Evaluation of the Safety and Effectiveness of Oral Minoxidil in Children: A Systematic Review.

IF 3.5 3区 医学 Q1 DERMATOLOGY Dermatology and Therapy Pub Date : 2024-07-01 Epub Date: 2024-06-11 DOI:10.1007/s13555-024-01197-x
Kimberly N Williams, Chrislene T Y Olukoga, Antonella Tosti
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Abstract

The minimal adverse-effect profile and positive clinical response of low-dose oral minoxidil (LDOM) have recently caused the drug to gain popularity for the treatment of hair disorders in adults. However, in the pediatric population, hesitancy still surrounds the use of oral minoxidil given the wide profile of potential side effects the drug offers. This review aims to characterize the safety and use of oral minoxidil in children for the treatment of all disorders to equip physicians with ample knowledge when prescribing oral minoxidil in the pediatric population. A total of 41 studies (19 case reports, 10 cohort studies, 7 retrospective chart reviews, and 5 case series) that reported data on 442 pediatric patients for whom oral minoxidil was used for treatment were included. Conditions for which treatment with minoxidil was described were hair disorders (83.9%, 371/442) and hypertension (11.3%, 50/442); accidental usage (4.8%, 21/442) was also noted in the literature and included in this review. This review is broken down by dosage and describes the safety and efficacy of oral minoxidil in pediatric patients aged 0 to 18 years old for the treatment of hair disorders. This review found that LDOM may represent a safe option for the treatment of hair disorders in children. This study also suggests moderate and high doses of oral minoxidil may not be safe for use in children. Additional studies are needed to further understand this drug's efficacy and safety in children.

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儿童口服米诺地尔的安全性和有效性评估:系统回顾
低剂量口服米诺地尔(LDOM)的不良反应极小,临床反应良好,因此最近在治疗成人毛发疾病方面大受欢迎。然而,在儿科人群中,由于口服米诺地尔的潜在副作用较多,人们对其使用仍然犹豫不决。本综述旨在描述儿童口服米诺地尔治疗各种疾病的安全性和使用情况,使医生在为儿科人群开具口服米诺地尔处方时掌握充足的知识。本研究共纳入了 41 项研究(19 项病例报告、10 项队列研究、7 项回顾性病历审查和 5 项病例系列),这些研究报告了 442 名使用米诺地尔口服液治疗的儿科患者的数据。使用米诺地尔治疗的病症包括毛发失调(83.9%,371/442 例)和高血压(11.3%,50/442 例);意外使用(4.8%,21/442 例)也在文献中有所提及,并纳入了本综述。本综述按剂量细分,介绍了 0 至 18 岁儿童患者口服米诺地尔治疗毛发疾病的安全性和有效性。本综述发现,LDOM 可能是治疗儿童毛发疾病的一种安全选择。这项研究还表明,适量和高剂量的米诺地尔口服液用于儿童可能并不安全。要进一步了解这种药物对儿童的疗效和安全性,还需要进行更多的研究。
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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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