Foam
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.
Starting at $89/mo
Hair lossDHT blockerOral
Finasteride Capsules
RxPrescription onlyTaken by mouth · Once a day · 0.5 mg · Hair loss · DHT blocker · Oral
Starting at $79/mo
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.
How many capsules per month?
MonthlyEvery 3 months
30 capsulesper month
You'll receive 30 capsules per month. $99 billed monthly. Cancel anytime.
Real prices from our pharmacy. Longer plans cost less per month and are billed up front. Pause or cancel anytime.
- Stops or slows hair loss by blocking DHT
- Regrows some hair in most users over 6-12 months
- Simple once-daily capsule; you can stop anytime
Every plan includes
- Personalized, physician-guided plan
- 30 capsules per month, monthly and 3-month
- 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
- Physician-guided care
- Ongoing, expert support
- 100% online
- Free, discreet shipping
What is finasteride?
(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.
- How it is taken
- Taken by mouth
- How often
- Once a day
- Dose range
- 0.5 mg
- Form
- Hair loss · DHT blocker · Oral
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.
How it works,
week by week.
Day 1
Your physician reviews your hair-loss pattern, health history, medications, and sexuality. Discusses how DHT blockers work and the realistic timeline.
Month 1-3
Start once daily. Many notice shedding may increase slightly at first (hair cycle shift), then stabilize. This is normal and temporary.
Month 3-6
Hair loss slows or stops for most people. Regrowth takes longer. Keep a photo record to track subtle changes.
Month 6-12+
New hair begins to show. Results peak around 12-24 months. Your physician checks in every 6 months; you can stop anytime.
What you may notice,
and when.
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
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.
Safety first:
what to know before you start.
Important 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.
The research behind
finasteride.
Finasteride blocks the enzyme that turns testosterone into DHT. It has placebo-controlled trials in men with male pattern hair loss, mostly up to two years, plus open follow-up studies up to five years.
- Five years93% less likely
Pooled from two Phase III trials of 1 mg a day in 1,553 men with androgenetic alopecia. Over five years, further visible hair loss was 93% less likely than with placebo (95% CI 89 to 97%).
Kaufman et al., Eur J Dermatol 2008;18(4):400-6 - Japan, five years99.4% improved
Open series of 801 Japanese men on 1 mg a day, judged by photographs. 99.4% improved on the modified global photographic assessment. Starting at 40 or older and a more advanced Norwood stage predicted a weaker response. There was no placebo arm.
Yoshitake et al., J Dermatol 2015;42(7):735-8 - Sexual effects71 men
A 2011 series of 71 men aged 21 to 46 who reported sexual side effects that lasted at least three months after stopping. Most reported low libido, erectile dysfunction and reduced arousal. The men were self-selected, so this shows the risk exists, not how common it is.
Irwig and Kolukula, J Sex Med 2011;8(6):1747-53
What the studies found
- Makes further visible hair loss 93% less likely over five years than placebo in 1,553 men (Kaufman et al., Eur J Dermatol 2008).
- Increased hair growth against placebo in all scalp regions at 24 months, in men aged 18 to 60 (Kaufman et al., J Am Acad Dermatol 2012).
- Over five years in 801 Japanese men, 99.4% improved on photographic assessment, without a placebo arm (Yoshitake et al., J Dermatol 2015).
- In the dose-ranging trials, 1 mg a day matched 5 mg and beat 0.2 mg and lower; 0.01 mg matched placebo (Roberts et al., J Am Acad Dermatol 1999).
Trial results are for finasteride 1 mg a day by mouth, and are averages across men, not predictions for one man. The catalog's 0.5 mg capsule and 1 mg tablet are the pharmacy's versions; the combined capsule with minoxidil has not been tested in these trials. Compounded versions were not studied.
What this does not say
- Benefit in these trials is measured as less loss or more hair against placebo, and it reverses when treatment stops.
- Sexual side effects are reported as a slightly higher rate than placebo in trials, but a small self-selected series describes effects that persisted after stopping; this should be discussed before starting.
- We found no placebo-controlled finasteride trial longer than two years; the five-year and Japanese figures come from open or pooled follow-up.
The research
behind it.
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.
Hair loss medicines:
what the trials showFinasteride, dutasteride and minoxidil: the numbers, the time course and what the trials do not cover.Read the researchFinasteride side effects:
what the data sayTrial rates, the nocebo question, persistence after stopping, and who should not take it.Read the research
what the trials showFinasteride, dutasteride and minoxidil: the numbers, the time course and what the trials do not cover.Read the researchFinasteride side effects:
what the data sayTrial rates, the nocebo question, persistence after stopping, and who should not take it.Read the research
Getting started
takes a few minutes.
- 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.
Frequently asked questions
Contact supportHow do I take Finasteride Capsules?
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.
How much arrives in each shipment?
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
When will I see results?
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.
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.
Finasteride educational content reviewed by our physician
Scott Nass, MD Doctor 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.
More options
in this area.
Foam
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.
Starting at $89/mo
Foam
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.
Starting at $99/mo
Capsule
Biotin / Minoxidil Capsules
Oral biotin and minoxidil to support hair growth and scalp circulation. Daily capsules for hair regrowth.
30 capsules per month
Starting at $89/mo
References
- 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
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.