For years, topical minoxidil has been the gold-standard treatment for hair growth. So, it’s no surprise that its sudden rise has taken over the internet, with users and experts championing its long-term benefits, promising the kind of healthy, voluminous hair most people spend years chasing. And while there’s no denying its efficacy, people are looking for alternatives that provide similar results without the lifelong commitment.
Topical minoxidil works by extending the hair’s growth phase (anagen), increasing blood flow to the follicles and enlarging miniaturised follicles so they can produce thicker, healthier strands. “It stimulates hair growth, but does not treat the underlying cause of hair loss,” explains Dr Marina Queiroz, dermatologist at FAYY Health Clinic.
While effective, minoxidil is rather commitment-heavy and has a lifelong dependency, which means continued use is required to maintain results. Stopping usually leads to a gradual loss of regrown hair. And then there are the side effects. As an aesthetic expert, Dr Ramsha Riaz, Bionix Clinic, Dubai, notes, the most common include scalp irritation, dryness, flaking and an initial shedding phase that can feel alarming. Unwanted facial hair growth (hypertrichosis) is another concern, particularly for women.
And then there’s the pet issue. “Topical minoxidil is highly toxic to cats,” warns Dr Queiroz. “Accidental exposure via pillows, hands or skin contact can be dangerous.” Which is why, for pet owners, it’s reason enough to reconsider.
Topical minoxidil alternatives
Minoxidil in other forms
According to Dr Queiroz, low-dose oral minoxidil offers an alternative for those who want to skip daily scalp application, often improving consistency and delivering stronger results, although it must be taken under medical supervision. Injectable minoxidil via mesotherapy or intradermal therapy, on the other hand, targets the scalp directly, bypassing topical application altogether.
Rosemary oil
Rosemary oil is known for its anti-inflammatory and antioxidant properties. “There are some promising studies, but evidence is still significantly weaker than minoxidil,” says Dr Quieroz. Dr Riaz also adds that while it may improve early thinning, the results are slower, subtler and far less predictable.
