My experience with oral Minoxidil for Hair Loss
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- Опубліковано 25 лип 2024
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Medical Disclaimer
I am not a physician, I am a pharmaceutical specialist by background with an interest in OSD medication for hair restoration. I currently work as a patient coordinator for Dr. Marwan Saifi. This video is for information purposes only, always consult a physician for medical advice.
👉 Hair Loss Consultation: hair-restoration-consultation.com/
Thanks man, you’re Killian it
🙏
I'm approaching my third month on OM (oral minoxidil) and it has seemingly gotten me above baseline, which is fantastic! A few wispy hairs are in the temples now, but I do not think they'll grow to anything substantial. However, this indicates that I'm above baseline, and that's all you can ask for, really. And yes, I did face similar sides to Killian, but they were very transient and subsided shortly after. I'm also on finasteride for the record and plan to do a small transplant in the future (probably in my early 30s, I'm 27 now)
Something I'd like to say is don't get annoyed with the medications for not getting you the results you expected/desired and then discourage other people who could greatly benefit from them. You do see this quite a lot.
"oh, the sh*t didn't do a thing for me! I wouldn't bother" (blah blah... poor me)
All you can really hope for is slower hair loss or stability. If you've left it to a point where you are noticeably balding, then that's on you, really (forgive me for being blunt 😂). So, accept you have a hair loss issue when the symptoms are mild (Nw1, 2, 3), and you'll be thankful to yourself in the years to come. But be open to the prospect of surgical restoration down the line. It is a long and often expensive game, but it doesn't necessarily need to be expensive if you can avoid surgery. Most of all, don't be ashamed of treating hair loss and enjoy the "fight"!😁
Hi, Killian. Thanks for making such S tier content . Can I ask you for advice about my case?
Yes of course, but for consultation there is a fee. Please email me at consultation.killian@gmail.com. The consultation runs for 1-2 hours depending on your case, the fee is €90.
Cheers
Thank you for making this, Killian. I was the annoying person in comments in a previous video, requesting that side effects are discussed. For anyone reading this and considering Oral Minoxodil, only persue it through a good profesional with prescription as side effects (including some potentially very serious ones) can happen. On another topic, I really hope that GT20029 is released shortly and that it is as promising as the initial data shows it to be! :O)
There's no such thing as an annoying comment :) unless it's from a place of entitlement. Ask away to your heart's content.
Cool video man! Also hair is looking great despite you thinking it might be already after its peak condition.
Cheers! Appreciate it 🙏
Very interesting video! I started some chest pression/weird sensation also around ribs. It started after 3 months with 2.5mg, in 3 days go away then i started with 1.4mg (personalized) and checked that back discontinuosly in some moment but low intensity and duration. I also took an ECG, ECO, Stress Test and all positive. What you think, have you experienced or know about that? Seems more similar to an Angina.
Hi Killian, do you have any opinions on topical/ oral minoxidil for beard growth? I’m also trying to research copper peptides for beard growth too
Oral will darken and elongate all hair bearing areas.
Great video. I’m glad I happened onto it. I just started the oral minoxidil and I can tell you that the shedding is real. Reading into it you see it’s basically pushing all of your follicles through all of the phases to the one you get to the first one. You then remain there for the most part. I could be off some on that. So I was doing some research, but the “dred shed” is real.
Gracias, vi el video desde Puerto Rico 🇵🇷 empecé ayer con minoxidil oral de 2.5 mg, he estado usando el minoxidil tópico en espuma de rogein y en un mes me han salido nuevos pelos. Ahora con el minoxidil oral espero ver mejores resultados 🔥
Hi interesting video, personally I'm on 0.5 Dutasteride for last seven month's (prostate reasons) but, I've also got a box of Loniten (which I'm scared to take) would it be OK to take half a tablet daily? Would that likely yield results please? Tks.
My hair type and hair style is pretty much exactly like yours just that mine is black :) Where do you get Loniten from? I am from the UK and I can only find sites like Manual etc who sell them
You could try Dr Farjo :)
I am from the UK and I can help you. I will tell you exactly where to get it from including the Dr's who will prescribe it. I will also give you the name of the dermatologist I work with in the UK who also prescribes it.
@@acquiesce100 I would like to know that as I am from UK and had a hair trainsplant in Jan this year. I am using dutasteride atm and trying to add Oral min in my protocol. Cheers
What you talk about loosing effect I agree with. I think many that is on Fin just go through a shed cycle and use the difference as “it’s not working anymore” usually hairs start to become grey. They become less. And thinner. And pure light physics so to speak there are thresholds that make it look worse at plateaus. So I don’t think Fin stops working. I just thing those hair reached som of those plateaus where the Hairloss was more noticeable.
Heck I feel it myself being on For 23years now. But for sure it was when I stopped (stupid) Fin for almost a year it was the biggest difference. And for sure the biggest was a month after when the big shed came. The (as I most likely don’t have such aggressive one) it stabilized a bit without Fin.
I think this aids in what you say about anagen cycles. Regardless of those meds might thinking up hair / prolong the cycles it’s essential that you avoid wasting them.
Yes indeed. These drugs can be very beneficial towards extending follicle longevity but only when used in the correct manner governed by stringent commitment.
@@TheHairChemist totally. It’s hard to say how aggressive my Hairloss really is. But I went from full hair (at least perceived) to NW 2/3 over 3 years. And now 23 years later at places on my scalp I are the same / better than before I started on Finasteride and worse on other areas. And I am sure if I had not had my pauses / bad discipline (almost as you mentioned not switching brands) I would have been even better off today. And that is only on Finasteride. Who knows where I would have been if I had been on Minoxidil and adherence to a stricter regime? Maybe very little progression at all?
Would you recommend taking minoxidil for someone who just started taking 1 mg fin?
Synergy is the main goal here. Yes one doesn't have to wait and go through an additional shed.
How do you think oral Min compares to topical Min in your experience? Also specifically do you think oral Min had an effect on the frontal hairline?
It is far more effective as there's no percutaneous barrier. It can also be metabolized by the liver completely. Every hair experienced thickening from oral minoxidil, this however was most noticeable on the mid scalp, crown, and donor.
Hypothetically, let's say you're taking topical min. Let's say you want to take oral min, can you make the switch to do that? or will you lose all gains?
As it's a different active you may induce an effluvium mediated by the new therapy.
Your hair looks great. I just started oral finasteride about two weeks ago and am hopeful. Do you still consider oral minoxidil safe and worth trying? What's your perspective of .0625 or 1.25mg low dose for men?
Hello, yes I do. 1.25mg is effective and with a good safety profile.
@@TheHairChemist Ok, so you came down on your dosage as well. Did the swelling and palpitations stop? I'm an endurance athlete and often am in remote and extreme locations like the Himalayas and similar so I'm especially worried about the side effects.
They did indeed, all were transient in nature. I didn't actually drop dosage. But I've known many people on 1.25mg with great success.
What do you do if Oral minoxdil is growing hair around the bottom of the eye area; on the zygomatic and maxilla regions starting just below the eye lashes? This area is basically covered with sprouting hairs. Hair is also growing on the tip of my nose - this is only with 2.5mg within 2 months of use - absolutely crazy.
I'm thinking about stopping oral minoxidil completely to allow those hairs to fall out while being on topical minoxidil, to keep the anagen cycle on my scalp going during this period. Then start again with oral Minoxidil at 0.625mg to see if that is enough, if it's not tentatively move up to 1.25mg. I'm hoping using a lower dose will make it less likely for hair growth in these unwanted areas.
did those hair fall? do you get this while on topical min?
Hair on your face, eyebrows, your ears, etc, they grow quite faster so they’re still gonna grow in no matter what strength minoxidil you take
I’m on oral minoxidil and oral fin I also do on Dutasterside mesotherapy mix prp 3 to 4 times a year what are yur thoughts on this?
Sounds robust but I'm not a fan of regular PRP like this as you risk resetting the hair cycle each time. PRP is more appropriate to catalyse a wound response already in place from unavoidable trauma such as when we do a hair transplant.
do you consume collagen peptites? if yes how much?
I don't.
Hi!
So basically you just use oral minoxidil and finasterid?
May I ask what doctor you did all the transplants? Looks really good
That is correct, in oral solid dosage. Dr. Marwan Saifi did all of my surgeries. hair-restoration-consultation.com/
@@TheHairChemist Thank you.:)
Could you make a video about oral minoxidil sides? I have thougth about it long time and want so bad to try it, but the water retention is worrying me. One thing is fluid retention that you can see in legs and face, but what do you think of the fluid buildup you cant see internally like lungs, around heart etc. Whats your thougths about it?
I know its very low risk yet it migth be very seriuos.
Hi, I use 2.5 mg oral minox, and want to also use topical minox 5, instead of increasing to 5 mg oral, in order to avoid side effects. Is this combination recommended?
I'm gonna do so bro. Not 5 mg straight away but 2.5 mg in the morning and 5% minox at night
It is not a good idea to combine, you invite the prospect of effluvium should you inevitably halt one of these.
Are you aware of any efficacy difference between topical and oral minoxidil? Oral minoxidil is not available in my country, Sweden. I have watched a bit of Gary Linkov here on YT and he seems to think that the oral form is more potent. However, I recently started seeing a doctor for my hair loss, and she made no mention of any particular advantage of the oral form.
Yeah I discuss the differences here: ua-cam.com/video/R-q0D5Allvg/v-deo.html
Apologies I msspoke, I'm on oral minoxidil 3 years.
👉 My Oral Finasteride experience: ua-cam.com/video/9XUUdotifqA/v-deo.html
Where you on topical before or did you go direct oral?
@@litjellyfishI tried topical at age 22 for a few months and realised pretty quickly this was a bad delivery system.
Wow so I started the same time as you my 4th year will be in Nov 24 .I did get weird side affects in the first year . Now I'm wondering if I can take it life long
How long did palpitation lasts in your case
Not more than two weeks. Have you experienced these?
I’ve been on Finasteride 1mg daily for one and a half month and I started oral minoxidil 2.5mg around one month ago, I am shedding a lot of hair especially in the shower and on my pillowcase which is causing me to panic ( i am trying not to), is this normal for my current situation/ did you experience a similar situation?
Very normal especially since you have introduced two active pharmaceutical ingredients. Smart move using together though so you only need go through one shed.
@@TheHairChemist thanks bro really appreciate that been really struggling with it lately and have been really down, I know it’s usually unique from individual to individual but how long into treatment should I expect not necessarily a big difference in my hair but a reduction in shedding ?
It should slow down within a few weeks.
I'm from Poland and I would like some dermatologist to prescribe it to me as a magistral preparation (because in Poland there is no such drug in pharmacies, it has to be manufactured), but unfortunately no dermatologist I've been to has agreed to prescribe it :(
Yeah It would be so much easier if we had Loniten, here in Poland. It's a pain in the ass that it has to be compounded, since a few pharmscies do this.
Try using a Polish prescription in another EU country.
Do you still recommend oral minoxidil considering the side effects? What about lower doses around .675mg or 1.25mg?
1.25mg over .675mg
@@TheHairChemist Have you come across anyone taking .625 and having any results?
@@TheHairChemist Have you heard of anyone using .675 and getting results? Thank you for taking the time to respond and making these videos. You have a very good presence.
I have not personally known or coordinated any person who has stuck with this dosage. I've seen incredible transformations from 1.25mg so logically 1/2 of this should yield a degree of improvement still.
I just started 3 weeks ago. I have had zero side effects. Should I got to 5mg?
2.5mg is a very sensible long-term dosage.
I take the SUPER CAPSULE by Happy Head since beginning of June 2024 - it has 1.25 mg Oral Minoxidil, .5 mg of Dutasteride and 2000 IU of Vitamin D3 - the pharmacy they use has very poor reviews on a number of sites - makes me wonder if those actual ingredients and dosages are really in each capsule? I feel like I would be better off having an MD just write me scripts for 2.5mg of Oral Minoxidil and either 1 mg of Finasteride or .5 mg of Dutasteride. Also you said you were concerned about dutasteride but i have read that the side effects are the same as finasteride by that dutasteride inhibits the two enzymes the spur DHT while finasteride just inhibits only one of the two enzymes - thanks for whatever thoughts you have and you have the healthiest fullest head of hair i have ever seen on anyone - incredible.
Thanks! I have some miniaturisation around the temple area. Will oral Minox help with this or is it more effective on the crown area? Also, what’s your experience been like with hair elsewhere since taking the drug?
It's unlikely to be helpful here. Mainly midscalp, crown and donor respond best provided that they have not succumbed to advanced miniaturization.
This is what scares me and holds me back. As I have had some palpitations during the years by itself. I have a little little on the high side of pressure and I have history of strokes / heart issues on my mother’s side of the family. If it was not due to it I would have gone on oral straight off.
So yeah. Been pondering this seriously for last 3 years now. Been thinking about topical but I know myself I will not be able to have that regime. I just want to pop pills
Had a hair transplant in turkey December gone result are good but a little slow I’m on 1 ml of finasteride day for the last 4 months and topical minoxidil and there’s big improvement the only thing I find my scalp is very itchy from it tried to get oral version from my GP here in Ireland but he said it’s only a specialist can provide it what a bummer is there anyway around this
Try travelling to Dublin to either Andre Nel or HRBR.
Dr. Nel contact: www.hswclinic.com/contact/enquiries/
HRBR contact: www.hrbr.ie/request-consultation/
After almost 2 years, I’ve plateaued on topical min after a small shed my new baseline is about 30% less dense than the initial min growth. (I’m on fin 5 years)
Just got a script to Oral Min. Very excited to try it. Not very concerned about any side effects other than body hair growth.
Have you seen many folks benefit from oral min without having their body hair excessively as well? I guess I just gotta try and find out.
Do you think it would be beneficial to continue the topical until I see new growth presumably from the oral and then wean off of the topical ?
Usually people simply switch over. Most people don't get a lot of unwanted body hair. And fortunately, most people get a lot of thicker scalp hair.
Hello Kilian, I have a question regarding the titration of oral Minoxidil. As I recall you had switched to taking 5mg of oral minoxidil for a period of time. What is the reasoning that made you go back to 2.5mg?
Your latest video series is great and I appreciate the effort over the past few years. All the best to you and I'm looking forward to future videos.
After hair transplant surgery I take 5mg for about two-three months as I suspect it will catalyse the influx of growth factors to the area of injury from further vasodilation. I then switch back to 2.5mg. Long-term, I think 2.5mg is a more sensible dose for benefit vs risk and my physicians agree. There is not a massive difference aesthetically between 2.5mg and 5mg
@@TheHairChemist Thank you very much for your answer, that does make sense indeed. I shall keep it in mind.
Hi Killian, I appreciate you may not to respond to this question as it’s not an fda approved treatment, but what’s your opinion on topical anti androgens like RU58841 and pyrilutamide for people that have aggressive hairloss to the point where finasteride/ dutasteride won’t slow down loss sufficiently.
Thanks again for creating this content.
I will be very honest, I don't know the literature to these products so I can't give any important. But if it's a topical I've covered why these are flawed by mode of delivery. If one is not responding as desired to the go-to pharmaceuticals then sure what's the harm in trying other therapies one could conclude. However, it is very possible that these therapies may not work for you or you may quit after a few months, thus worsening your situation by anagen wastage. Most people do not sustain therapies outside Finasteride and Minoxidil for many reasons.These therapies are not solely the answer, surgery is very often the only real transformation. And this is why I've pursued 5 of them. It is at the end of the day case dependant and a personal choice for each person and what they're comfortable with. Hair restoration is time consuming, expensive and often an emotional rollercoaster for many but it can be very rewarding when executed correctly.
@@TheHairChemist please elaborate on "anagen wastage," what does that mean? Does starting and stopping various hair loss treatments make things worse in the long term than if you hadn't used anything?
unfortunately for some the unwanted body, facial hair effect can be too much
At low dose (2.5mg), any hypertrichosis or lengthening of anagen in body hair is usually not a problem.
I’ve been on oral minoxidil going on 1.5 years. On 5 mg a day now. My suggestion is you start on very low-dose for several weeks then work your way up to the 5 mg after maybe a couple of months.
Take the smallest amount you can cut the pill into, take that dose for two or three weeks maybe, then up it again for another two or three weeks
Why is it so difficult to get Oral Minox prescribed in Ireland ? My own GP didn't know much about it and refused. So has most other online GP's and "hair loss experts" - all of them without even seeing me.
Why don't you go to the guys I recommended in the video on obtaining Oral Minoxidil in Europe?
Thanks for replying 🙂 Dublin Is almost 4 hours away so was hoping for something a bit closer to home.
No probs, yeah I get that but we're lucky we're in a country that has a market supply. There's lads in other countries going abroad for this medication. Hope you get on well anyway
I’m only 17 and literally last year my hair thinning was so bad that if I never took treatment I would probably be almost bald completely. I have aggressive hair loss however I’ve been on finasteride for about 5 and half months and minxodil 8 and half months. Since I have aggressive hair loss should I hop on dutasteride and oral minxodil. I don’t want to go bald. All my friends have hair and this is literally killing me.
I get you buddy. I have been on topical for 2 years now and 1year and 3 months on finasteride (oral)… now I am switching to oral minoxidil and soon dutasteride. I am really nervous about the transition. Losing hair in your early 20s is really sad. You never expect it to happen so soon.
The best approach is the Finasteride you are on but give it time to work. You should see improvement in terms of reduced shed and hair thickening in the income hair cycling. Oral Minoxidil will further improve the longevity of the follicle.
@@hardinrami8500why are you switching to Dutasteride?
@@TheHairChemist my left hairline and temple is still receding… a tiny bit but I don’t think that I should ignore it. There are also lots of baby hairs there that I think can be saved with dutasteride.
A lot of people report that non of the meds work that well on the hairline but I’m willing to try it out. It’s just really stressful. I never thought that I would switching nor that I would be worrying about hair loss ever again!
@@TheHairChemistSorry, my message was misleading . I am not losing that many hairs. I think that I am losing a normal amount for a guy with medium length hair. I am just trying to save my temples and my hairline. The rest is pretty good I think.
I took oral mino 2.5mg for three days and had tachycardio for the following three days. Nothing out of a horror show, abput 114 bpm while walking about and abour 95-100 whilst sitting down. I was a little concerned so stop this was last week. Spoke to my GP, she has schedule an ECG and suggest discontinuing for now (again a suggestion rather than real alarm). I have a lot onnat the moment, exams + busy at work at the moment. She suggested maybe trying again when I have less stress.
I'd look to ask if any of you had the rapid heart rate side effrct, that went away. If so, how long did the side effects persists. I know everyone is diffeflrent but want to hear some anecdotal evidence.
Usually this is transient and subsides within a week. I had the same.
You just need to start off with a lower dose, take that very low dose for several weeks then titrate up. 2.5 mg all at once at first is quite a bit.
How about bodily hair
Same, maybe darker/thicker
Sir which age u started finasteride
21 going 22
Show us your photo before and after😮
No problem:
ua-cam.com/users/shortsv7b6UUwEnWA?si=sMpMhur1O4S9GY5D
@@TheHairChemist The before and after is from a hair transplant. I believe he was looking for the before and after of the oral minoxidil
Dude woke up and chose to find out solutions for a problem he never had. 😅
@@gregmackoul6082 yes that would be interesting
Sir can I take oral minoxidil with topical minoxidil both together
This is not standard and you would be mixing two different API's which aim to have similar effect.
I immediately had side effects ( extreme fatigue, eye bags) when I took it in the morning but now I take it it in the evening usually around dinner time and I don't have any side effects. I've been taking it for 6 months now. The texture of my hair feels thicker, I am getting really long hairs growing out of my eyebrows. I THINK i'm starting to see some hair filling on top but the main thing so far is these long hairs growing out of my eyebrows that I have never had before in my life. That must be related to this medicine. I also started taking dutasteride around 5 months ago after my last month of finasteride ran out. I used finasteride for 15 years but not religiously.. just a few days per week. I'm not taking dutasteride every day, maybe 4 or 5 days per week. I DO try to take the oral minox every day, but sometimes I don't take it if I'm going out socially on a saturday night so it's often 6 days per week on oral minox sometime 7.
Oral Minoxidil will act on all hair bearing areas to elongate anagen. It will also act on melanocytes (pigment cells) thus darkening these hairs. As a result eyebrows and lashes darken and lengthen.
Eyebrows, hair on your ears, etc their hair growth is faster than the hair on your head.
Those eyebrows could harvest at least another 1000 grafts 😂
😂😂😂 don't give me ideas
@@TheHairChemist LOL
Aren’t you’re wearing a hair system?
I sure am not. This is the best comment, thank you 🙏
Chrissy from the sopranos
Have u ever been bald? I mean norwood5?
A lot of ground has been covered over the years and progressive loss in areas grafted. The temporal peaks, entire front with deep reinforcement, and lateral humps have been grafted. Native wise i'm likely a version of a NW4 by now.
I’m researching OM a lot. I’m very worried about hypertrichosis. I don’t wanna end up like a werewolf. I’m quite hairy as it is !!!!
Oh it won't happen, I'm also quite hairy and many others I know on this pharmaceutical. Hair gets a little coarser but ultimately does not form where hair is not. It really only acts on hair barring areas.
@@TheHairChemist thanks for the swift reply. Keep up the great videos. And thanks again, I feel I’m going to take the plunge and move from topical to oral. do you think I would need to wean off the topical or can I just jump on oral straight away.?
@@TheHairChemist thanks for the swift reply. Keep up the great videos. And thanks again, I feel I’m going to take the plunge and move from topical to oral. do you think I would need to wean off the topical or can I just jump on oral straight away.?
Jump on straight away, just prepare for a minor shed as a possibility :)
Switch to Dutasteride, up oral minoxidil to 5mg, and you’ll see hair growth comparable to what you had in your early teens
you significantly increase risk of side effects
1mg - 1.25mg Oral Finasteride and 2 5mg oral minoxidil daily will yield similar results for a fraction of side effect profile occurrence. More isn't the right approach with hair loss medication, it's about selecting the right medication to begin with at a sensible dosage.
@@TheHairChemist .5mg dutasteride has similar side effect occurrence per the literature as 1mg finasteride
@@centaurfitness4049It does but it also blocks too much dihydrotestosterone in males. This hormone is not redundant and Dutasteride I believe crosses the line, even though it can sometimes be more effective for our hair, the results are typically not vastly indifferent.
@@TheHairChemist could you elaborate on why it is not redundant? Also, would a lower dose Dutasteride (1,5 mg weekly) be a safer, but better than Finasteride option?
Why not take it as a liquid on ur head
Please see the video I made on topicals for hair loss.
Hi. For somone whos used topical min for years, Could they use 1.25mg oral min once a day while using topical 1MG once a day too.
You would be best switching over so you go through one potential shed instead of two potential sheds.
@@TheHairChemist I would probably agree with you as well. I started on the topical and really got so tired of using it that I was using it every couple days or I skip two days so when I went to the oral there was a significant shed.
Pericardial Effusion
A rare side effect that is often brought up due to its severity. Many drugs have rare side effects be it pancytopenia or gastrointestinal bleeding from paracetamol or glomerulonephritis and renal papillary necrosis from ibuprofen etc. All pharmaceutical products care risk.
Do you recommend taking minoxidil oral ?
It is highly effective at slowing down the aging process of hair.
But does it grow hair? I'm currently taking topical finasteride. I just recently got prescribed oral minoxidil
Yes as it acts as an epidermal growth factor on matrix cells. Anagen is lengthened.
I'm 68. I take Dutasteride 0.5mg daily, and 5 mg Oral Minoxidil daily. It's working, but I wonder if there will be a year down the road when this dual stack quits working?
Did you get any heart tests like an EKG or ECG?
No need
Can I ask why? Not saying you’re wrong just seen other UA-camrs have ECG abnormalities after oral minoxidil.
Low dose - on 2.5mg. No side effects presently to suggest this need.