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Minoxidil may cause serious heart problems or worsen chest pain (angina). This medication is only used when other treatments have not worked well or cannot be taken. Your doctor should direct you to also take other medications to reduce the side effects of minoxidil. These medications include a "water pill" (diuretic) to prevent the body from holding on to too much water and salt and a heart medication (such as a beta blocker including propranolol) to prevent the heart from working too hard or beating too fast. Your doctor will follow you closely while you are taking this medication. Keep all regular medical and lab appointments.

Dizziness or lightheadedness may occur as your body adjusts to the medication. If either of these effects lasts or gets worse, tell your doctor or pharmacist promptly. Minoxidil may cause increased growth or darkening of fine body hairs. If this bothers you, consult your doctor. When you stop taking the medication, the hair will usually return to normal within 1 to 6 months. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: fast heartbeat, symptoms of heart failure (such as shortness of breath, swelling ankles/feet, unusual tiredness, unusual/sudden weight gain), fainting. Get medical help right away if you have any very serious side effects, including: chest/jaw/left arm pain. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Some products that may interact with this drug include: guanethidine. Some products have ingredients that could raise your blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).