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 lossGrowth stimulantOral
Minoxidil Tablets
RxPrescription onlyTaken by mouth · Once a day · 2.5 mg · Hair loss · Growth stimulant · Oral
Starting at $69/mo
Oral minoxidil: stimulates scalp blood flow and extends hair-growth cycle. Taken daily at low dose. Often used with finasteride for stronger results.
How many tablets per month?
MonthlyEvery 3 months
30 tabletsper month
You'll receive 30 tablets per month. $89 billed monthly. Cancel anytime.
Real prices from our pharmacy. Longer plans cost less per month and are billed up front. Pause or cancel anytime.
- Proven to regrow hair in randomized trials
- Works through scalp vasodilation and growth-phase extension
- Once-daily tablet; lower cost than foams
Every plan includes
- Personalized, physician-guided plan
- 30 tablets 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 minoxidil tablets?
(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.
- How it is taken
- Taken by mouth
- How often
- Once a day
- Dose range
- 2.5 mg
- Form
- Hair loss · Growth stimulant · Oral
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.
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
oral minoxidil.
Oral minoxidil is a blood pressure medicine used off-label at low doses for hair loss. The evidence is small trials, retrospective series and pooled single-arm data, not large placebo-controlled studies.
- Review17 studies, 634 patients
A review of oral minoxidil as the main hair-loss treatment, mostly at low doses. Androgenetic alopecia was the most studied condition. The authors concluded it was effective and well tolerated for healthy patients who struggle with topical products.
Randolph and Tosti, J Am Acad Dermatol 2021;84(3):737-46 - Safety1,404 patients
Retrospective multicenter study of patients on low-dose oral minoxidil for at least 3 months; 67.2% women, mean age 43. Hypertrichosis was the most common effect (15.1%). Systemic effects: lightheadedness 1.7%, fluid retention 1.3%, tachycardia 0.9%. 1.2% stopped for systemic effects. No life-threatening events. No control group.
Vañó-Galván et al., J Am Acad Dermatol 2021;84(6):1644-51 - Biotin18 case reports
Review of biotin for hair and nails. In all 18 reported cases, the patient had an underlying biotin deficiency or disease, and all improved. The authors say evidence in healthy people is lacking.
Patel, Swink and Castelo-Soccio, Skin Appendage Disord 2017;3(3):166-9
What the studies found
- Effective and well tolerated in healthy people who struggle with topical minoxidil, in 17 studies with 634 patients (Randolph and Tosti, J Am Acad Dermatol 2021).
- Pooled across 27 studies and 2,933 patients: 35% had significant symptom improvement and 47% some improvement; no control group (Liu et al., Front Pharmacol 2025).
- In a 2024 randomized trial, oral 5 mg daily was superior to topical 5% on vertex photographs (24%, 95% CI 0 to 48, P=.04), but not on other measures (Oral vs topical minoxidil, JAMA Dermatol 2024).
Trial and series results are for minoxidil at low doses taken by mouth. The catalog products are the pharmacy's versions of the same drug; the biotin combination has no trial of its own, and compounded versions were not studied. Oral minoxidil is off-label for hair loss.
What this does not say
- Side effects include hypertrichosis, fluid retention, fast heart rate and lightheadedness; the reviews also list rare serious skin reactions.
- The biotin in the combination capsule is not shown to add hair benefit in people without a deficiency.
- Most data are small or open series; the 2024 randomized trial below is the only head-to-head with topical minoxidil we found.
The research
behind it.
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.
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 Minoxidil Tablets?
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.
How much arrives in each shipment?
30 tablets at the starting strength, shipped to your door from a licensed US pharmacy.
What is the starting dose of minoxidil tablets?
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.
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.
Minoxidil tablet 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.