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Men/Explore care/Finasteride + Minoxidil Scalp Solution
Free lab panel at month 3Start by Jan 31
Finasteride and minoxidil scalp solution package

4.5 on Google

Finasteride + Minoxidil Scalp Solution

Topical Solution · 0.1% / 10%

Treat thinning where it starts: finasteride and minoxidil in one scalp solution, once a day.

$2.14/dayBilled $107 every 50 days

Start my $20 doctor visit

Medication is charged only if your clinician prescribes it.

Free lab panel with your treatment Start by Jan 31

Hair Check

Given at your 3-month mark as a progress check.

  • US clinicians
  • Licensed pharmacy
  • LegitScript
  • $20 review refunded
  • Free discreet shipping
  • Finasteride and minoxidil in one bottle
  • Applied straight to the scalp, once a day
  • Lower systemic exposure than a finasteride tablet

50-day supply

$2.14/day

Billed $107 every 50 days · Cancel anytime

  • Topical Solution · 0.1% / 10%
  • Free, discreet shipping
  • Prescribed only if appropriate

Start with a $20 clinician review

The review fee is refunded if you’re not prescribed. Medication is billed separately only if prescribed.

Start my $20 doctor visit

Prescribed only if appropriate. Compounded medications are not FDA-approved. Review the full terms in checkout.

What the research shows

20.2 vs 6.7

more hairs in the target area at 24 weeks, topical finasteride vs placebo (phase III, 458 men)

Source: Piraccini BM, et al. J Eur Acad Dermatol Venereol 2022;36(2):286-94
  • 100x lower

    peak finasteride blood level with the topical spray than with a 1 mg tablet, with similar hair-count gains

    Source: Piraccini BM, et al. J Eur Acad Dermatol Venereol 2022
  • 34.5% vs 55.6%

    fall in blood DHT with the topical spray vs the tablet, so less impact on the hormone outside the scalp

    Source: Piraccini BM, et al. J Eur Acad Dermatol Venereol 2022
  • 33 studies

    in a network meta-analysis: topical minoxidil 5% best among topicals, finasteride 1 mg best among oral options

    Source: Gupta AK, et al. J Cosmet Dermatol 2025;24(7):e70320

The finasteride figures come from one phase III trial of a 0.25% finasteride spray. Our solution is a different, compounded strength with minoxidil added, and was not studied in that trial; topical finasteride is not FDA approved. Individual results vary.

Topical finasteride: 20.2, Placebo: 6.7
20.2Topical finasteride
6.7Placebo

The Targeted Scalp Plan

Two proven hair-loss actives where you need them, in a one-step daily routine you control.

Everything included

  • Licensed clinician review

    A US-licensed clinician checks your history, including pregnancy status for finasteride, and prescribes only if the solution fits.

  • Your prescription, filled

    Finasteride 0.1% and minoxidil 10% scalp solution, compounded by a licensed US pharmacy, in a 50-day supply at 1 mL a day.

  • Free, discreet shipping

    Plain packaging to your door, 2 to 5 business days after approval.

  • Your care team on message

    Ask about irritation, shedding or side effects at any point, and your clinician can change your plan.

  • A 3 to 6 month progress check

    Hair is slow, so your clinician reviews how you are doing when results become visible.

Bonuses

  • Free lab panel at month 3

    Hair Check, as a progress check.

  • “What if I do not like putting something on my scalp every day?”

    Pill or solution, your clinician can switch you

    If the solution irritates your scalp or you prefer a tablet, your plan can change without starting over.

  • “Extra tests will cost more than the treatment.”

    No lab visit fee for treatment members

    If your clinician suggests labs such as iron or vitamin D, book a Quest visit without the usual visit fee.

  • “I am worried about finasteride side effects.”

    Lower finasteride exposure than a tablet

    In a phase III trial of a topical finasteride spray, blood levels were more than 100 times lower than on the tablet.

Finasteride and minoxidil scalp solution package

50-day supply

$2.14/day

Billed $107 every 50 days

  • Finasteride plus minoxidil scalp solution, from, plus the required Basic membership at an online clinic (source)$63/mo
  • Custom compounded finasteride and minoxidil, from, at another online hair clinic (source)$59/mo
  • Your plan, per month$53.50/mo
  • $20 review refunded if not prescribed
  • Cancel anytime

Free, discreet shipping

Start my $20 doctor visit

Start today: your clinician reviews within 24 hours, and your bottle ships 2 to 5 business days after approval.

Labs we cover

Hair Check

  • Ferritin
  • TSH

Start or transfer your treatment between Nov 1 and Jan 31 and get this panel free at your 3-month mark. Labs are a bonus, not needed to start treatment.

From quiz to your first bottle

Pattern hair loss starts when DHT, a stronger form of testosterone, tells follicles to shrink. Finasteride lowers DHT, and minoxidil widens the blood supply around the follicle and lengthens its growth phase. Putting both on the scalp aims the effect at the follicles that need it and keeps finasteride exposure lower than swallowing a tablet.

Apply once a day to a dry scalp. Spread it over the thinning areas, let it dry, then wash your hands.

  1. 1
    Step 1
    A man touching his hair in a sunlit courtyard

    Tell us about your hair

    Your pattern, what you have tried, your health history, and whether anyone at home could become pregnant.

  2. 2
    Step 2
    Messaging the care team from home

    A licensed clinician reviews it

    They confirm the solution is safe for you before prescribing. Reviewed within 24 hours.

  3. 3
    Step 3
    A South Asian man in his late 30s on a video visit with his clinician at home

    Your bottle ships from a US pharmacy

    If prescribed, your compounded solution ships free in discreet packaging in 2 to 5 business days.

  4. 4
    Step 4
    A smiling man in a cream linen shirt holding a coffee at a sunny café terrace in warm late-afternoon light.

    Apply once a day

    Spread 1 mL over the thinning areas, let it dry, then wash your hands. Check in with your clinician at 3 to 6 months.

A man in a peach t-shirt pouring tea at a bright home kitchen counter in soft morning light.

What to expect

  1. 01

    Week 1

    Some dryness or itching is common while your scalp adjusts. Message your team if it persists.

  2. 02

    Weeks 2 to 6

    A brief increase in shedding is expected and not a sign of failure.

  3. 03

    Months 3 to 6

    Shedding slows and hairs thicken. Your clinician checks progress.

  4. 04

    Months 6 to 12

    Visible regrowth typically shows. Keep applying daily, because benefits fade if you stop.

What makes it work better

Three things you can do alongside your treatment.

  1. A man in a terracotta shirt laughing as he walks along a sunlit olive-tree garden path.
    01

    Check the nutrients under your hair

    Low iron stores, vitamin D and zinc are linked to shedding. Our clinicians look for ferritin around 45 to 79 ng/mL and vitamin D around 50 to 90 ng/mL. Ask whether a blood test makes sense before you assume the solution is the only lever.

  2. Man talking with a friend on a park bench
    02

    Keep the scalp calm and the routine steady

    Poor sleep and high stress raise cortisol and inflammation. Seven to nine hours of sleep helps, and so does applying at the same time each day to a dry scalp so you never skip.

  3. A couple out cycling by the sea
    03

    Quiet the metabolic signal

    Insulin resistance lowers SHBG, which frees more androgen to act on follicles. Regular movement, fewer refined carbs and a steady weight keep that signal down while the solution works on DHT.

Solution, tablet or store-bought minoxidil

FeatureFin + minox solutionFinasteride tabletStore-bought minoxidil
Targets DHTYes, finasteride at the scalpYes, throughout the bodyNo
Finasteride in your bloodFar lower in trials of a topical sprayHighestNone
Minoxidil strength10%, prescription onlyNoneUp to 5% over the counter
Daily routineOne application, 1 mLOne tabletOnce or twice a day
Regulatory statusCompounded, not FDA approvedFDA approved at 1 mgFDA approved, over the counter

We also offer a daily tablet that combines finasteride, minoxidil and biotin.

Before you start

  • Keep the bottle away from a partner who is or may become pregnant, and wash your hands after every application.
  • Apply only to unbroken skin on a dry scalp. Let it dry before pillows, hats or contact.
  • Finasteride lowers PSA readings. Tell any doctor who screens your prostate.
  • Tell your clinician about heart conditions or blood pressure medicine, because minoxidil can reach the bloodstream.
  • The solution is compounded by a licensed US pharmacy and is not FDA approved. It is prescribed only if it is right for you.

How to take it

Apply 1 mL to the thinning areas of a dry scalp once a day, then wash your hands. A bottle lasts 50 days at that dose.

Side effects and safety

Finasteride is FDA approved for male pattern hair loss as a 1 mg tablet, and minoxidil is approved for hair regrowth as a topical solution. This combined scalp solution is compounded, so the combination itself has not been reviewed by the FDA.

Tell your care team straight away if you get depression or thoughts of harming yourself, breast lumps or pain or discharge, sexual side effects that persist, a rash or swelling, or a pregnant partner handled the solution.

Common side effects

  • scalp irritation
  • scalp redness
  • itching
  • a change in hair color or texture
  • unwanted facial hair growth where the solution spreads

Rare but serious

  • depression and suicidal thoughts, reported with finasteride
  • reduced libido, erectile dysfunction or ejaculation problems, which can persist
  • chest pain, a fast heartbeat, faintness or dizziness, reported with minoxidil
  • fluid retention with sudden weight gain or swollen hands and feet
  • a lower PSA reading, which can hide a prostate cancer

Do not take this if you are pregnant or may become pregnant, or your scalp is broken, inflamed or infected.

This is not a complete list of side effects. Message your care team about any symptom that worries you. What we dispense is a compounded preparation made by a licensed US pharmacy. Compounded medications are not approved by the FDA for safety, efficacy or quality.

Your questions, answered.

A South Asian woman in her early 50s with a silver streak in her hair reading a message from her care team
Is topical finasteride safer than the tablet for sexual side effects?+

Blood levels are far lower, and in one phase III trial treatment-related sexual side effects were 2.8% with topical finasteride, 3.3% with placebo and 4.8% with the tablet. That does not mean zero risk. Our solution is a different strength from the trial spray, and sexual side effects have been reported with topical finasteride. Tell your clinician if anything changes; they can stop or adjust.

Does adding finasteride to minoxidil actually help?+

A meta-analysis of five randomized trials found finasteride plus topical minoxidil gave better photographic ratings than minoxidil alone. A small 12-week trial of topical finasteride 0.1% plus 5% minoxidil found no difference from minoxidil alone, so results vary and longer follow-up matters. Your clinician will talk you through the trade-offs.

How long before I see results?+

Shedding usually slows first, often within three months. Visible regrowth typically takes six to twelve months. Judging results before six months tends to mislead. A brief increase in shedding in the first weeks is common and not a sign of failure.

Will 10% minoxidil irritate my scalp?+

Some people notice dryness, redness or itching, and this solution has a higher minoxidil strength than the 5% sold over the counter. Apply to a dry scalp, avoid broken skin, and message your care team if irritation persists. Minoxidil can also grow hair where it spreads, such as the forehead.

Can my partner or family touch it?+

Women who are or may become pregnant should not handle finasteride in any form. Wash your hands after applying, let the solution dry before contact, and store the bottle away from others.

Do I need blood tests?+

Not to start. Finasteride lowers PSA, so tell any doctor who screens your prostate that you use it. If your clinician suggests checking iron or vitamin D, you can book a draw through us and see the results in your Vault.

What happens if I stop?+

Hair maintained by treatment is generally lost over the following months. Treat it as a routine rather than a short course.

The Targeted Scalp Plan

  • Reviewed by a US-licensed clinician, and prescribed only if it suits you
  • Filled by a licensed US pharmacy
  • Free, discreet shipping to your door
  • LegitScript certified, and rated 4.5 on Google

50-day supply · $2.14/day · Billed $107 every 50 days

Start my $20 doctor visit
  • $20 review refunded if not prescribed
  • Cancel anytime
  • Free, discreet shipping
A white man in his early 50s with a salt-and-pepper beard opening a plain delivery box at home while talking with his clinician

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Prescription products require an online consultation with a licensed clinician who will determine if a prescription is appropriate. Individual results vary. Not for use in a medical emergency. © Vitals Vault

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$2.14/day

Billed $107 every 50 days

Start $20 visit