Is it safe to take Minoxidil (Rogaine) and Naltrexone (Naltrexone hydrochloride) together?

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Last updated: May 9, 2025View editorial policy

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From the Research

I strongly advise against taking minoxidil and naltrexone together without medical supervision, as there is limited research on their specific interaction, and both medications can affect the cardiovascular system in different ways. These medications have different purposes: minoxidil is primarily used for hair growth (topically) or blood pressure control (orally), while naltrexone is used for alcohol and opioid dependence or sometimes in low doses for autoimmune conditions.

Key Considerations

  • While no major direct interactions are widely reported between these medications, both can affect your cardiovascular system - minoxidil can lower blood pressure and increase heart rate, while naltrexone may cause dizziness in some people 1.
  • The safety of combining them depends on your specific health conditions, dosages, and whether the minoxidil is being used topically or orally.
  • Topical minoxidil has less systemic absorption and would be less likely to interact with naltrexone than oral minoxidil, as shown in a study on the pharmacokinetics of minoxidil 1.
  • A recent study found that oral minoxidil is superior to topical in terms of ease of use, adherence, and satisfaction without increasing systemic side effects, except for a higher incidence of hypertrichosis 2.

Recommendations

  • If you're considering using both medications, consult with your healthcare provider who can evaluate your complete medical history, monitor for potential side effects, and make appropriate dosage adjustments if needed.
  • Your healthcare provider should consider the latest evidence on the safety and efficacy of oral minoxidil, including a study that found it to be a safe and well-tolerated treatment for hair loss, with a lower adverse effect rate than standard doses 3.
  • It's essential to weigh the benefits and risks of combining minoxidil and naltrexone, taking into account the potential for increased cardiovascular side effects, as reported in studies on the safety of low-dose oral minoxidil 4, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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