Oral Minoxidil

It's thought to prolong the growth phase of hair follicles and improve blood flow to the scalp, supporting thicker, fuller hair over time.

Most people need 3–6 months of consistent daily use before noticing a difference. Some early shedding can happen as the hair cycle resets — this is expected.

No — oral minoxidil is FDA-approved for blood pressure; using low doses for hair loss is an off-label, clinician-guided use.

Yes — let your clinician know. Hair gains from minoxidil typically reverse over several months after stopping.

It's a capsule taken by mouth rather than a solution or foam applied to the scalp — often easier to keep up with, with no scalp irritation.

Common effects are usually mild — extra hair growth on the face, arms, or body (the most common in women, and it reverses if you stop), mild ankle or foot swelling, lightheadedness when standing up quickly, or a mild headache or slightly faster heartbeat as your body adjusts. Message your care team about swelling that doesn’t improve, persistent dizziness, palpitations, or unwanted hair growth that bothers you. Stop and seek urgent care (call 911) for chest pain, severe shortness of breath or breathlessness when lying flat, rapid weight gain (more than 5 lb in a week), significant leg or ankle swelling that doesn’t improve, or fainting.

It isn’t prescribed during pregnancy, while planning pregnancy, or while breastfeeding. Because minoxidil affects blood pressure, tell your clinician about all your medications — especially blood-pressure medicines, diuretics, and other vasodilators — and about any heart condition. Your clinician reviews your cardiovascular history to decide whether it’s appropriate for you.

Complete an online health questionnaire about your medical history, current medications, and treatment goals. A licensed clinician reviews your information and determines whether treatment is appropriate. If prescribed, you’ll receive treatment instructions and can complete checkout for medication delivery.

Eligible patients can receive care through an online questionnaire and messaging, without scheduling a video call. Your clinician may recommend a live or in-person visit if additional evaluation is needed.

Our asynchronous visits are currently available in:

Arizona, California, Colorado, Florida, Illinois, Iowa, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and Wyoming.

Availability is confirmed during intake. Eligibility also depends on your medical history and the medication requested. If your state isn’t listed, asynchronous care is not currently available there.

No. A prescription is issued only when a licensed clinician determines that treatment is appropriate for you. Completing the questionnaire does not guarantee a prescription.

A compounded medication is prepared by a pharmacy according to a prescription to meet an individual patient’s needs. Compounded medications are not FDA-approved, and the FDA does not review their safety, effectiveness, or quality before they are marketed.

After your prescription is approved and payment is completed, our licensed partner pharmacy processes your order and ships it to the address confirmed at checkout. You’ll receive tracking information by text or email once it ships. Preparation and delivery times can vary.

Medication costs and prescription coordination fees are self-pay and are not billed to insurance. You’ll see a breakdown of these costs before confirming payment.

Refills require a valid prescription and remaining authorized refills. Depending on your medication, you may need to complete a health check-in before a refill can proceed. When your prescription expires or you run out of authorized refills, a new clinical evaluation may be required.

Yes. Use the “Manage refills” link in your refill notification or patient portal to manage upcoming refills, update shipping or payment details, or cancel automatic refills. Make changes before the scheduled charge date.

Contact your Paloma care team with questions about your treatment or prescription. For help with orders, shipping, or refills, email contact@palomahealth.com.