the Effects of Stopping Minoxidil for Hair Loss - Dermatology

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If you stop using Minoxidil, not only will the hair that grew due to Minoxidil fall out, but even the hair that was originally there may enter a prolonged resting phase.
In other words, once you start using Minoxidil, is it necessary to continue? Otherwise, will you experience more hair loss than usual once you stop? Thank you.

chris, 20~29 year old female. Ask Date: 2010/04/20

Dr. Du Zhiqiang reply Dermatology


Discontinuation of use can lead to fragile newly grown hair, and it is common for this hair to fall out.
This shedding is not necessarily due to stopping the treatment, nor does it cause the original hair to enter the telogen phase.
Stopping the treatment will not result in increased shedding of the original hair, according to Dr.
Du.

Reply Date: 2010/04/20

More Info


When it comes to the use of Minoxidil (commonly known as Rogaine) for treating hair loss, particularly androgenetic alopecia (male or female pattern baldness), it is important to understand the implications of discontinuing the treatment. Minoxidil is a topical solution that promotes hair growth and helps to slow down hair loss. However, many users have concerns about what happens when they stop using it.

Firstly, it is well-documented that Minoxidil can lead to an initial shedding phase, often referred to as "shedding," when users first start the treatment. This can be alarming, but it is generally a sign that the hair follicles are entering a new growth cycle. However, the concern arises when users stop using Minoxidil. Research indicates that once Minoxidil is discontinued, any hair that was gained during the treatment period will likely be lost. This is because Minoxidil works by prolonging the anagen (growth) phase of hair follicles and increasing blood flow to the scalp, which helps to nourish the hair follicles.

In addition to the loss of newly grown hair, there is a possibility that existing hair may also enter a resting phase (telogen) and subsequently fall out. This phenomenon is often referred to as "telogen effluvium," where hair follicles prematurely enter the resting phase due to various factors, including the cessation of Minoxidil. Users may experience a noticeable increase in hair shedding after stopping the treatment, which can be distressing.

To address your question directly: Yes, if you stop using Minoxidil, you may experience a significant loss of hair, including both the hair that was stimulated to grow during treatment and potentially some of your existing hair. This is why many dermatologists and healthcare providers recommend that individuals who start Minoxidil should be prepared for long-term use. The treatment is not a permanent solution; rather, it is a management strategy for hair loss.

For those considering stopping Minoxidil, it is advisable to consult with a healthcare professional or a dermatologist. They can provide guidance on how to taper off the medication if necessary and discuss alternative treatments or strategies for managing hair loss. Some individuals may also consider transitioning to oral medications like Finasteride, which can help to address hair loss by inhibiting the hormone dihydrotestosterone (DHT), a key factor in androgenetic alopecia.

In conclusion, while Minoxidil can be effective in promoting hair growth and slowing hair loss, discontinuation can lead to increased shedding and loss of both new and existing hair. Therefore, it is crucial to weigh the benefits and potential consequences of stopping treatment and to seek professional advice for the best course of action tailored to your specific situation.

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