My limited research into these is that you pretty much have to keep taking them. I considerd it, mostly because of sun and skin cancer risks, but not if I have to take a drug for the rest of my life. I have hats, they work fine.
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Lot of misinformation in this thread. Every drug has side effects but that doesn't mean everyone or even a majority of people will experience them.
Minoxidil was originally designed as a blood pressure med and was found to support hair growth. Kind of like Viagra was designed for pulmonary hypertension and it was later found that it supported erections.
The doses of minoxidil given to support the anagen or thicker phase of hair growth {2.5 to 5 mg) are much lower than those given for blood pressure (10 to 20 mg). The higher doses are more commonly associated with side effects like lightheadedness, palpitations, lower extremity edema and pericardial effusion.
Detasteride or Finasteride decrease the conversion of testosterone to dihydrotestosterone. Scalp DHT accelerates follicle minituarization. This medication has a long half life so if youve taken it for weeks it stays in your system for weeks even after youve stopped it. There are people that have reported longer standing mood changes due to this drug.
I know many who tolerate both just fine but everyone should assess their own risk tolerance and make a decision based on that. The topical formulations help but the oral combination is much more effective and for those that pursue a hair transplant these meds will always be started afterwards (often beforehand as well) because otherwise your DHT will just wipe out the transplanted follicles.

We've got wars and bad economy everywhere in what is quickly becoming a full on dystopia but we have a pill that can give you your boner back and now another pill that will give you your hair back. You can then pretend you are an "alpha" again and do more wars and cheat the masses out of more money. Pharmacy is a miracle! /s
I heard that minoxidil doesn't actually grow hair.
Minoxidil extends the Anagen (growth) phase of the hair cycle and increases the size of miniaturized follicles. While it doesn't create brand-new follicles, it transforms thin, resting hairs into thicker, more pigmented ones, improving the density and appearance of the hair you already have.
Correct, it's blocking dht which enables your hair follicles to grow hair. If the Minoxidil grew the hair it would just fall out again ✨