Does Minoxidil Cause Dandruff? Minoxidil can cause white flakes, but they are usually not true dandruff. Most flaking comes from a dry, irritated scalp. A 2014 formulation study describes alcohol and propylene glycol as the principal irritant ingredients in commercial minoxidil solutions. Some men also have dandruff or seborrheic dermatitis underneath, which minoxidil can