Many people spend hours searching on Google or asking friends for remedies, while in more severe cases, they turn to hospitals or clinics  Photo by Thirdman
Health

The Story of Minoxidil: How a Failed Ulcer Drug Became a Baldness Cure

How topical minoxidil became one of the most trusted treatments for hair loss. Learn its history, how it works, the conditions it treats, and possible side effects.

NewsGram Desk

Key Points:

Minoxidil, once for high blood pressure, is now a trusted hair loss treatment.
The medicine works in promoting regrowth in both men and women.
Minoxidil is effective for many types of hair loss, but it may cause some side effects

Hair fall is a common problem faced by both men and women, and it often brings along stress and constant worry. Many people spend hours searching on Google or asking friends for remedies, while in more severe cases, they turn to hospitals or clinics for professional treatment. Doctors usually prescribe medicines that either reduce hair fall or stimulate new growth, and one of the most trusted treatments over the years has been Topical Minoxidil.

This medication is widely known for helping to stop hair thinning and encouraging regrowth. It is used to treat various types of hair loss, including male and female pattern baldness (androgenetic alopecia), alopecia areata (an autoimmune disorder), telogen effluvium (caused by disruptions in the hair growth cycle), anagen effluvium (rapid hair loss due to medical treatments), hypotrichosis (a rare condition with minimal hair growth), and even certain forms of scarring alopecia. While its exact working mechanism is still not completely understood, countless people have reported positive results with its use.

Interestingly, minoxidil was not originally created for treating hair loss. In the 1950s, scientists at Upjohn (now part of Pfizer) were trying to develop a drug for stomach ulcers. But they failed to create the drug and instead, they discovered a compound that relaxed blood vessels and lowered blood pressure. This drug became minoxidil, which the U.S. Food and Drug Administration (FDA) approved in 1971 for treating high blood pressure.

Over time, doctors noticed a surprising side effect—patients started growing extra hair, a condition known as hypertrichosis. At first it was seen as unwanted, but soon researchers realized it could be useful for treating baldness. By the 1980s, minoxidil was reformulated into a topical solution, and in 1988, it became the first FDA-approved drug for male and female pattern baldness. Today, it is one of the most widely used treatments for hair loss.

Minoxidil works by extending the anagen (growth) phase of the hair cycle, allowing hair to grow longer and thicker. The body converts minoxidil into its active form, minoxidil sulfate, through enzymes in the skin and liver. Since enzyme levels vary from person to person, results also differ—some experience strong regrowth while others see only mild changes. Oral minoxidil, still prescribed in certain cases, is often more effective because conversion happens in the liver.

Apart from extending the growth phase, minoxidil also relaxes blood vessels, increases blood flow to the scalp, and may activate growth factors that stimulate hair follicles. While scientists do not fully understand all its mechanisms, decades of use have shown its effectiveness.

Like all medicines, minoxidil can cause side effects. The topical form may lead to redness, itching, or irritation, especially in people with sensitive skin. Less common side effects include headaches, dizziness, or a rapid heartbeat. Oral minoxidil, however, can cause more serious problems such as low blood pressure, chest pain, swelling in the legs, or palpitations. For this reason, it must be used under strict medical supervision, especially for older patients or those with heart conditions.

Despite these risks, minoxidil has remained one of the most trusted treatments for hair loss worldwide. When used correctly, it helps millions of people slow down hair thinning, regrow hair, and regain confidence. [Rh/VP]


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