Lonitab (Minoxidil) vs Other Hair Loss Treatments: Detailed Comparison

Hair Loss Treatment Selector
Select your top priorities to see which hair loss treatment best matches your needs. Based on clinical evidence, side effects, and practical considerations from the latest research.
Your Priorities
Key Takeaways
- Lonitab is a 5% minoxidil solution approved for both men and women with pattern hair loss.
- Top alternatives include Rogaine, oral finasteride, low‑level laser therapy, platelet‑rich plasma (PRP) and herbal options such as saw palmetto.
- Effectiveness varies: minoxidil and finasteride have the strongest clinical evidence; lasers and PRP work for many but need more sessions.
- Side‑effect profiles differ: topical minoxidil can cause scalp irritation, finasteride may affect sexual function, while natural extracts generally have milder reactions.
- Cost, convenience and personal health factors should guide the final choice.
When you start searching for a solution to thinning hair, the first thing you’ll notice is the sheer number of products on the market. The headline often reads “Stop hair loss now!” but not every claim holds up under scientific scrutiny. This guide walks you through Lonitab, a min‑dose of minoxidil, and stacks it against the most common alternatives. By the end you’ll know which option fits your budget, lifestyle and medical profile.
What is Lonitab?
Lonitab is a topical medication that contains 5% minoxidil, the same active ingredient found in many over‑the‑counter hair‑loss treatments. It comes in a liquid solution applied directly to the scalp twice a day. In Australia, Lonitab is classified as a Schedule4 prescription medicine, meaning a doctor must endorse its use.
Key attributes of Lonitab:
- Concentration: 5% minoxidil (the highest non‑prescription strength).
- Formulation: aqueous solution with propylene glycol for better skin absorption.
- Approved uses: androgenetic alopecia (pattern hair loss) in both men and women.
- Typical price (2025): AU$45‑50 for a 60‑ml bottle, lasting roughly one month of twice‑daily dosing.
How Does Minoxidil Work?
Minoxidil was first developed as a blood‑pressure drug. Researchers later discovered it widened blood vessels in the scalp, improving blood flow to hair follicles. The exact mechanism is still debated, but the main actions are:
- Vasodilation - more oxygen and nutrients reach dormant follicles.
- Extension of the anagen (growth) phase - hairs stay longer in the growing state.
- Stimulation of follicular stem cells - potentially activating dormant follicles.
Clinical trials consistently show a 30‑40% increase in hair count after four months of consistent use. Results plateau after about a year, and continued application is needed to maintain gains.

Major Alternatives to Lonitab
Below are the most widely used alternatives, grouped by delivery method and mechanism.
Rogaine (Minoxidil Foam)
Rogaine is the global brand name for minoxidil, offered as a foam rather than a liquid. The foam eliminates propylene glycol, reducing scalp irritation for sensitive users. It also contains 5% minoxidil for men and 2% for women (in some markets). In terms of efficacy, foam and solution are equivalent; the choice comes down to personal comfort.
Finasteride (Oral)
Finasteride is a prescription tablet that blocks the enzyme 5‑α‑reductase, lowering dihydrotestosterone (DHT) levels - the hormone behind most male‑pattern baldness. A daily 1mg dose (known as Propecia) is standard for hair loss. Studies report up to a 90% reduction in hair‑loss progression and modest regrowth in many men. Women of child‑bearing age are advised against use because of fetal risks.
Low‑Level Laser Therapy (LLLT)
LLLT devices, such as the HairMax LaserComb or caps, emit red light (630‑660nm) that stimulates cellular respiration in follicles. The technology is classified as a medical device in Australia. Clinical data show a 15‑25% increase in hair density after 6‑12months of twice‑weekly sessions. The biggest downside is the cost of equipment (AU$150‑500) and the need for regular use.
Platelet‑Rich Plasma (PRP)
PRP therapy involves drawing a small amount of your blood, centrifuging it to concentrate platelets, and injecting the plasma into the scalp. Growth factors in the plasma aim to revitalize dormant follicles. Most dermatologists recommend 3‑4 sessions spaced a month apart, followed by maintenance every 6‑12months. Meta‑analysis (2024) shows an average 30% increase in hair thickness, but outcomes vary widely based on practitioner skill.
Saw Palmetto (Herbal Extract)
Saw palmetto is a plant‑based supplement that weakly inhibits 5‑α‑reductase, similar to finasteride but without the hormonal side effects. Typical doses are 320mg twice daily. Small double‑blind studies (2023) show modest slowing of hair loss, but the evidence base is far weaker than for prescription drugs.
Ketoconazole Shampoo (Antifungal)
Ketoconazole 2% shampoo, originally used for dandruff, also reduces scalp inflammation and DHT locally. Using the shampoo twice weekly can add 10‑15% hair‑count improvement when combined with minoxidil. It’s an inexpensive adjunct (AU$12‑15 per bottle).
Side‑Effect Snapshot
Every treatment carries risks. Below is a quick look at the most common adverse events.
- Lonitab / Rogaine (topical minoxidil): scalp itching, dryness, occasional dermatitis.
- Finasteride (oral): decreased libido, erectile dysfunction, rare breast tenderness; generally reversible after stopping.
- LLLT: minimal - occasional eye irritation if goggles are not used.
- PRP: temporary soreness, bruising, rare infection.
- Saw Palmetto: mild stomach upset, headache.
- Ketoconazole Shampoo: scalp irritation, rare allergic reaction.
Comparison Table
Attribute | Lonitab (5% Solution) | Rogaine Foam | Finasteride 1mg (Oral) | LLLT Device | PRP Therapy | Saw Palmetto (Oral) | Ketoconazole Shampoo |
---|---|---|---|---|---|---|---|
Mechanism | Vasodilation & follicle stimulation | Same as Lonitab (foamed) | DHT inhibition (5‑α‑reductase) | Photobiomodulation | Growth‑factor injection | Weak DHT inhibition | Anti‑inflammatory & local DHT reduction |
Prescription? | Yes (Schedule4) | No (OTC) | Yes | No (device) | Yes (medical procedure) | No (supplement) | No (OTC) |
Typical Cost (AU$) | 45‑50 per month | 55‑60 per month | 30‑35 per month | 150‑500 (one‑time) | 800‑1200 for 4‑session series | 20‑30 per month | 12‑15 per bottle (≈2months) |
Evidence Strength | Strong (RCTs) | Strong (RCTs) | Very strong (large‑scale trials) | Moderate | Moderate‑high (clinical studies) | Low‑moderate | Low‑moderate (adjunct) |
Common Side‑Effects | Scalp irritation | Scalp irritation | Sexual dysfunction | None significant | Soreness, bruising | Stomach upset | Scalp irritation |
Maintenance Needed? | Yes, daily use | Yes, daily use | Yes, daily pill | Yes, 2‑3times/week | Periodic boosters | Continuous supplementation | Twice‑weekly shampoo |

How to Choose the Right Option for You
Consider these four decision pillars:
- Medical suitability: If you have hypertension, pregnancy, or are a woman of child‑bearing age, avoid finasteride. Skin‑sensitive users may prefer foam over solution.
- Budget: Lonitab and generic minoxidil solutions are the most affordable long‑term. LLLT devices and PRP have high upfront costs.
- Convenience: Daily topical application can be a hassle for busy schedules. A weekly PRP visit or a device you can set on while you read may fit better.
- Desired outcome: For noticeable regrowth, combine a DHT blocker (finasteride) with a vasodilator (minoxidil). For those seeking a non‑pharma route, laser therapy plus ketoconazole shampoo offers a balanced approach.
Many dermatologists recommend a dual‑therapy plan: minoxidil (or Lonitab) plus an oral finasteride for men, or minoxidil plus ketoconazole for women. This combo attacks hair loss from two angles and maximizes results.
Common Pitfalls & How to Avoid Them
- Stopping too early: Minoxidil requires at least 4‑6months before visible results. Discontinuing before then resets progress.
- Incorrect dosing: Using more than the recommended amount doesn’t speed growth and can increase irritation.
- Skipping scalp prep: Apply on clean, dry scalp. Wet hair dilutes the solution and can cause uneven absorption.
- Neglecting complementary care: A healthy diet, adequate protein, and stress management boost any treatment’s effectiveness.
Frequently Asked Questions
Can I use Lonitab and Rogaine together?
Both contain the same active ingredient, so using them together offers no extra benefit and can increase scalp irritation. Choose one format that feels comfortable.
How long does it take to see results with Lonitab?
Most users notice reduced shedding after 8‑12 weeks and visible regrowth after 4‑6 months of consistent twice‑daily application.
Is finasteride safe for women?
Finasteride is not recommended for women who are pregnant or may become pregnant because of potential birth‑defect risks. Post‑menopausal women sometimes use it under specialist supervision, but it’s off‑label.
Do laser caps work for all hair types?
LLLT has shown benefit across diverse hair textures, but effectiveness can be lower in very dense, curly hair because the light may not reach all follicles evenly.
Can I combine PRP with minoxidil?
Yes, many clinics recommend using minoxidil daily alongside periodic PRP sessions. The two methods act synergistically - PRP revitalizes follicles while minoxidil maintains blood flow.
Whether you go with Lonitab, an oral pill, a device, or a natural extract, the key is consistency and realistic expectations. Talk to a dermatologist, especially before starting prescription meds, and track progress with photos every month. Armed with the right facts, you can pick the path that best fits your life and see real improvement in your hair’s fullness.
Nicole Powell
October 13, 2025 AT 19:03For anyone who actually cares about evidence, Lonitab stands out as the only prescription‑grade minoxidil that guarantees consistent dosing. The liquid formulation penetrates the scalp better than most foams, which is why dermatologists keep recommending it. Cheaper over‑the‑counter options might look similar, but they lack the rigorous clinical backing that a serious patient expects.