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 blockerOral
Finasteride: blocks the hormone that shrinks hair follicles in male and female pattern hair loss. Oral capsule, once daily. Proven effective; requires understanding of sexual side effects.
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.
(DHT-blocking enzyme inhibitor)
Finasteride blocks 5-alpha-reductase, the enzyme that converts testosterone into DHT. In pattern hair loss, DHT shrinks follicles over time. Blocking DHT halts that shrinkage and often regrows some hair. It is taken as a once-daily capsule. Effects take 3-6 months to show and continue improving for 12-24 months.
90%
of men on finasteride had visible hair growth or no further loss at five years, versus 25% on placebo
This is from the landmark 5-year trial. Results vary; some regrow noticeably, others stabilize loss. Women also respond, though off-label.
Men who want a half dose of finasteride.
0.5 mg, half the standard tablet, for men worried about side effects.
Half the dose keeps most of the effect on DHT.
results take 6-12 months; peak at 2 years
hair loss stops before new growth appears
1-3% experience them; usually reversible
monitor prostate health; discuss any sexual concerns
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.
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
In a large randomized trial over five years, finasteride stopped progression or regrew hair in 90% of men, compared to 25% on placebo. Histology showed enlarged, longer follicles.
Sexual side effects (lower desire, difficulty with erections) occur in 1-2% and usually reverse after stopping. Mood changes are rare. Your physician discusses these before prescribing.
Learn moreFinasteride 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.

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.

Finasteride 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 (0.5 mg) each time. Your physician sets your own dose and it is printed on your label.
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
Most people notice stopping hair loss within 3-6 months. Hair growth takes longer, usually 6-12 months. Keep using it; the benefit peaks around two years. If no response after 12 months, your physician may increase dose or try another agent.
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.
No. They block overlapping pathways. Your physician chooses one based on your response. If one plateaus, you may switch to the other.
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.
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.
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.
Finasteride (Propecia) in androgenetic alopecia: a randomized, placebo-controlled study over five years.
J Am Acad Dermatol, 2002Dutasteride versus finasteride for androgenetic alopecia: a randomized crossover study.
Dermatology, 2011Finasteride Capsulesfrom $69/mo