Randolph, Michael, et al. Journal of the American Academy of Dermatology 84.3 (2021): 737-746.
Oral minoxidil serves as a systemic therapeutic agent for the management of various hair loss conditions including androgenetic alopecia, telogen effluvium, and chronic telogen effluvium.
Experimental Protocol: Patients receive oral minoxidil at dosages of 0.25 to 5 mg once daily, with treatment periods ranging from 6 to 24 months. Efficacy is evaluated using standardized global photography, trichoscopy, and patient-reported outcome measures. Safety monitoring includes assessment of hypertrichosis, pedal edema, and cardiovascular parameters.
Performance Evaluation: Oral minoxidil at 0.25 to 2.5 mg daily produces significant hair count increases of 12 to 22 hairs per cm2 in androgenetic alopecia patients after 12 months. The treatment achieves a 70 to 85% satisfaction rate among patients. Hypertrichosis occurs in 50 to 80% of patients at higher doses (2.5 to 5 mg) but is generally mild and reversible. No serious cardiovascular adverse events are reported at low doses. The therapy demonstrates particular efficacy for female pattern hair loss with a 60 to 75% response rate.