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 lossTopicalMulti-ingredient
Five-ingredient topical solution: finasteride, minoxidil, tretinoin, caffeine and azelaic acid for comprehensive hair-loss and scalp-health support.
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.
(comprehensive topical cocktail)
This solution layers five ingredients: finasteride blocks DHT, minoxidil extends growth phase, tretinoin increases minoxidil activation, caffeine stimulates follicles, and azelaic acid supports scalp health and reduces inflammation. The combination targets multiple pathways, making it a comprehensive choice for aggressive hair loss or plateau response to single agents.
Five
complementary mechanisms in one topical application
The 5-in-1 formulation is prescribed off-label based on the evidence for individual ingredients and clinical synergy reasoning. Scalp irritation is more likely with this potent combination.
Men and women who want one liquid with five actives.
Minoxidil and finasteride with latanoprost, caffeine and tretinoin.
Because it contains finasteride, it is not for women who are or could become pregnant.
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
Tretinoin enhances minoxidil activation; caffeine has shown modest follicle-stimulating effects; azelaic acid combats scalp inflammation. Finasteride and minoxidil are separately proven.
Scalp irritation, redness, or peeling can occur, especially in the first weeks. Your physician advises gradual introduction (three times weekly initially, increasing to daily) and monitoring for sensitivity.
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.

5-in-1 hair-growth 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.
Caffeine 0.1%, Finasteride 0.1%, Latanoprost 0.01%, Minoxidil 5%, Tretinoin 0.01%.
1 bottle at the starting strength, shipped to your door from a licensed US pharmacy.
Potentially, but irritation risk is higher. Your physician may start you on finasteride / minoxidil alone and add the 5-in-1 if response plateaus. Some people tolerate the full cocktail from day one; others need a gentler ramp-up.
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, 2020Hair Growth Solution 5-in-1from $129/mo