
Minoxidil is a medication that has been shown to promote hair growth and is widely used for treating hair loss. As nail growth is affected by blood flow, and minoxidil has vasodilatory properties, it has been investigated for its potential to stimulate nail growth. Studies have shown that topical minoxidil applied to the fingernails and toenails can increase nail growth rate, with some reporting faster growth and stronger nails. Oral minoxidil has also been reported to help with nail growth, with surveyed users stating improvements in nail growth rate, strength, and appearance.
| Characteristics | Values |
|---|---|
| Topical minoxidil | Increases nail growth rate |
| Oral minoxidil | Helps nail growth |
| Mechanism of minoxidil | Increased blood flow to nail roots through vasodilation or upregulation of certain genes |
| Study participants | 32 (in one study), 38 (in another study), 74 (in a survey) |
| Growth rate | 4.27 mm/month (topical), 3.91 mm/month (untreated) |
| Clinical response rate | 36% (after 6 months), 81% (after 12 months) |
| NGR increase | 19% (MINOX), 13% (BIOT), 14% (MINOX + BIOT) |
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What You'll Learn

Topical minoxidil increases nail growth rate
Minoxidil is a medication that has been used to treat hair loss and stimulate hair growth. As the structure of hair and nails is similar, and blood flow is a factor in nail growth, it has been theorised that minoxidil could also be used to increase nail growth rate.
A 2017 study by Aiempanakit et al. found that a 5% concentration of topical minoxidil, applied twice daily, increased nail growth rate. The growth rate of nails treated with minoxidil was 4.27 mm/month, compared to 3.91 mm/month for untreated nails. This difference was statistically significant.
A 2021 study by Garbers et al. of 38 participants found that topical minoxidil increased nail growth rate when compared to oral biotin. Interestingly, the combination of minoxidil and biotin resulted in a lower nail growth rate than minoxidil alone. This may be due to the limited capacity of the nail matrix to produce material, resulting in a shorter but thicker nail.
Another 2021 study by Garbers et al. found that 53% of surveyed patients using oral minoxidil reported that their nails grew more quickly. However, this study did not have a control group or placebo, and there may have been reporting bias.
The mechanism by which minoxidil increases nail growth rate is not yet fully understood. It may be related to increased blood flow to the nail roots through vasodilation or upregulation of certain genes. Further studies are needed to fully understand the effects of minoxidil on nail growth and to determine any potential side effects.
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Oral minoxidil may help nails grow faster
The mechanism by which minoxidil improves nail growth rate is not yet fully understood. One theory suggests that it may be related to increased blood flow to the nail roots through vasodilation or upregulation of certain genes. Linear nail growth rate is influenced by various factors, including blood flow. Topical minoxidil, which has vasodilatory properties, can increase nail growth rate by improving blood flow to the nails.
Further support for the role of increased blood flow in nail growth is provided by the therapeutic effect of oral terbinafine in yellow nail syndrome. The positive effect of oral terbinafine on nail growth appears to be independent of its antifungal activity. Instead, it may promote lymphangiogenesis and increase blood flow by raising the bioavailability of nitric oxide and improving the oxygen supply to the nail.
While oral minoxidil shows promise in promoting nail growth, it is important to note that the existing studies have certain limitations. For example, the study by Alsalhi W et al. relied on patient questionnaires and lacked a control group or placebo. Additionally, the study by Garbers et al. included only healthy young adults, while most nail complaints originate from older individuals who typically experience a decrease in nail growth rate with age.
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Minoxidil's effect on nail growth may be linked to increased blood flow
The effect of minoxidil on nail growth may be linked to increased blood flow to the nail roots through vasodilation. Minoxidil is a vasodilator, meaning it widens the blood vessels, allowing more blood to flow through them. This increased blood flow to the nails may be why minoxidil has been shown to increase nail growth rates.
Several studies have found that topical minoxidil solutions can increase nail growth rates. One study found that a 5% topical minoxidil solution applied twice daily to the fingernails of 32 participants resulted in a statistically significant increase in nail length compared to a control group. Another study found that a 5% minoxidil spray applied twice daily to 38 healthy volunteers resulted in a positive effect on nail growth rate.
In addition to topical solutions, oral minoxidil has also been found to increase nail growth rates. A study by Donovan Medical found that 53% of 66 surveyed patients who were using oral minoxidil reported that their nails grew more quickly after starting the treatment. Another study by Garbers et al. found that a 5% topical minoxidil solution applied twice daily to 32 patients resulted in a nail growth rate of 4.27 mm/month, compared to 3.91 mm/month in untreated nails.
While the exact mechanism of minoxidil's effect on nail growth is not yet fully understood, the available evidence suggests that it may be related to increased blood flow through vasodilation. Further studies are needed to confirm this hypothesis and to fully understand the mechanism of action of minoxidil on nail growth.
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Minoxidil's impact on nail growth is unrelated to vasodilation
Minoxidil is a medication that has been shown to be effective in stimulating nail growth. While the exact mechanism of its action on nail growth remains unclear, some studies suggest that its effect is unrelated to vasodilation.
One study by Garbers et al. in 2021 found that the use of 5% topical minoxidil spray applied twice daily resulted in a higher nail growth rate (NGR) compared to the use of 2.5 mg oral biotin capsules or a combination of both treatments. Interestingly, the group that used minoxidil and biotin together showed less longitudinal nail growth than the group that used only minoxidil. This finding suggests that the increased thickness of the nail plate due to biotin may have limited the capacity of the nail matrix to produce longer nails.
Another study by Aiempanakit et al. in 2017 found that nails treated with 5% topical minoxidil twice daily had a growth rate of 4.27 mm/month, compared to 3.91 mm/month in untreated nails. This difference was statistically significant.
A more recent study by Hatami in 2024 also supported the idea that minoxidil's effect on nail growth may be independent of vasodilation. This study investigated the use of daily applications of a drop of 5% minoxidil solution on the proximal nail fold of toenails with growth arrest or onychomadesis. The authors found a clinical response rate of 36% and 81% after 6 and 12 months, respectively, and hypothesized that minoxidil had a direct impact on the nail matrix, regardless of the underlying pathology.
Furthermore, some studies have suggested that the mechanism of minoxidil's action on nail growth may be related to the upregulation of certain genes, such as CYR61 and DUSP1, rather than vasodilation. This suggests that minoxidil may act directly on the nail matrix cells to stimulate nail growth.
While the exact mechanism of minoxidil's impact on nail growth remains to be fully elucidated, the available evidence suggests that it is unrelated to vasodilation. Further studies are needed to better understand the underlying mechanisms and optimize the use of minoxidil for nail growth enhancement.
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Minoxidil's effect on nail growth may be linked to gene upregulation
The exact mechanism by which minoxidil influences nail growth is not yet fully understood. However, one theory suggests that it may be related to increased blood flow to the nail roots through vasodilation. Minoxidil is known to possess vasodilatory properties, which can lead to increased blood flow in the periungual area, a factor that affects nail growth. This mechanism is supported by studies showing that minoxidil stimulates nail growth, with a statistically significant difference compared to untreated nails.
Additionally, minoxidil's ability to upregulate certain genes may also contribute to its effect on nail growth. Specifically, it has been found to upregulate the expression of vascular endothelial growth factor (VEGF) in hair follicle dermal papillae. This upregulation could occur in a similar manner in the nail apparatus, resulting in increased blood flow and an enhanced supply of nutrients to the nails. The upregulation of VEGF is believed to be mediated by rho-kinase, which promotes lymphangiogenesis and increases blood flow by improving the bioavailability of nitric oxide and oxygen supply to the nails.
While the exact genes influenced by minoxidil in the nail matrix cells are not yet identified, some studies suggest the potential over-regulation of the CYR61 and DUSP1 genes. This direct mitotic stimulation of nail matrix cells may contribute to the observed increase in nail growth rate.
Furthermore, minoxidil has been found to be effective in treating nail dystrophies and disorders. In a case of yellow nail syndrome resistant to other treatments, the application of topical minoxidil resulted in significant nail growth. The stimulation of nitric oxide and other neuromediators is believed to have played a role in this outcome.
In conclusion, while the exact mechanism remains to be elucidated, minoxidil's effect on nail growth may indeed be linked to gene upregulation, particularly the upregulation of vascular endothelial growth factor and its associated increase in blood flow to the nails. Further studies are required to comprehensively understand the genetic and biological processes underlying minoxidil's influence on nail growth.
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Frequently asked questions
Yes, according to multiple studies, minoxidil has been shown to increase nail growth rate.
Both oral and topical minoxidil have been studied, with the majority focusing on topical minoxidil.
In one study, 53% of participants reported that their nails grew faster when taking oral minoxidil. Another study found that oral minoxidil resulted in patient satisfaction regarding nail strength, faster growth, and nicer appearance.
Multiple studies found that topical minoxidil increased nail growth rate, with one study reporting a growth rate of 4.27 mm/month compared to 3.91 mm/month in untreated nails.
The exact mechanism is not yet known, but it is believed that minoxidil may increase blood flow to the nails through vasodilation or by upregulating certain genes.










































