Understanding Compounded Medications

Compounded minoxidil is prescribed under federal law but is not FDA-approved, meaning it does not undergo the same regulatory evaluation for safety, effectiveness, or manufacturing standards. Your healthcare provider at Good Medics may recommend a specific compounded minoxidil formulation based on your medical assessment and treatment needs.

Warning: Risks Associated with Minoxidil

Minoxidil is a vasodilator used for treating hair loss (androgenetic alopecia) and, in some cases, high blood pressure (as an oral medication). When used topically, minoxidil can promote hair regrowth by increasing blood flow to hair follicles. However, it carries potential risks and side effects that should be discussed with your healthcare provider before starting treatment.

What is Minoxidil Used For?

Minoxidil is used for:

• Male and female pattern hair loss (androgenetic alopecia): Helps stimulate hair growth and reduce hair thinning.
• Other forms of hair loss (off-label use): May be prescribed for certain conditions leading to hair shedding.
• High blood pressure (oral form only): Minoxidil is sometimes used orally to treat severe hypertension.

Limitations of Use

• Minoxidil does not cure hair loss—it helps maintain and promote hair regrowth as long as treatment continues.
• Stopping treatment may lead to hair loss resumption within a few months.
• Minoxidil should not be applied to irritated, broken, or infected scalp areas.
• It may take 3 to 6 months of consistent use before visible results appear.

Who Should Not Use Minoxidil?

Do not use minoxidil if you:

• Have scalp conditions such as psoriasis, eczema, or infections
• Have a history of heart disease, chest pain, or irregular heartbeat
• Are pregnant or breastfeeding
• Have low blood pressure or circulation issues
• Are allergic to minoxidil or any of its components

How to Use Minoxidil

Minoxidil is applied topically to the scalp (for hair regrowth) or taken orally (for blood pressure treatment in specific cases). Follow your provider’s guidance for proper use.

Topical Minoxidil Application:

• Apply to a dry scalp—not wet or damp hair.
• Use the recommended amount (usually 1 mL or directed by your provider) and spread evenly on the affected scalp area.
• Do not wash your hair or scalp for at least 4 hours after application.
• Wash hands immediately after use to prevent unintentional exposure to other body parts.
• Avoid getting minoxidil in your eyes, nose, or mouth—rinse with water if contact occurs.

What to Discuss with Your Provider Before Using Minoxidil

Before using minoxidil, inform your healthcare provider about all medications, supplements, and pre-existing medical conditions.

Medication Interactions:

• Oral minoxidil may interact with blood pressure medications, leading to excessive low blood pressure (hypotension).
• Topical corticosteroids, retinoids, or other scalp treatments may increase minoxidil absorption and side effects.
• Diuretics and beta-blockers may require dose adjustments when used with minoxidil.

Medical Conditions to Disclose

Before using minoxidil, inform your provider if you have or have had:

• Heart disease, irregular heartbeat, or history of heart attack
• High or low blood pressure
• Scalp conditions (psoriasis, dermatitis, or infections)
• Kidney or liver disease
• Circulatory issues, including peripheral artery disease
• Pregnancy or plans to become pregnant
• Breastfeeding

Serious Side Effects

If you experience a medical emergency, call 911 immediately.

Serious side effects of minoxidil include:

• Chest pain or rapid heartbeat
• Severe dizziness or fainting
• Swelling in the hands, feet, or face
• Difficulty breathing
• Unwanted facial or body hair growth
• Severe scalp irritation, redness, or burning
• Sudden weight gain

Seek immediate medical attention if you experience these symptoms.

Common Side Effects

Common but less serious side effects include:

• Scalp irritation, redness, or itching
• Temporary increased hair shedding (usually within the first few weeks)
• Dizziness or headache
• Dry scalp or flaking
• Unwanted mild hair growth on the face or body (with topical use)

Use in Special Populations

• Older Adults: May be more sensitive to minoxidil’s effects, especially if taking oral formulations.
• Pregnancy & Breastfeeding: Minoxidil is not for use in women who are pregnant or breastfeeding.

Alcohol and Minoxidil

Excessive alcohol consumption may worsen dizziness or blood pressure-related side effects of oral minoxidil.

Monitoring and Follow-Ups

Regular check-ups are recommended to monitor:

• Scalp health and hair regrowth progress
• Cardiovascular health (for oral minoxidil users)
• Potential drug interactions and side effects

Stopping Minoxidil Treatment

• If treatment is discontinued, any hair regrowth achieved may be lost within 3 to 6 months.
• Consult your provider before stopping treatment to discuss alternatives or transition plans.

Reporting Side Effects

If you experience side effects, report them to your healthcare provider or the FDA MedWatch program at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

This document is not exhaustive. For complete safety information, refer to the official prescribing information or consult your healthcare provider.