How to Get Oral Minoxidil Online
Oral minoxidil is becoming the go-to alternative to topical Rogaine—no messy foam, just one pill a day. Here's how to get a prescription through telehealth.
Quick Facts
Why Oral Minoxidil Is Gaining Popularity
Minoxidil has been the gold standard for hair regrowth for decades—but many people hate the topical version. The foam or liquid can be messy, irritate your scalp, leave your hair greasy, and needs to be applied twice daily.
Oral minoxidil solves these problems. You take one small pill daily, and you're done. Research shows it's effective at low doses (much lower than the blood pressure doses it was originally designed for), and studies suggest it may actually be more effective than topical minoxidil for many users.
Growing Adoption
About 80% of dermatologists now prescribe oral minoxidil off-label for hair loss. It's become one of the most commonly prescribed off-label medications in dermatology.
How to Get Oral Minoxidil Online
Since oral minoxidil requires a prescription, you'll need to consult with a healthcare provider. Telehealth makes this easy—you can get evaluated and prescribed without leaving home.
Choose a Telehealth Provider
Select a platform that offers oral minoxidil prescriptions. Options include Roman, Hims, Happy Head, GoodRx, and specialized dermatology platforms like Miiskin.
Complete the Intake
Answer questions about your hair loss, medical history, current medications, and any heart or blood pressure conditions. You may need to upload photos of your hair.
Provider Review
A licensed provider (often a dermatologist or primary care physician) reviews your information. They'll determine if oral minoxidil is appropriate for you.
Prescription Sent
If approved, your prescription is sent to a pharmacy. Some platforms include medication in their service; others send the prescription to a pharmacy of your choice.
Medication Delivered
Receive your oral minoxidil tablets at home or pick up at your local pharmacy.
Where to Get Oral Minoxidil Online
| Provider | Consultation | Medication Cost | Notes |
|---|---|---|---|
| Roman | Free | $22/mo+ | Once-daily tablets, home delivery |
| GoodRx | Included | $16/mo+ | All-in subscription pricing |
| Happy Head | Free | $22/mo | 3-month supply available |
| RedBox Rx | Free | $15/mo | Low-cost option |
| Miiskin | $59 | $25-39/mo | Dermatologist-focused |
| Hims | Free | Varies | Multiple formulations available |
Prices as of 2025. Verify current pricing directly with providers.
Oral vs Topical Minoxidil
| Feature | Oral Minoxidil | Topical Minoxidil |
|---|---|---|
| Prescription | Required | OTC available (Rogaine) |
| Application | Once daily pill | Twice daily to scalp |
| Convenience | High | Low-Medium |
| Scalp irritation | None | Possible |
| Body hair growth | More likely | Less likely |
| Blood pressure effects | Possible (mild) | Rare |
| FDA approved for hair loss | No (off-label) | Yes |
What to Expect
First Few Weeks: Shedding Phase
You may experience increased hair shedding initially. This is normal—it means the treatment is working and pushing old hairs out to make way for new growth. This typically resolves within 4-6 weeks.
3-6 Months: Visible Results
Most people start seeing noticeable improvement in hair density and thickness around the 3-6 month mark. In one study, 100% of participants showed some improvement in hair density by 3-6 months.
6-12 Months: Full Effects
Maximum results typically appear after 6-12 months of consistent use. Continued use is necessary to maintain results.
Potential Side Effects
At the low doses used for hair loss (0.625mg - 2.5mg), side effects are generally mild. However, because oral minoxidil affects your whole body, there are some systemic effects to be aware of:
Common Side Effects
- • Increased body hair (hypertrichosis) – The most common side effect. Hair may grow on arms, face, or other areas.
- • Mild fluid retention – May cause slight ankle swelling in some people.
- • Initial hair shedding – Temporary increase in hair fall before regrowth.
Less Common Side Effects
- • Low blood pressure – Dizziness or lightheadedness, especially when standing.
- • Increased heart rate – Usually mild and temporary.
- • Headache – Typically resolves as body adjusts.
Who Should Avoid Oral Minoxidil
- • People with heart conditions or heart failure
- • Those already on blood pressure medications (without medical supervision)
- • People with pheochromocytoma (adrenal gland tumor)
- • Pregnant or breastfeeding women
Dosing Information
Oral minoxidil for hair loss uses much lower doses than the blood pressure doses:
Typical Hair Loss Doses
Your provider may adjust the dose based on your response and any side effects.
Most providers start with a low dose and may increase it if needed. Standard tablets come in 2.5mg, which can be split into halves or quarters for lower doses.
Frequently Asked Questions
Is oral minoxidil FDA approved for hair loss?
No. It's FDA approved for high blood pressure and used "off-label" for hair loss. Off-label prescribing is legal and common when there's good evidence a medication works for another condition.
Can I buy oral minoxidil without a prescription?
No. Unlike topical minoxidil (Rogaine), oral minoxidil always requires a prescription. Any site selling it without a prescription is not legitimate.
Will I grow hair everywhere?
Body hair growth (hypertrichosis) is possible with oral minoxidil. It's more common at higher doses. Many people find it manageable, but discuss this concern with your provider.
Can I take oral minoxidil with finasteride?
Yes. Many people combine oral minoxidil with finasteride for enhanced results. They work through different mechanisms and are often prescribed together.
What happens if I stop taking it?
Like topical minoxidil, any hair regained will gradually be lost if you stop treatment. It's a maintenance therapy, not a permanent cure.
Ready to Try Oral Minoxidil?
Get started with an online consultation to see if oral minoxidil is right for your hair loss.
Start Your ConsultationThe Bottom Line
Oral minoxidil offers a convenient alternative to messy topical treatments—one pill a day instead of twice-daily applications. While it requires a prescription and has some systemic side effects (particularly body hair growth), many people find it more effective and easier to stick with. Telehealth platforms make getting a prescription simple, with consultations often free and medication starting around $15-40 per month.