Oral Minoxidil for Alopecia Treatment: Risks, Benefits, and Recommendations

    Michael M Ong, Yingjoy Li, Shari R. Lipner
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    TLDR Low-dose oral minoxidil can effectively promote hair growth but requires careful monitoring for safety.
    The document reviews the use of low-dose oral minoxidil for treating various forms of alopecia, noting its effectiveness in promoting hair growth. It discusses potential risks, including hypertrichosis, peripheral edema, and rare severe complications like pericardial effusion and Stevens-Johnson syndrome. A multicenter study with 264 patients found it safe for those with hypertension and arrhythmia, with no significant impact on blood pressure. The review emphasizes the importance of personalized treatment plans, careful patient selection, and monitoring to balance efficacy and safety, especially in individuals with pre-existing health conditions.
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