Minoxidil / Latanoprost

Lotion

10% / 0.06%

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Product Overview

The following drugs have been combined into a topical formulation for the management of hair loss.

Minoxidil1-3

Topical minoxidil is a vasodilator originally developed as an oral antihypertensive medication. Hair growth stimulation was observed as a side effect (hypertrichosis, or excessive abnormal hair growth) in patients taking oral minoxidil. Following these observations, minoxidil was FDA-approved for the treatment of androgenetic alopecia in both men and women.

Latanoprost Description4-8

Latanoprost is a prostaglandin F2α (PGF2α) analog primarily used for the treatment of open-angle glaucoma and ocular hypertension. Evidence indicates that latanoprost can promote hair growth, particularly in androgenetic alopecia and in cases of eyelash or eyebrow hypotrichosis. Its potential for hair regrowth was first noted due to the side effect of increased eyelash growth in patients being treated for glaucoma.

References

  1. Clinical Pharmacology [Internet].: Elsevier; accessed May 2025; Minoxidil topical monograph. Available from: ClinicalKey; https://www.clinicalkey.com/pharmacology/monograph/408?n=Minoxidil
  2. Rogaine® (minoxidil topical solution) package insert. Johnson & Johnson Consumer Inc. https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=12fd18f0-859c-7b9a-e063-6394a90addbf&type=display Revised March 2024. Accessed June 16, 2025
  3. Goren A, Naccarato T. Minoxidil in the treatment of androgenetic alopecia. Dermatol Ther. 2018 Sep;31(5):e12686.
  4. Johnstone, M. A. (1997). Hypertrichosis and increased pigmentation of eyelashes and adjacent hair in latanoprost therapy. American Journal of Ophthalmology, 120(7), 999–1001.
  5. Blume-Peytavi, U., et al. (2012). Latanoprost stimulates human scalp hair growth in vivo. Journal of the American Academy of Dermatology, 66(5), 807–814.
  6. Kwon, O. S., et al. (2007). Prostaglandin analogs as a potential treatment for hair loss: Latanoprost and bimatoprost in the management of alopecia. International Journal of Dermatology, 46(9), 1044–1048.
  7. Clinical Pharmacology. Elsevier. Latanoprost Monograph. Accessed June 2025
  8. FDA Drug Label: Xalatan (latanoprost ophthalmic solution) https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a98595b3-9f47-48e0-b18d-550a2095f264&type=display Revised May 2023. Accessed June 15, 2025

Minoxidil1-3

The drug has many mechanisms in supporting hair growth:

  • Potassium channel opening: Minoxidil is a K⁺-ATP channel opener, resulting in vasodilation and enhanced blood flow to hair follicles.
  • Prolongation of the hair cycle: It extends the growth phase of the hair cycle, leading to increased follicle size and more robust hair shafts.
  • Activation of prostaglandins: May indirectly affect prostaglandin-mediated signaling to stimulate hair follicle activity.
  • Upregulation of vascular endothelial growth factor (VEGF): Promotes angiogenesis in dermal papillae, improving follicular nourishment.

Latanoprost4-8

Latanoprost binds to the prostaglandin F2α receptor on hair follicle dermal papilla cells, influencing the hair growth cycle as follows:

  1. Prolongation of Anagen Phase (Growth Phase):

Increases the duration of anagen, resulting in longer and thicker hair shafts.

  1. Stimulation of Melanogenesis:

May enhance pigmentation in vellus hairs, making them appear darker and more terminal-like.

  1. Increased Follicular Density:

Some studies suggest latanoprost may increase the number of follicles actively producing hair, particularly in the eyelash and eyebrow regions, and potentially the scalp.

Adverse Reactions1-8

Minoxidil

Common

Topical minoxidil is generally well tolerated but may cause local effects:

Local side effects (most common):

  • Scalp irritation, dryness, flaking
  • Erythema or contact dermatitis (more common with propylene glycol-containing formulations)
  • Pruritus or burning sensation
  • Unwanted facial hair growth (esp. in women or if solution drips onto other areas)

Latanoprost

Common

  • Local irritation (itching, burning, erythema)
  • Hyperpigmentation of skin (especially around eyelids or eyebrows)
  • Increased pigmentation of treated hair
  • Eyelid darkening (rare with scalp use)
  • Unwanted hair growth if medication spreads to unintended areas
  • Eye irritation (if it migrates to eye area)

Contraindications & Precautions1-8

Minoxidil

Contraindications:

  • Known hypersensitivity to minoxidil or excipients (e.g., propylene glycol, alcohol)
  • Discontinuation advised if signs of hypersensitivity or severe irritation occur

Precautions:

  • Avoid use on broken or inflamed skin to minimize systemic absorption
  • Not for use in individuals under 18 years unless directed by a physician
  • Caution in patients with cardiovascular disease (though systemic absorption is typically minimal with proper use)
  • Avoid ocular contact — rinse thoroughly if accidental exposure occurs
  • Should not be used during pregnancy or lactation unless clinically indicated and under supervision

Latanoprost

Contraindications:

  • Known hypersensitivity to latanoprost or prostaglandin analogs
  • Active ocular conditions if near eyes (without ophthalmologic approval)
  • History of herpetic keratitis (due to prostaglandin-induced reactivation risk)

Precautions:

  • Avoid application near the eyes unless specifically prescribed
  • Use gloves or applicator to prevent unintended hair growth on fingers/hands
  • Avoid contact with mucous membranes
  • Patients with a history of uveitis, macular edema, or intraocular surgery should be monitored if periorbital application is required

Store in a cool, dry place, away from direct light and heat; Room temperature (20°C–25°C / 68°F–77°F) is ideal.

  1. Clinical Pharmacology [Internet].: Elsevier; accessed May 2025; Minoxidil topical monograph. Available from: ClinicalKey; https://www.clinicalkey.com/pharmacology/monograph/408?n=Minoxidil
  2. Rogaine® (minoxidil topical solution) package insert. Johnson & Johnson Consumer Inc. https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=12fd18f0-859c-7b9a-e063-6394a90addbf&type=display Revised March 2024. Accessed June 16, 2025
  3. Goren A, Naccarato T. Minoxidil in the treatment of androgenetic alopecia. Dermatol Ther. 2018 Sep;31(5):e12686.
  4. Johnstone, M. A. (1997). Hypertrichosis and increased pigmentation of eyelashes and adjacent hair in latanoprost therapy. American Journal of Ophthalmology, 120(7), 999–1001.
  5. Blume-Peytavi, U., et al. (2012). Latanoprost stimulates human scalp hair growth in vivo. Journal of the American Academy of Dermatology, 66(5), 807–814.
  6. Kwon, O. S., et al. (2007). Prostaglandin analogs as a potential treatment for hair loss: Latanoprost and bimatoprost in the management of alopecia. International Journal of Dermatology, 46(9), 1044–1048.
  7. Clinical Pharmacology. Elsevier. Latanoprost Monograph. Accessed June 2025
  8. FDA Drug Label: Xalatan (latanoprost ophthalmic solution) https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=a98595b3-9f47-48e0-b18d-550a2095f264&type=display Revised May 2023. Accessed June 15, 2025
This information is for educational purposes only.
This compounded product has not been reviewed, approved, or evaluated by the Food and Drug Administration for safety and effectiveness. This product is not intended to diagnose, treat, cure, or prevent any disease. No claims are made regarding treatment, cure, or prevention of any disease or condition.
This information is a summary. It may not cover all possible drug information about this product. For complete product information, refer to the manufacturer’s prescribing information and labeling. Call your doctor for medical advice and/or about side effects. You may report side effects to the FDA at 1-800-FDA-1088. A WP Pharma Labs pharmacist will be happy to answer any questions. For consultation, please call 1-800-441-0048.

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