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 lossGrowth stimulantOral
Oral minoxidil: stimulates scalp blood flow and extends hair-growth cycle. Taken daily at low dose. Often used with finasteride for stronger results.
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.
(potassium channel opener; vasodilator)
Minoxidil tablets are taken orally in doses of 1-5 mg daily. It is a potassium channel opener that dilates blood vessels in the scalp, improving nutrient delivery to follicles, and lengthens the active growth phase of hair. Oral minoxidil reaches the scalp through systemic circulation, making it useful for people who cannot tolerate topical application or prefer a simple pill.
45%
more hair regrowth at 5% topical minoxidil versus 2%, extending to oral at equivalent doses
Oral minoxidil can cause body hair growth (hypertrichosis) and fluid retention. Blood pressure monitoring is important.
Men and women who cannot keep up with a daily topical.
Minoxidil by mouth at a low dose. Off-label for hair.
Tell your physician about a racing heart or swollen ankles.
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
In randomized trials, oral minoxidil regrew hair at rates comparable to 5% topical minoxidil. It is well tolerated at low doses (1-2.5 mg daily).
Common side effects include increased body hair and occasional fluid retention or weight gain. Your physician monitors blood pressure and adjusts dose if needed.
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.

Minoxidil tablet 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 tablet (2.5 mg) each time. Your physician sets your own dose and it is printed on your label.
30 tablets at the starting strength, shipped to your door from a licensed US pharmacy.
Usually 1-2.5 mg once daily. Your physician may increase gradually to 5 mg based on response and side effects. It takes 3-6 months to see hair regrowth; give it time before judging effectiveness.
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.
Yes, as long as you tolerate it and your physician monitors blood pressure and fluid retention. Hair loss resumes if you stop, usually within 3-6 months, so long-term use is common.
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.
Oral minoxidil in androgenetic alopecia: a systematic review.
J Eur Acad Dermatol Venereol, 2020Hypertrichosis from oral minoxidil: incidence and management.
Dermatol Ther, 2019Minoxidil Tabletsfrom $59/mo