Hair loss treatments are often discussed as if they are interchangeable, especially when they share the same active ingredient. One of the most common examples is the comparison between off-label oral minoxidil and VDPHL01. While both involve minoxidil, they are not medically equivalent. The difference lies not in the molecule itself, but in how the body is exposed to it over time.
For consumers researching hair loss therapies, this distinction is important. Understanding how formulation affects drug behaviour can clarify why newer treatments exist and why dose alone does not explain how a therapy works.

Why This Comparison Matters for Hair-Loss Patients
Many people assume that if two treatments contain the same medication, they must produce the same effect. In reality, the way a drug is released and absorbed can significantly change how it behaves in the body. This is especially relevant for hair loss, where follicles respond slowly and require consistent biological signals over long periods.
The comparison between VDPHL01 and oral minoxidil is not about marketing or preference. It is about pharmacology. Each approach exposes the body to minoxidil in a different way, and that difference influences both therapeutic intent and systemic exposure.
What Is Minoxidil and How Does It Work?
Minoxidil was first developed as an oral medication for high blood pressure. During its early use, doctors noticed increased hair growth in some patients. This observation led to the development of topical minoxidil, which has since become a common treatment for pattern hair loss.
Minoxidil works by influencing potassium channels in cells and improving blood flow around hair follicles. These effects help support follicles during the growth phase of the hair cycle. Importantly, hair growth is a slow biological process. Follicles do not respond to brief bursts of stimulation but rather to sustained signalling over time.
What Is Oral Minoxidil When Used Off-Label?
When oral minoxidil is prescribed for hair loss, it is considered an off-label use. This means the medication is being used for a purpose different from the one it was originally approved for. Off-label prescribing is common in medicine, but it also means the formulation was not designed with that use in mind.
Standard oral minoxidil tablets are immediate-release medications. They were engineered to enter the bloodstream quickly and lower blood pressure efficiently. When used for hair loss, these tablets still release minoxidil rapidly, leading to a quick rise in blood levels followed by a decline. This exposure pattern is a carryover from their original cardiovascular purpose, not from hair-follicle biology.
What Is VDPHL01?
VDPHL01 is an investigational oral minoxidil formulation being developed by Veradermics specifically for pattern hair loss. Unlike standard oral minoxidil tablets, VDPHL01 is an extended-release formulation designed from the outset to support hair growth rather than blood-pressure control.
The formulation uses a controlled gel-matrix system that releases minoxidil gradually over time. This design aims to maintain more consistent blood levels of the drug throughout the day, rather than producing rapid peaks followed by troughs. The goal is not to change what minoxidil does, but to change how the body experiences it.
Plasma Spikes vs Steady Exposure
Immediate-release oral minoxidil produces what are known as plasma spikes. Shortly after ingestion, blood levels rise quickly and reach a peak before falling again. These spikes occur regardless of the slow, months-long rhythm of the hair growth cycle.
Extended-release formulations like VDPHL01 create a different exposure profile. Minoxidil enters the bloodstream more slowly and remains within a narrower concentration range over time. This steadier exposure more closely matches the way hair follicles respond to biological signals, which tend to be cumulative rather than instantaneous.

Why Extended-Release Matters for Systemic Exposure
Extended-release medications are widely used across medicine to smooth fluctuations in blood levels. By avoiding sharp peaks, they help align drug exposure with the tissues and processes the treatment is intended to affect.
VDPHL01 follows this same pharmaceutical principle. It is designed to reduce peak exposure while maintaining consistent systemic levels of minoxidil. This is not a claim of superiority, but a reflection of different design goals. One approach repurposes an existing tablet, while the other is purpose-built around long-term follicle stimulation.
Why Dosage Alone Isn’t the Full Story
It is tempting to compare treatments by looking only at the number of milligrams prescribed. However, dose alone does not determine how a drug behaves in the body. Two tablets containing the same amount of minoxidil can produce very different blood-level patterns depending on how they are formulated.
Factors such as release speed, absorption timing, and duration of exposure all influence how tissues respond. This is why clinicians focus on pharmacokinetics rather than just dosage when evaluating different treatment approaches.
Cardiovascular Considerations Explained Simply
Minoxidil affects blood vessels throughout the body, not only in the scalp. Rapid increases in blood levels can expose non-target tissues to higher concentrations, even when the total dose is relatively low.
Extended-release formulations are commonly used to help manage this effect by slowing the rate at which a drug enters the bloodstream. VDPHL01 was designed with this principle in mind, aiming to reduce peak exposure while still delivering minoxidil systemically.
VDPHL01 vs Off-Label Oral Minoxidil: A Practical Comparison
Off-label oral minoxidil is a repurposed blood-pressure medication used for hair loss because of observed benefits. VDPHL01, by contrast, is a formulation developed specifically for hair loss and studied through formal clinical trials. The difference lies in intent, release profile, and exposure consistency rather than in the active ingredient itself.
Both approaches involve minoxidil, but they represent two distinct pharmaceutical strategies.
Frequently Asked Questions
Is VDPHL01 just a higher dose of oral minoxidil?
No. The key difference is not dose but formulation. VDPHL01 releases minoxidil gradually, while standard tablets release it quickly.
Can splitting oral minoxidil doses create the same effect?
Dividing doses may reduce peaks to some extent, but it cannot replicate the controlled, sustained release of an extended-release formulation.
Is extended-release minoxidil safer?
Rather than using the word “safer,” it is more accurate to say VDPHL01 is designed to reduce peak exposure.
Does steady exposure help hair growth?
Hair follicles respond to consistent biological signals over time, which is why sustained exposure is an area of active research.
Is VDPHL01 available now?
No. VDPHL01 is still in clinical development and is not yet commercially available.
Conclusion: Same Molecule, Different Design
Although VDPHL01 and oral minoxidil share the same active ingredient, they are not the same treatment. The difference lies in how minoxidil is delivered and how the body is exposed to it over time. VDPHL01 reflects a modern, purpose-built approach that aligns drug delivery with hair-follicle biology rather than cardiovascular needs.
For consumers exploring hair loss treatments, understanding this distinction helps move the conversation beyond dose comparisons and toward a clearer understanding of pharmaceutical design.
This article is for educational purposes only and does not replace medical advice from a qualified healthcare professional.
