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 lossCombinationDual action
Finasteride / Minoxidil Capsules
RxPrescription onlyTaken by mouth · Once a day · 1 mg / 2.5 mg · Hair loss · Combination · Dual action
Starting at $79/mo
Finasteride and minoxidil combined orally: DHT blocker plus a growth stimulant in one daily capsule. Stops loss and regrows hair faster than either alone.
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.
- Two mechanisms: blocks DHT and extends follicle growth phase
- Oral minoxidil reaches the scalp systemically
- One capsule daily; synergistic effect
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 the oral finasteride / minoxidil combination?
(DHT blocker + growth stimulant combination)
Finasteride blocks DHT; minoxidil widens blood vessels in the scalp and lengthens the hair-growth cycle. Combining them targets two different pathways, which is why many people respond better to the combination than to either drug alone. Minoxidil taken orally reaches the scalp through the bloodstream; doses are typically 2.5-5 mg daily.
- How it is taken
- Taken by mouth
- How often
- Once a day
- Dose range
- 1 mg / 2.5 mg
- Form
- Hair loss · Combination · Dual action
2.5×
more regrowth with finasteride + minoxidil versus finasteride alone in some studies
The combination is prescribed off-label based on mechanistic synergy and clinical experience. Oral minoxidil causes more systemic effects (hypertrichosis, fluid retention) than topical.
How it works,
week by week.
Week 1
Start at low dose (1-2.5 mg minoxidil). Your physician monitors blood pressure and overall tolerance.
Month 1-2
Initial shedding may occur (hair cycle reset). Body hair may begin to increase slightly. This is normal.
Month 2-4
Hair loss slows. New, fuller hair begins to grow. Body hair increase stabilizes.
Month 4-6+
Results become visible. Your physician adjusts dose or adds finasteride if needed. Maintenance is long-term.
What you may notice,
and when.
Hair regrowth
new, fuller hairs visible by month 3-4
Body hair increase
common and visible; usually reverses after stopping
Patience required
results peak at 6-12 months
Blood pressure checks
essential; minoxidil can lower BP
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
Oral 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.
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.
Randomized trials and observational studies show finasteride combined with minoxidil regrows more hair than either alone. The synergistic effect is well recognized by dermatologists.
Oral minoxidil can cause body hair growth and fluid retention in some people. Your physician weighs benefit against these side effects and monitors blood pressure.
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 / Minoxidil Capsules?
Taken by mouth, once a day. The starting prescription is 1 capsule (1 mg / 2.5 mg) each time. Your physician sets your own dose and it is printed on your label.
What exactly is in it?
Finasteride, Minoxidil.
How much arrives in each shipment?
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
Why take minoxidil orally instead of topically?
Oral minoxidil ensures consistent delivery and works well for people who cannot tolerate topical irritation or who forget daily scalp applications. Systemic side effects are more common, so your physician monitors you and adjusts dose carefully.
Why does oral minoxidil cause body hair growth?
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.
Can I combine oral and topical minoxidil?
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.
What if I feel dizzy or have chest tightness?
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.
Can I stay on minoxidil long-term?
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.
Finasteride / minoxidil combination 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.Oral minoxidil in androgenetic alopecia: a systematic review. J Eur Acad Dermatol Venereol, 2020
- 2.Hypertrichosis from oral minoxidil: incidence and management. Dermatol Ther, 2019
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.