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 lossDHT blockerDual inhibitor
Dutasteride Capsules
Dutasteride: blocks both forms of DHT-producing enzyme (Type I and II), for stronger DHT suppression than finasteride. Oral capsule, once every other day or daily. Slower to act; requires patience.
- Blocks two DHT-producing pathways, stronger suppression
- Preferred by some after finasteride plateau
- Once-daily or every-other-day dose; long half-life
- Monthly$109/mo
- Every 3 months$267 billed up front$89/mo
- Every 6 monthsBest value$474 billed up front$79/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
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.
- How
- Taken by mouth
- How often
- Once a day
- Each shipment
- 30 capsules
- Strengths
- 3 options · 0.25–1.5 mg
What is dutasteride?
(dual 5-alpha-reductase inhibitor)
Dutasteride blocks both Type I and Type II 5-alpha-reductase, the two enzymes that make DHT from testosterone. Finasteride blocks mainly Type II. More complete DHT suppression can help some people who plateau on finasteride or whose hair loss is more aggressive. Dutasteride has a long half-life, so it is dosed once daily or every other day.
What's in it
- DutasterideStronger DHT blocker
30-50%
more DHT suppression than finasteride, depending on tissue type
Some people respond better to dutasteride after finasteride plateaus. Hair regrowth takes 6-12 months. Off-label for women.
Is it right for you?
Who it's for
Men who kept losing hair on finasteride.
What sets it apart
It blocks both forms of the enzyme that makes DHT; finasteride blocks one. Off-label for hair.
Worth knowing before you start
It stays in the body for months. Not for women who are or could become pregnant.
What to expect
Patience required
results take 6-12 months; peak at 2 years
Stabilization first
hair loss stops before new growth appears
Sexual side effects rare
1-3% experience them; usually reversible
Physician partnership
monitor prostate health; discuss any sexual concerns
How DHT blockers work
Day 1
Your physician reviews your hair-loss pattern, health history, medications, and sexuality. Discusses how DHT blockers work and the realistic timeline.
1Month 1-3
Start once daily. Many notice shedding may increase slightly at first (hair cycle shift), then stabilize. This is normal and temporary.
2Month 3-6
Hair loss slows or stops for most people. Regrowth takes longer. Keep a photo record to track subtle changes.
3Month 6-12+
New hair begins to show. Results peak around 12-24 months. Your physician checks in every 6 months; you can stop anytime.
4
Individual 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.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Taken by mouth
- Dose
- 1 capsule (0.25 mg)
- How often
- Once a day
- Each shipment
- 30 capsules
- Pharmacy label
- Take 1 capsule (0.25 mg) by mouth once daily for 30 days.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a day
Strengths the pharmacy carries
- 1.5 mg
- 1.0 mg
- 0.25 mg
The science of DHT blockers
Dutasteride causes more complete DHT suppression than finasteride in blood and scalp. In randomized trials, it stopped hair loss and regrew hair, with similar or slightly better results than finasteride.
Sexual side effects (lower desire, erection difficulty) occur in 1-3% and often reverse after stopping. Dutasteride stays in the body longer than finasteride, so effects may take weeks to clear.
Learn moreImportant safety information and common side effects
Finasteride and dutasteride block DHT, the hormone behind pattern hair loss. Sexual side effects (lower desire, erection difficulty) occur in 1-3% and usually reverse after stopping; your physician discusses this before prescribing. Mood changes are rare but possible. These medications are not prescribed during pregnancy or breastfeeding, or in people with a history of prostate cancer without careful evaluation. Monitor prostate health with your primary care physician; these drugs lower PSA levels, which can mask cancer screening. Tell your physician about all medications and any history of sexual dysfunction. Stop and seek care for severe mood changes, chest pain, or allergic reactions.
Every plan includes
- Personalized, physician-guided plan
- Monthly, 3-month and 6-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
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.
Dutasteride 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.
Frequently asked questions
How do I take Dutasteride Capsules?
Taken by mouth, once a day. The starting prescription is 1 capsule (0.25 mg) each time. Your physician sets your own dose and it is printed on your label.
What strengths does Dutasteride Capsules come in?
The pharmacy carries 3: 0.25 mg, 1.0 mg, 1.5 mg. Your physician chooses which one you get.
How much arrives in each shipment?
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
When should I try dutasteride instead of finasteride?
If finasteride has slowed your hair loss but not regrown enough hair after 12-24 months, your physician may trial dutasteride. It is stronger but also slower to act; give it 6-12 months before judging. Some people respond better to one or the other.
Why do I shed more at first?
DHT-miniaturized follicles have shorter cycles. Blocking DHT triggers them to reset; this causes temporary shedding before new, fuller hair grows. It usually peaks at weeks 2-4 and is a sign the drug is working.
Can I combine finasteride and dutasteride?
No. They block overlapping pathways. Your physician chooses one based on your response. If one plateaus, you may switch to the other.
What if I stop taking it?
Hair loss usually resumes within 3-6 months, returning to your original pattern within 12 months. Any regrowth you had will be lost. Some people restart; others stop and accept their hair loss.
Can women use these?
Finasteride and dutasteride are off-label for women, but some respond well. They are not prescribed during pregnancy or breastfeeding. Your physician carefully evaluates risk and benefit.
Hair loss stops, growth resumes.
Finasteride / Minoxidil 0.25 mg / 12 mg Foam
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 / Minoxidil / Tretinoin Foam, 30 mL
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
Biotin / Minoxidil Capsules
Oral biotin and minoxidil to support hair growth and scalp circulation. Daily capsules for hair regrowth.
Capsule
from $79/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.
Sources
- 1
Finasteride (Propecia) in androgenetic alopecia: a randomized, placebo-controlled study over five years.
J Am Acad Dermatol, 2002 - 2
Dutasteride versus finasteride for androgenetic alopecia: a randomized crossover study.
Dermatology, 2011
Dutasteride Capsulesfrom $79/mo