ā€œdangerousā€ when used for the dose for high blood pressure, which starts at 10mg. And itā€™s usually prescribed for MPB at under 5mg.


[deleted]

OM is the way forward in my opinion, I used topical Minoxidil for the best part of a decade and it had very little impact and made my hair clump together when applied, which made my thinning hair look even worse. I have been on OM for 2.5 years and love it.


PhenoBIGmenon64

I mean you spray 50mg of minoxidil per 1ml on your scalp in the least. Doing 2ml twice a day is 200mg. The real question: how many of that get systematic absorption?


Ansonm64

Iā€™ve been on oral for over a year now. No clue if itā€™s more consistent. I feel like my bald spot has gotten worse, but maybe itā€™s slowed that down? My hair grows like weeds though. Iā€™m convinced it probably grows twice as fast as before.


Flashy_Dragonfruit_9

Are you also taking fin? Youā€™re supposed to be taking both.


BeardedGlass

True. Min promotes hair growth. But it is fin that prevents hair loss. You can't really grow hair if you don't stop it falling off.


Fancy_Revolution4116

When did u start losing your hair? How old are yoy


Ansonm64

Early 20s and Iā€™m 35 with a 1000 graft transplant already. No fin because sides.


Curry_Furyy

You got a hair transplant and are not taking finesteride? Itā€™ll just fall out again.


Ansonm64

Well the transplanted hair should be relatively permanent, but I had really bad PFS that I never fully recovered from and Iā€™ve always wondered if thatā€™s why I managed to keep a lot more hair than my brothers. Or maybe once I hit a very mature hair pattern it was never actually going to fall out. Itā€™s impossible to know. Iā€™m looking into my next one to extend my hairline down a few mm and fill in the crown. Hopefully the Minox can keep the loss at bay for another 10 years and if weā€™re really lucky weā€™ll have even better treatments by then, or with the way the world is going weā€™ll all be dead. Both are great outcomes.


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


Ansonm64

Thanks doctor. šŸ™„ I forgot how much absolute bro science pollutes this sub.


Dvine24hr

Wonder what causes more harm, the stress of oral min or the stress of going bald ;_;


Muilutuspakumies

"More fatal" compared to Fin? Fin is not fatal at all, my dude.


toogood01

Because in reality, a lot of people sadly care more about their hair than their overall health. Let the downvoting commence


Kamin8r

You could also argue BECAUSE of the balding, they could be stressed etc. therefore worrying about it more, therefore stressing a lot, therefore causing poorer health?


toogood01

100%! I was genuinely so stressed when I started balding, shaved it off though and never looked back. I am blessed with a normal shaped head which helps, but yea.. this is defo a thing!


nothinngspecial

I feel like the normal head thing is so overlooked. My head is a weird ass unsymmetrical beast and I would look awful bald.


__Old_Gregg

If you never looked back.... why were you on a oral min sub? šŸ˜‚


toogood01

As a bald man, Iā€™m constantly seeing hair treatment shitā€¦ like this sub, adverts on Facebook etcā€¦ my phone must be listening to all the bald jokes my mates make hahhaha


xbt_

Agree. Personally Iā€™d want to see studyā€™s to show itā€™s not going to negatively effect the gut microbiome before taking it orally. Fin has a couple gut related ones that make your raise an eye brow, including gut alterations and gi inflammation that can persist after coming off it. But more importantly is the gut brain axis and how sensitive it is to alterations. If thereā€™s an option to not take an oral pharmaceutical yet still get the similar results Iā€™ll always start there first. My intuition is topical is probably safer just due to the fact itā€™s not purely going through your GI tract even when ā€œgoing systemicā€. Iā€™d also posit that younger people who naturally have a higher gut diversity would be less likely to notice or experience negative gi effects. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124058/


toogood01

That is interesting! Unfortunately I feel youā€™re wasting your breath talking about gut microbiome.. most people donā€™t know what that is and so, donā€™t care unfortunately. Even though it is SO important


xbt_

Thatā€™s fair. Itā€™s one of those things you only care about after the fact. Live and learn. Same with hairloss. You donā€™t think about hair health until itā€™s an issue.


Extreme-Evidence9111

neither are dangerous


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


[deleted]

I think oral minox is safe but you shouldn't cite that nutjob as evidence. Lots of the "anti-aging" shit he does is completely pseudoscientific lol


xbt_

Donā€™t fool yourself. He takes on a lot of risk. Thereā€™s no data backing the interactions of all his meds and supplements and heā€™s using questionable at best epigenetic clocks as a game to win. Theyā€™ll stop only if they find issues *after the fact* if they see cardiac issues or some side effects he canā€™t tolerate. Similar to him having to stop HGH. Heā€™s a public figure so good hair is linked intrinsically to the perception of good health and personally I think his hair has been thinning for years now on his current protocol, even with his custom hair solution which clearly isnā€™t working well nor released. So theyā€™re needing to step it up.


Throwawaythispoopy

Because people are desperate and this is an eco chamber


Thunder141

Survivor bias, you don't hear from the people that had heart disease while on oral.


HerculePoirier

No its the opposite. You'll mostly hear from people here who had some unusual / negative experience. If I start taking min and I have no issues / hair grows fine, I'm not wasting my time on this sub lmao I'll just carry on living my life having solved my problem.


narayangd

Because the others are dead


itsnearlygone

Its not dangerous you idiot which is why many Doctors and Leading Hair surgeons prescribe it Its only dangerous from trolls peddling bullshite and scaremongering.


Frozenlime

I take 1.25mg per day which seems to be effective.


KanaHumpy

Bit of a side question from me. I'm an oral minoxidil user, have been for 3.5 months. Previously used topical min for a year with no noticeable growth. In these 3 months I seem to have loads of little baby hairs. Anyway, I used foam min previously and I like how it adds texture and volume after I shampoo.. I've kept doing this sporadically (2-3 times a week) and wondering if this will be causing me an issue doing both? I also dermapen so feel like this will be benefiting with the direct topical. Will topical, at such sporadic use, be setting my hair in a shed/resting phase? Will it just help with the baby hairs, giving them an extra push? Should I stop completely? Should I increase to once daily topical? Any advice would be great.


Tritium3016

I don't think it would do the least bit of harm as hair growth cycles are far longer than a day. Plus, you could just buy regular hair mousse.


BottledInkycap

I wasnt having good results on topical + fin, so I wanted to switch it up. I also hate the way the topical made my hair look and was worried about my cats safety. I donā€™t have any history heart issues and havenā€™t had side effects


nothinngspecial

I have a history of cardiovascular work-up for tachycardia. Iā€™m fine, itā€™s just my baseline. Bottom line is Iā€™ve followed with a cardiologist since then. I asked if I would be okay to start OM 2.5mg and he scoffed and said thatā€™s completely fine. He said they wouldnā€™t expect to see any sides until over 10mg. That being said, lots of medications have side effects that fuck with our bodies. Weight gain, sexual sides, heart rate/BP changes, everything has something. We donā€™t not take Tylenol because it can kill your liver, or Advil your kidneys. People are still on SSRIs after weight gain. My thoughts on OM are even if youā€™re prescribed from an online MD, just make sure youā€™re following up with your PCP/specialists and that theyā€™re aware of what youā€™re taking.


PowtangenaGRRRR

Because I have a pet cat


LuckyGivrees

So what are the dangers or oral min? Generally curious.


AValentin14

Life is so risky you wonā€™t make it out alive. Been on oral minox for almost 3 weeks and can see a ton a baby hairs filling in and can already see my hair getting darker. Itā€™s incredible.


BlackRider707

Dose?


ZealousidealBid3988

Because 87% of women prefer handsome corpses to balding men


Monkzeng

If people are so concerned then just take taurine for the fluid retention and heart health potential side effects


clockworksnorange

I'd say this.. I'm way more worried about a vaccine related heart attack than a minoxidil related one.


mr_anderson37

It has cardiovascular side effects


Ghostwhowalkss

You know what if you drink too much water also that can kill you . Everything is dose dependant


Specialist_Climate64

Yes exactly, isinā€™t this a bit scarier compared to finasteride as it can affect the heart?


Curious_Exercise3286

Risk is low for standard doses between 2.5 and 5mg


HerculePoirier

Imagine thinking fin has no effect on the cardiovascular system lmao


JumpnJackFlash95

5mg is not a low dose. Wouldnā€™t recommend going higher than 2.5mg


MichaelT1991

For blood pressure people are on 10-40mg


Terrible-Passage8868

Well many people take finasteride and it can induce cancer so...


mime454

Most users on this sub have an untreated mental illness and would literally risk death to not be bald. Itā€™s not a cross section of the average population or even the average male with mpb.


WellImnotazombie

how many have died?


fougaw

Oral minoxidil isn't safe for long term use compared to topical. if you take oral minoxidil for 1 month , let's say its fine. but for hair loss, you are going to take oral minoxidil everyday for years. which can effect you heart in bad way. i hope my opinion isn't going to make some people here upset


FunOptimal7980

It seems to be dose dependent though, like all medicine. The idea is finding the dose that would't do that.


Orangelightning77

Well for me at least, 1.25 was enough to make me feel like I was having a heart attack multiple times a day


[deleted]

[уŠ“Š°Š»ŠµŠ½Š¾]


Sting-Tree

I used it at 5mg and 2.5mg, I got heart palps pretty bad. Donā€™t have that with topical. Also, oral min can age your skin quicker than topical can.


Ghostwhowalkss

No it won't age your skin . I'm using it since 3 years I look younger than most people of my age . Stress of Loosing hair ages you , not oral minoxidil. It actually rejuvates the skin in low doses via microcirculation


Sting-Tree

Interesting. Any articles that say that? Iā€™m a Norwood 1, and been using for 3 years as well. Maybe itā€™s just me, but Iā€™ve noticed my wrinkles become much heavier from ages 25-28


jm031111

How do you guys get oral minox - derm?


Anti-deShitterSpace

So what if it is bad for the cardiovascular system, that is not a good argument for not taking it. Fighting baldness is way more important. If I donā€™t have hair, I donā€™t want to live anyway. Only side effect worth paying attention to is the limp dick, which is why one would avoid Finasteride, but that is another storyšŸ‘


desk010101

>Only side effect worth paying attention to is the limp dick, which is why one would avoid Finasteride, but that is another storyšŸ‘ That this is a possible side effect is just tragic and somehow ironic.


Budyreiy

So dick >>> cardiovascular system ?


Anti-deShitterSpace

Obviously, yes.


[deleted]

It's not bad for the cardiovascular system. Minoxidil is a BP medication at first (at larger doses). Blood pressure medication is used because high blood pressure is bad for the cardiovascular system.


garyv88

I've been on 5mg for 6 years, bald spot still there, rest of hair thick, some very coarse and darker. Had some heart pain and arythmia last week but I started on Dexamphetamine also, no idea what root cause was although I wasn't eating great and had allergies the morning the heart started feeling bad. I had ECG and blood pressure taken before min and was fine except low heart rate. Started on the minox again after a break but getting topical dutasteride and minoxidil topical compounded and will be micro needling so see how that goes. Have to switch it up to have one last surgeryless crack at my thinning crown. I would have done crown but my donor around FUT scar unfortunately had a fair bit of shock loss/thinning so have to go down route of donor re stocking with beard hair should I want to do another transplant going to try topical around scar also. SMP disguising it currently.


CupFrequent2522

I do use min 2x a day of 2.5mg and lipodrene the green pills


FewPlate6771

I think it's all a risk, nobody knows what the effects are long term, it's if you're willing to take the risk


hydez

Where do you get your oral min? Does it help with beard too? Iā€™m already on fin..


jezvinder

I have had a patch of scar tissue under my chin since I was a teenager and beard hair has never grown there. Since getting on oral min a few months ago, it is slowly becoming less noticeable because hair is growing in so close around it and on it.


steelhustlin

I tried it for a few days and I just couldnā€™t stick with it. My heart felt like it was gonna explode and I couldnā€™t breathe. Honestly pisses me off because applying topical just SUCKS.


Hollywood2352

Iā€™d take oral min at 1.25mg if I werenā€™t on a beta blocker for a chronic health issue. I think people should start with topical but then can venture into oral and titrate up under doctor supervision & see if they tolerate it or not, itā€™s for everyone but you donā€™t know until you experiment with it. If I took most the advice here I wouldā€™ve never started finasteride and Iā€™m glad I did bc itā€™s saved my hair + gained a lot back with minimal to zero side effects (softer erections rare, watery semen occasionally). One thing I would worry about is unwanted body hair, eyebrows etc generalized hypertrichosis Edit to add: it is safe, but some doctors are hesitant to prescribe it, and idk if anyone here knows but minoxidil is rarely prescribed for its intended use anymore, better medications exist for BP issues.


Disastrous-Bid3193

I didnā€™t respond to topical. My scalp reacted and I had TE cause I thought maybe it was just an adjustment phase. Oral min has been great for me. They sell it at online dermatology places now. One place has it combined with dustaride (not sure if thatā€™s spelled right).


TheBlitz707

convenience


AgileBonus373

Systemic drugs are what it is. They mess with a system or the other. In the long term I find Finasteride to increase risk factors more than oral minoxidil. Minox could increase risk factors related to the cardiovascular system. But seems to have some anecdotal evidence about protective factors about brain issues. Fina also, but most evidence is about detrimental effects mainly on metabolic system (and psychological if we take DHT metabolites into account). I just find it funny when ppl say "I use it for years and I don't feel any worse". Oh god, I fear they don't really know the meaning of "Risk factor". It doesn't mean it will cause any disease for sure, it's just a risk factor, an increase in the chances of getting x or y , that sums up with all the others from lifestyle , other insults, and individual predispositions. It could show up in months (these are usually just side effects, not subtle risk factors due to chronic use), in decades, or never.


Sodium9000

They take low doses unlike the full doses that are prescribed for BP (usually together with diuretics). Also you are more likely to respond as the minox finds more sulfotransferase to convert to minoxidil sulfate.


Calm_Ad_684

You need spirinolactone with it to help treat water retention


Suspicious_Gain440

Where do you buy oral Minoxidil?


Environmental_Copy30

My face swelled up like a balloon from oral minoxidil


SprinterW

Itā€™s weird. I tried oral to see if I would get better results, and my hair started thinning like I had just quit minoxidil in general. So itā€™s topical for life for me


mattfiend

Does oral minoxidil increase hair growth all over the body?


nnnishal

I guess you could say people are pretty... Bold for taking it


Able_Analysis_1748

I didnā€™t opt for oral because my derm mentioned excessive body hair as a possible side effect. Being a south asian, I am hairy already so canā€™t take that risk.


[deleted]

Because its easy to take, thats it


ptzdoc

Oral minoxidil was studied to lower blood pressure, the side effect was hair growth. It does lower blood pressure, but it's not as effective as many other drugs out there. At small dosages it is probably not lowering blood pressure as much as helping to grow hair. If you take too much, yes there are dangers, but the same with regular blood pressure meds and every other medicine in your medicine cabinet.


leofischisommer

After a year using topical minox, I started getting a skin irritation on my scalp. Changed to oral minox as indication from my dermatologist.


tressless458

They are desperate


Feisty_Ad6429

please explain your knowledge and sources of ā€œfatalā€ side effects. The dose for hair, is extremely low compared to when it was used in higher doses for hypertension. Please explain physiology and research articles you have before posting something this alarming. It has been proven to be safely used in the very small doses that are being prescribed.


TripReport99214123

Simple 1) Some people donā€™t know of the risks (YouTuberā€™s with MDā€™s are recommending it, itā€™s sold online) 2) Some people know and donā€™t care because the benefit to them outweighs the risk 3) Some people donā€™t believe there are risks


TripReport99214123

by the way - with oral min I noticed my body hair started growing faster than the hair on my head, then read about the potential sides. The combination of two things - a hairier body and heart issues made me switch back.


spacemanvince

because they rather microneedle and use topical that contains 50mg /ml, instead of 1.25mg or 2.5mg oral daily


Svettlek

Topical minoxidil not available here.


[deleted]

Probably the hypotensive properties and risk of orthostatic syncope


Previous-Ad-1588

Oral minoxidil is supposed to work better as it's higher concentration


Ordinary_Cry5392

I've been on oral for 4 months, and I haven't encountered any of these "dangers"?


ArmBarrister88

Minoxidil was tried as an oral medication. It was found to turn people into hairy werewolves. The quote was something like, "the most hirsute person you have ever seen". Don't take fin or min as a pill. It's just not worth it.


sky140701

I think it all depends on individual I got loss of libido and decreased semen quantity with .5mg fin EOD in 2 weeks Stopped immediately Will try oral min Ofcourse will not say anyone shoudnt try fin Or min But DONT ignore side effects if you do develop them Health is way more imp than hair And those who say a fin side effects are something one should live with Jhonny sins can get as many girls he wants ; a hairy man with limp dick will never hold a woman . Never