Can Dermatologists Prescribe Loniten for Hair Loss Treatment? - Dermatology

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Hair loss


I would like to use oral medication to stop hair loss, but Minoxidil is too expensive.
Will a dermatologist prescribe Loniten (oral Minoxidil)? Is it covered by health insurance? If not, what is the out-of-pocket cost for one tablet?

Bill, 20~29 year old female. Ask Date: 2003/12/11

Dr. Zheng Lizhen reply Dermatology


Hello! Dermatology departments may not always have Loniten (Minoxidil) available as an oral medication, as different medical institutions have varying considerations for their drug inventory.
It is not covered by health insurance, so please inquire about the costs at each medical facility.
Sincerely, Dr.
Cheng Li-Chen, Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/12/11

More Info


Loniten, which is the brand name for minoxidil in its oral form, is primarily used to treat high blood pressure. However, it has also been recognized for its potential in promoting hair growth, particularly in cases of androgenetic alopecia (male or female pattern baldness). While topical minoxidil is widely used and FDA-approved for hair loss treatment, the oral form is less commonly prescribed for this purpose due to potential side effects and the need for careful monitoring.

Dermatologists can prescribe Loniten for hair loss, but it is not a first-line treatment. The standard approach for hair loss typically involves topical minoxidil or finasteride (for men), which are both FDA-approved and have a well-established safety profile. Oral minoxidil may be considered in specific cases where patients do not respond to topical treatments or have significant side effects from them. However, it is essential to note that the use of oral minoxidil for hair loss is considered off-label, meaning it is not officially approved for this indication by the FDA.

Regarding insurance coverage, it varies by provider and plan. In many cases, oral minoxidil may not be covered for hair loss treatment since it is not its primary indication. Patients should check with their insurance provider to determine if they will cover the cost of the medication for this purpose. If it is not covered, the out-of-pocket cost can vary significantly depending on the pharmacy and location, but it typically ranges from $30 to $100 for a month's supply.

In addition to medication, it is crucial to address any underlying conditions that may contribute to hair loss, such as hormonal imbalances, nutritional deficiencies, or scalp conditions like seborrheic dermatitis or alopecia areata. A dermatologist can help diagnose these issues and recommend appropriate treatments, which may include medicated shampoos, topical corticosteroids, or other therapies.

For individuals experiencing hair loss, it is also essential to manage stress, as psychological factors can exacerbate hair loss conditions. Stress-induced hair loss, known as telogen effluvium, can occur when the body undergoes significant stress, leading to a large number of hair follicles entering the resting phase and subsequently shedding. Addressing stress through lifestyle changes, therapy, or relaxation techniques can be beneficial in managing hair loss.

In conclusion, while dermatologists can prescribe Loniten for hair loss, it is not the most common or first-line treatment option. Patients should discuss their specific situation with their dermatologist to explore all available treatment options, including topical minoxidil, finasteride, and lifestyle modifications, to effectively manage their hair loss.

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