Finasteride / Minoxidil 0.25 mg / 5 mg Foam
A once-daily topical foam that combines finasteride and 5% minoxidil to slow hair loss and support regrowth; the usual starting point. Prescribed by a licensed physician.
Foam
from $89/mo
Taken by mouth · Once a day
Hair lossCombinationGrowth support
Biotin (B vitamin for hair strength) plus oral minoxidil: strengthens hair shaft while minoxidil stimulates growth. Addresses both hair quality and quantity.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(B7 vitamin + vascular growth stimulant)
Biotin is a B vitamin required for hair, skin and nail keratin synthesis. Minoxidil stimulates hair-follicle growth and blood flow in the scalp. Together, biotin ensures the new hair that minoxidil helps grow is strong and resilient. This combination is chosen for people whose hair is thin or fragile in addition to thinning.
Synergistic
biotin strengthens new hair; minoxidil stimulates its growth
Biotin is well tolerated; minoxidil can cause body hair growth or fluid retention. Your physician monitors and adjusts minoxidil dose based on blood pressure.
People who want oral minoxidil with biotin in one capsule.
A low dose of minoxidil by mouth plus biotin.
Biotin can distort thyroid and heart blood tests. Stop it two days before a blood draw.
new, fuller hairs visible by month 3-4
common and visible; usually reverses after stopping
results peak at 6-12 months
essential; minoxidil can lower BP
Week 1
Start at low dose (1-2.5 mg minoxidil). Your physician monitors blood pressure and overall tolerance.
1Month 1-2
Initial shedding may occur (hair cycle reset). Body hair may begin to increase slightly. This is normal.
2Month 2-4
Hair loss slows. New, fuller hair begins to grow. Body hair increase stabilizes.
3Month 4-6+
Results become visible. Your physician adjusts dose or adds finasteride if needed. Maintenance is long-term.
4Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a day
Biotin supplementation improves hair strength and reduces breakage in people with biotin deficiency; minoxidil is proven to extend the growth phase and increase hair density.
The combination targets both quantity (minoxidil) and quality (biotin) of hair. Your physician monitors for minoxidil side effects and ensures adequate biotin levels.
Learn moreOral minoxidil and biotin are generally well tolerated. Common effects include increased body hair (hypertrichosis), especially on forearms and face; mild fluid retention; and occasional palpitations or chest tightness. Minoxidil can lower blood pressure, so it is not used in people with uncontrolled low BP or cardiac arrhythmias. Tell your physician about heart medications, blood pressure history, and any swelling or weight gain. Stop and seek care for chest pain, severe palpitations, fainting, or signs of allergic reaction.

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Biotin / minoxidil combination educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Taken by mouth, once a day. The starting prescription is 1 capsule (5 mg / 1.25 mg) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 2: 5 mg / 1.25 mg, 5 mg / 3 mg. Your physician chooses which one you get.
Biotin, Minoxidil.
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
Biotin ensures new hair is strong and resistant to breakage. Some people with thin, fragile hair benefit more from the combination. Your physician decides if biotin adds value for your hair type.
Minoxidil works everywhere: scalp, face, arms, and elsewhere. Body hair increase is common (80% of users to some degree) but usually mild. It often subsides when you stop, though some people notice hair changes persist longer.
Not recommended. Combining them doubles your dose and increases side effects without much added benefit. Your physician chooses one form based on your preference and response.
Contact your physician immediately. These are signs of low blood pressure or cardiac stress. Dose may need to be reduced or stopped. Never ignore these symptoms.
A once-daily topical foam that combines finasteride and 5% minoxidil to slow hair loss and support regrowth; the usual starting point. Prescribed by a licensed physician.
Foam
from $89/mo
A once-daily topical foam with finasteride and a higher 12% minoxidil for more advanced thinning or when 5% has plateaued. Prescribed by a licensed physician.
Foam
from $89/mo
Finasteride and minoxidil with tretinoin, which helps minoxidil penetrate the scalp, in a one-month foam. Prescribed by a licensed physician.
Foam
from $99/mo
Advanced 4-ingredient topical for maximum hair regrowth. Combines DHT blocker, vasodilator, prostaglandin, and tretinoin.
Solution
from $129/mo
The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Oral minoxidil in androgenetic alopecia: a systematic review.
J Eur Acad Dermatol Venereol, 2020Hypertrichosis from oral minoxidil: incidence and management.
Dermatol Ther, 2019Biotin / Minoxidil Capsulesfrom $79/mo