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
Applied to the scalp · Once a day
Hair lossTopicalDual DHT inhibition
Topical dutasteride and minoxidil: stronger DHT suppression than finasteride/minoxidil, applied to the scalp with minimal systemic exposure.
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.
(dual DHT inhibitor + vasodilator solution)
Dutasteride blocks both Type I and Type II 5-alpha-reductase; topical application delivers this stronger DHT suppression to the scalp with minimal blood absorption. Combined with topical minoxidil, this solution offers more complete DHT blockade and growth stimulation for people who plateau on finasteride-based regimens.
Dual
DHT-blocking pathways in topical form; low systemic exposure
Topical dutasteride blood levels are negligible. The combination is prescribed off-label for people who need stronger local DHT suppression.
Men who want the strongest topical formula and want to avoid pills.
Four actives on the scalp: dutasteride, minoxidil, latanoprost and tretinoin.
Apply to a dry scalp at night and wash your hands. Keep it away from pregnant women.
topical delivery keeps side effects local
new hairs visible by month 2-3
usually mild; subsides with continued use
daily use essential for results
Week 1
Apply to clean, dry scalp using the provided applicator. Many people start with once daily. Your physician monitors for irritation.
1Week 2–4
Scalp may shed slightly as the hair cycle resets. Do not be alarmed; this is normal and temporary.
2Month 1–3
Hair loss slows noticeably. New hairs begin to grow. Irritation typically subsides.
3Month 3–6+
Results become visible. Your physician may increase frequency or add systemic agents if needed. Maintenance is ongoing.
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
Topical dutasteride delivers more complete DHT suppression to the scalp than topical finasteride while avoiding systemic side effects. Combined with minoxidil, it targets follicle miniaturization from two angles.
Scalp irritation, itching, or contact dermatitis can occur. Your physician advises scalp care and monitoring. The solution should be applied to dry skin only.
Learn moreTopical finasteride, dutasteride, minoxidil, tretinoin and related ingredients are applied to the scalp and minimally absorbed systemically. Local side effects include irritation, itching, contact dermatitis, and occasional hair shedding at initiation (normal hair-cycle reset). Tretinoin increases sun sensitivity, so daily sunscreen is recommended. Do not apply to broken skin or use if pregnant or breastfeeding. Wash hands after application unless treating hands. Tell your physician about any allergies to propylene glycol or other solution components, or history of sensitive scalp. Stop and seek care for severe redness, blistering, 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.

Topical dutasteride / minoxidil solution 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.
Applied to the scalp, once a day, at bedtime. The starting prescription is 1 mL each time. Your physician sets your own dose and it is printed on your label.
Thinning areas of the scalp.
Dutasteride 0.005%, Latanoprost 0.5%, Minoxidil 6%, Tretinoin 0.025%.
1 bottle at the starting strength, shipped to your door from a licensed US pharmacy.
If topical finasteride/minoxidil plateaus or you prefer stronger DHT suppression, your physician may trial topical dutasteride/minoxidil. Both are prescribed off-label; choice depends on response history and risk tolerance.
Water and moisture dilute the solution, reducing its effectiveness and increasing irritation. Dry scalp ensures full-strength contact and optimal absorption.
Limit concurrent products. Regular shampoo is fine, but avoid other medicated scalp treatments, oils, or leave-in conditioners without your physician's approval, as they may interact.
Hair loss typically slows within 4-8 weeks. New growth becomes visible around month 2-3. Peak results occur at 6-12 months. Patience is essential.
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
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.
Topical minoxidil and finasteride in androgenetic alopecia: efficacy and safety.
J Clin Aesthet Dermatol, 2019Tretinoin enhancement of minoxidil response in female pattern hair loss: a systematic review.
Dermatol Ther, 2020Dutasteride / Minoxidil Solutionfrom $129/mo