Minoxidil Plan
The most powerful spray for direct treatment to the scalp. Just two spray applications a day.
The most powerful combination of treatments for hair loss. Just one pill and spray a day.
Over 9/10 men
"Strongly recommend a 3 month order as first results take time"
Earim Chaudry, Medical Director
How do our discounts work?
Final treatment plans are shared decisions determined with your clinician after this online assessment. Always read the leaflet and treatment plan.
Money Back Guarantee
Follow your treatment plan and if you're not satisfied after 180 days, we'll give you your money back. See full terms
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Join over 100,000 men getting back confidence
“Manual is the most straightforward, easy and reassuring company when it comes to Minoxidil, I’ve had help every step of the way if I’ve required it and I couldn’t be happier with the results!”
“I saw fairly quick results in the first few months and it’s been improving in bursts. Initially, it was wispy hair but now I actually have follicles just reappear in places where I had NONE! It’s amazing!”
“So far, my experience has been great, no side effects and my hair looks and feels thicker and I feel much more confident and happier.”
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“I thought, if 9 out of 10 men can have improved hair, then I’m sure I could”
“I take the oral tablet once a day, and it’s really helped with the thickness and texture of my hair”
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“My hair’s a lot fuller, a lot healthier, and I have a lot more hair on top now. My barber noticed it as well. It gives you a confidence boost when people start to notice that your hair's looking much better.”
“Whenever I’d go outside I would hide under a hat, but I haven't used that hat for a year and a half now - ever since I started treatment with Manual.”
“My hair really knocked my confidence but this treatment has me feeling myself again - full of confidence and life and worked in only 3 months use!”
“Manual was easy to use and I definitely saw a difference.”
“I have noticed an improvement taking both pills and spray which has made a difference to my confidence.”
“Stick with it and be patient, it really works and I've regained my smile and confidence back.”
“Starting this treatment with Manual has improved my confidence no end, showing a real difference by increasing hair density and even growing new hair (something I did not believe was possible).”
“My hair felt more dense and full of life within the few months of treatment, with friends and family visibly noticing the difference 6 months into the treatment. 5 star!”
How it works
Frequently asked
Androgenetic alopecia, or male pattern baldness (MPB), strikes the majority of us. It’s caused by DHT, a hormone to which our hair follicles are sensitive. When there’s too much DHT in our system, the follicles – particularly those at the hairline and crown – weaken, shrink, and stop producing hair. Unfortunately, it’s not just older men that suffer. 20% of men in their 20s experience MPB, and 30% in their 30s too.
Minoxidil works as a vasodilator, widening blood vessels in your scalp to encourage blood flow to the area. This encourages more nutrients and oxygen to reach the scalp, helping to support hair follicles to return to health. In this way, Minoxidil works to “reset” the life cycle of your follicles, meaning that their growth phase is longer and the resulting hair thicker and healthier. This, of course, means hair regrowth.
Yes, whether as a topical solution, foam, or spray, Minoxidil has been shown in clinical trials to reverse male pattern hair loss. And, although the oral tablets are more effective, Minoxidil is approved and licensed in the UK and by the US Food and Drug Administration (FDA) for this very purpose. Studies have shown that over 60% of men who tried the treatment saw their hair loss stop or reverse.
No treatment for hair loss is instantly successful, and Minoxidil is no exception. So, expect to see a difference to your hairline after 3-6 months of continuous use. Whilst for some it can be longer, for others the timelines can be much shorter. Every man is different. Yet, there is one thing true for us all: to tackle balding, you need continuous treatment. If you stop using Minoxidil, MPB will return.
With hair loss treatment, it’s really a case of the sooner the better. Minoxidil therapy promotes follicular health, but if your hair loss has progressed too far without treatment, these follicles can be permanently damaged. If there are areas that have no hair and haven’t for a long time, you may not see regrowth from any treatment. With topical Minoxidil, there is no such thing as too soon.
Meet our medical team
Enabling the mission of revolutionising how men approach health, they are at the core of the men’s wellness platform.
Meet our team.
Earim Chaudry, MD
Eve Agwuncha
Bentley Ifediora-Ezike
Minoxidil: Everything You Need to Know
Curated by Dr. Earim Chaudry, Manual Medical Director
When you are taking any medication, it is important to know precisely what you are letting yourself in for. So, here are some things you need to know about Minoxidil – including how to take it and its adverse effects – before tackling MPB.
Minoxidil is applied topically as a spray. This can make it a little fiddly at first, but you will get the hang of it quickly.
If you’re using the 5% strength Minoxidil solution, apply it twice daily directly onto the affected area. (note, there is a stronger 10% solution available, which should be used more sparingly). Avoid drippage and wash your hands thoroughly afterwards – as you don’t want the active ingredient in unintended areas. Stick to the recommended dose, and if you miss an application, don’t double the next dose to “catch up”. This will only increase the chances of side effects – without improving the results.
Remember, there is no quick fix for hair loss – and Minoxidil treatment takes time. So, keep it up daily and you will see results.
While Minoxidil is an over-the-counter medication, it is crucial that people who do not need to take the medicine do not take it. Medication used incorrectly can be seriously harmful.
Minoxidil should only be used by men with male pattern baldness. Other types of hair loss – including alopecia areata – will not be effectively treated with Minoxidil. So, if your hair loss is accompanied by scabs and lesions, for example, do not take Minoxidil. This only increases the chances of the drug entering your bloodstream.
It is generally not recommended for people with uncontrolled high or low blood pressure (as per our guidelines). Combining Minoxidil with medications for these conditions increases the risk of side effects. Do not use the medication if you are under eighteen years old. If you are a woman, talk to a healthcare professional before using Minoxidil – particularly if you are pregnant or breast-feeding. Regaine for women is available, but it is not in our offering and is a different licensed product
The side effects of Minoxidil are rare and, when they do occur, they are usually temporary and mild. However, you do need to understand the risks.
The most common side effect of Minoxidil is irritated skin where the spray has been applied. In the majority of cases, this is the result of the alcohol within the solution. If you already have scalp irritation or itchiness, however, do not apply the formulation.
Because Minoxidil is a vasodilator, it can lower your blood pressure slightly. Symptoms associated with this include dizziness, tiredness, and drowsiness, as well as swelling around the face and hands. Other side effects can include vision alterations, nausea, changes to your heart beat, chest pain, and flushing. Do not use the medication if you are under eighteen years old. If you are a woman, talk to a healthcare professional before using Minoxidil – particularly if you are pregnant or breast-feeding. Regaine for women is available, but it is not in our offering and is a different licensed product.
If you experience any of these – or if you come out in a rash or have severe itching – stop using Minoxidil immediately and consult a doctor
Note: Shedding is a common short-term side effect, typically occurring during the first 2-3 weeks of use. This is nothing to panic about, and actually shows the treatment is working. It’s a positive sign. Shedding that persists beyond this timeframe should be reviewed by your GP to exclude other causes.
Of course, there are other options for treating hair loss. One of the most high-profile is the hair transplant. These work wonders for many men, offering an immediate boost in confidence. However, the choice between a hair transplant and hair loss medication is ultimately yours.
You’ll know already that hair transplants are incredibly expensive. You’ll probably know too that you will have to undergo real surgery – which can seem a little radical. Something you might not know, however, is that hair transplant surgery does not actually stop a progressive condition like MPB. Your hair follicles, transplanted or not, will still be vulnerable to DHT.
This means that, often, men who choose hair surgery are required to use Minoxidil all the same. This prevents further hair loss post-op – and prevents the need for further surgery too. Yet, it does mean that surgery is not the quick and tidy one-off solution many claim.
If you are still able to grow hair, we would recommend treatment with Minoxidil – or both. They are the only medically approved ways to prevent further hair loss, and even reverse it. Manual is an accredited online pharmacy. Unlike many other online vendors, we’re clinical professionals, experienced in tackling men’s hair loss. So, just get in touch for expert advice and support.
