Scalp Itching due to Minoxidil? 3 weeks post op.

Question

Okay so three weeks into minoxidil liquid 5% and I am getting these occasional itching on my scalp (where I usually apply minox)...didnt used to have these itches before. So any tips or advise? I am currently on Finasteride 1mg (3 months and 12 days), Nizral (Thrice a week), Mild baby shampoo (Everyday), Minoxdil 5% (1ml at night). I dont really want to quit Minxodil though and I dont want toworsen my itching problem. Also I dont have any flaky scalp.

Jeff Donovan, MD, PhD · Answer

Itching from minoxidil is not uncommon. For some, the itching comes from irritation from the propylene glycol that so many formulations have. For others, there is an exacerbation of underlying seborrheic dermatitis. For others there is true allergy.  I can't say which you have without seeing the scalp, but your physician can guide you.Generally, my tips to my own patients are as follows:1. A little bit of itch is not a worry. 2. I often have patients with itching to shampoo daily and add ketoconazole or zinc pyrithione based shampoos to your routine. Many will use 2 minutes 3-4 times per week for 3 weeks then go down to twice weekly.3. If the itch persists, I advise them to try to find the Minxoxidil foam formulation or I write a prescription for minoxidil compounded in glycerin, water and ethanol instead.4. If still an issue and we really want to use it we may add a topical steroid in the picture. Either compounded with minoxidil or as a shampoo once weekly5. Oral minoxidil 1 mg will be an option for some of my patients.6. Going down to 2 % instead of 5% can still work well for many as is less likely to cause itchingAll in all, there are many causes of itching with minoxidil. A methodical approach often solves the issue - but not always!

Ilhan Serdaroglu, MD · Answer

İtching problem after use of minoxidil  is a common side effect. Serum may cause irritation of the skin, redness, dryness, itchiness and dandruff because of alchol content of minoxidil  and very rarely dizziness or even heart palpitations. It would be better to  consider using a lower dose/percentage.

Scalp Itching due to Minoxidil? 3 weeks post op.

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Scalp Itching due to Minoxidil? 3 weeks post op.

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