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Active pharmaceutical ingredient

Minoxidil

Minoxidil is a vasodilator that Bayview compounds to a prescriber's order.

Compounded to order
Prescription required

About this ingredient

Minoxidil is a vasodilator used in the treatment of hair loss and hypertension.[1] Topical minoxidil is FDA-approved for androgenetic alopecia in adults 18 years and older; uses such as alopecia areata, chemotherapy-induced hair loss, and scarring alopecia are off-label.[1] In the scalp, the enzyme sulfotransferase converts minoxidil to its active form, which shortens the telogen (resting) phase and prompts dormant follicles to enter the anagen (growth) phase, extending the duration of hair growth and increasing hair thickness.[1]

Oral minoxidil is a vasodilator that opens ATP-sensitive potassium channels, reducing peripheral vascular resistance and lowering blood pressure.[1] It is reserved for resistant hypertension, in patients who have not responded to maximum doses of three different classes of antihypertensive drugs.[1] Serious adverse effects of oral minoxidil include fluid retention, tachycardia, and pericardial effusion that can progress to cardiac tamponade, and the oral product carries a boxed warning.[1] Low-dose oral minoxidil for pattern hair loss is an off-label use that has been studied in recent research.[1]

With topical use, hair regrowth becomes noticeable after about 8 weeks, with maximal effect around 4 months, and the benefits diminish when treatment is discontinued.[1] Topical adverse effects include scalp irritation, unwanted hair growth (hypertrichosis), and temporary shedding (telogen effluvium).[1] Bayview compounds minoxidil preparations, including combination preparations, on a prescriber's order.

Compounded at Bayview

How we prepare this ingredient

Patient guides for the preparations we make most often. Each one is compounded to order and requires a prescription.

For prescribers

Full formulary with this ingredient

Every preparation in our formulary that contains this ingredient. Strength, base and dose form are set by the prescription.

Common questions

Frequently asked questions

What is minoxidil, and why is it in every formula?

Minoxidil is the shared base. It helps prolong the hair's active growth phase and support blood flow to the scalp, which can slow loss and support regrowth for some people. Other actives are added based on patient and severity.

Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.