Topical Minoxidil / Azelaic Acid for Hair Loss

This treatment plan outlines the application, dosage, expected benefits, and potential side effects of topical minoxidil / azelaic acid solution (5% / 12.5%) for hair loss treatment. Please read this plan carefully, along with the information provided with your medication, for complete details regarding precautions, interactions, and other important safety information.

This compounded topical solution combines minoxidil, a well-established hair growth treatment, with azelaic acid, which may help support scalp health and reduce factors associated with hair thinning.

Together, these ingredients work to promote hair regrowth, improve scalp condition, and support healthier hair follicles.

For treatment of hair loss, you have been prescribed:

Minoxidil / Azelaic Acid 5% / 12.5% topical solution (60 mL)

General guidance:

• Apply once or twice daily as directed by your provider
• Apply to clean, dry scalp in areas of thinning hair
• Use the prescribed amount (typically 1 mL per application)
• Gently spread across the affected area, do not rinse after application
• Wash hands thoroughly after use
• Allow the solution to fully dry before styling hair or going to bed
• Avoid contact with eyes, face, and other sensitive areas.

Hair regrowth is gradual. Increased shedding may occur during the first several weeks as new growth cycles begin. Visible improvement typically occurs after 3–6 months of consistent use.

Use only as prescribed. Do not apply more than directed.

Consistent daily use is required for effectiveness.

Common side effects may include mild scalp irritation, dryness, itching, or redness.

Unwanted hair growth may occur if the medication spreads to other areas.

Avoid applying to broken, irritated, or sunburned skin.

Minoxidil may rarely cause systemic side effects such as dizziness, rapid heart rate, or swelling. If these occur, discontinue use and seek medical attention.

Do not stop treatment abruptly without consulting your provider, as hair loss may resume.

This medication contains the following active ingredients. Do not use if you are allergic to any listed components.

• Minoxidil 5%
• Azelaic Acid 12.5%

This medication may cause an allergic reaction in some individuals.

Stop this medication and seek medical care if you experience:

• Rash or hives
• Swelling of the face, lips, or scalp
• Difficulty breathing
• Severe scalp irritation or blistering

We evaluate your health history based on the information you provide. If any of the following apply or develop during treatment, discontinue use and seek in-person evaluation:

• Known sensitivity to minoxidil or azelaic acid
• Active scalp infection or severe irritation
• History of significant heart conditions (for minoxidil-related concerns)
• Unexplained swelling, dizziness, or rapid heart rate
• Persistent or worsening scalp reaction

We evaluate the specific health information you provide and make our recommendations based on it. If you incorrectly provide that information, we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.

We recommend this treatment because the potential benefits of treatment outweigh the risks. You should evaluate this information as well as the manufacturer’s pamphlet, and any input from your in-person healthcare team, or other information to decide if this treatment plan is appropriate for you. You are free to decline our treatment recommendations although, doing so may prolong symptoms and be associated with negative outcomes.

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide.

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.