Designed for women
Spironolactone blocks the androgen and mineralocorticoid receptors, a hair-loss pathway used in women who cannot take finasteride.
- 90ct (3-month supply)Supply
- Provider reviewedBefore anything ships
- Free shippingPlain, unmarked box
The people pictured are models, not patients.
RxHair
Minoxidil 1mg / Spironolactone 60mg
Your oral option when finasteride isn't.
40,000+ products sold · LegitScript certified
An oral combination of low-dose minoxidil and spironolactone, compounded specifically as a hair-loss option for women who can't take finasteride. Your provider reviews your file and confirms it's clinically appropriate for you.
- Made for women
- An option when finasteride is not
- Two oral mechanisms
- Compounded for you
What's Included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
How Would You Like To Pay?
Choose Your Plan
3-Month Plan
$105- $105 Billed Today
- Then $105 Every 3 Months
- Cancel Anytime
Or pay with
$105 billed today, then every 3 months until canceled.
Not prescribed? Full refund.
After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before your formula ships.
Full refund if not prescribed Free, discreet shipping Cancel anytime
Order today and here is what happens next
- TodayChoose a plan, then a short online intake
- Within about 24 hoursA US-licensed provider reviews your request
- Ships in 3 to 5 daysEstimated ship date, if prescribed
- Full refund
- If a provider does not prescribe it
- Licensed clinicians
- An independent US-licensed clinician reviews every request
- US-licensed pharmacy
- Prepares and ships your prescription
- Discreet delivery
- Plain, unmarked packaging
Common questions
What hair-loss options exist for women?
Oral minoxidil combined with spironolactone is one option, compounded specifically because finasteride, the most common DHT-blocker, is contraindicated in anyone who is or could become pregnant. A 2023 review found meaningful improvement in just over half of women taking spironolactone alone. Your provider can walk you through which option fits your file.
Is oral minoxidil different from the topical version?
Yes. Oral minoxidil works systemically through the bloodstream rather than locally on the scalp, which is why this formulation uses a low 1mg dose to help limit systemic side effects like low blood pressure or fluid retention. Both forms extend the hair growth phase; they just reach the follicle differently.
Does spironolactone cause weight gain?
Weight gain isn't part of spironolactone's documented side-effect profile in the available evidence. What is documented: elevated potassium, irregular periods, and breast tenderness from spironolactone, plus fluid retention from the minoxidil component, which some people notice as temporary puffiness. Your provider monitors for these during treatment.
LegitScript certifiedCert. 50087439- US-licensed pharmacyPrepares every prescription
- Independent cliniciansUS-licensed, in your state
- 40,000+Products sold
- All 50 statesFree, discreet shipping
- No insurance requiredOne price, shown up front
Morning routine
Your oral option when finasteride isn't.
- 01Made for women
- 02An option when finasteride is not
- 03Two oral mechanisms
- 04Compounded for you
The people pictured are models, not patients.
Why Minoxidil 1mg / Spironolactone 60mg
Two oral mechanisms
Low-dose minoxidil supports the growth phase from within while spironolactone blocks androgen activity, combined in one capsule.
Low-dose minoxidil
At 1 mg, the minoxidil dose is kept low, intended to limit the systemic effects seen at higher oral doses.
A provider reviews your file
A US-licensed provider confirms the formula is appropriate for you before it ships. Real pricing, shown up front.
How we compare
Minoxidil 1mg / Spironolactone 60mg, without the waiting room.
HealthRX.comTypical in-person visit
Start online, no appointment or waiting roomBook, travel and wait
A US-licensed clinician reviews your history
Price shown before you startDepends on the visit and insurance
No insurance requiredOften billed through insurance
Delivered to your door in a plain boxPick up at the pharmacy
Full refund if you are not prescribedVisit fees usually apply either way
Understand your treatment
A different combination for hair-loss care.
This oral formula pairs minoxidil 1 mg with spironolactone 60 mg. Minoxidil is associated with the growth phase of the hair cycle. Spironolactone has antiandrogen activity, making this a different combination from minoxidil with finasteride. The useful distinction is which hormonal pathway the second ingredient addresses, alongside the oral format. Hair-loss patterns and the ingredients in an existing routine help frame that comparison.
A closer look
A different combination for hair-loss care.
Minoxidil 1 mg
Spironolactone 60 mg
Oral formula
Make a more informed choice
Spironolactone blend vs. finasteride blend
The minoxidil ingredient appears in both, but the accompanying ingredient differs. Spironolactone and finasteride are not the same drug class, so the blend name and exact strengths matter.
HealthRX.com verified facts
Minoxidil 1mg / Spironolactone 60mg online: price and access
Minoxidil 1mg / Spironolactone 60mg starts at $35 per month on 3-month plan; the lowest checkout charge is $105 (billed every 3 months). A prescription is never guaranteed. A licensed provider reviews each request before a pharmacy can dispense treatment.
Catalog verified August 26, 2026. Source: HealthRX.com checkout catalog and refund policy. Monthly equivalent divides the discounted plan charge by the number of months; checkout may collect a multi-month total.
A straightforward path to care
Select your plan
Choose your treatment options and complete secure checkout. Then complete the online health intake.
Provider review
A licensed physician (MD) reviews your completed intake and prescribes the compounded capsule if it is appropriate.
Ships to your door
A US-licensed 503A pharmacy compounds your minoxidil and spironolactone and ships it free in discreet packaging.
Ongoing support
Take one capsule a day and message your care team anytime as your results build.
- Provider review
- An independent US-licensed clinician reviews every request.
- Free, discreet shipping
- Filled by a US-licensed pharmacy and shipped in discreet packaging.
- Not prescribed?
- You get a full refund for the medication.
About Minoxidil 1mg / Spironolactone 60mg
Minoxidil, in this formulation dosed at just 1mg, works systemically to widen blood vessels and extend the growth phase of the hair cycle. Spironolactone works differently: it blocks androgen receptors and a mineralocorticoid receptor, which reduces how much DHT can bind at the follicle and lowers scalp oil production. Neither is FDA-approved specifically for hair loss, and this is an off-label, compounded use of both. It's often used in women, since finasteride, the more familiar DHT-blocker, is contraindicated in anyone who is or could become pregnant.
- A viable oral hair-loss option for women, since finasteride isn't safe in pregnancy-capable patients
- Dual mechanism: systemic minoxidil plus an androgen and mineralocorticoid blocker in spironolactone
- A 2023 review found improvement in just over half of women taking spironolactone alone
- Low-dose 1mg minoxidil, intended to limit systemic side effects compared with higher oral doses
Spironolactone blocks androgens
It reduces the androgen activity that drives female pattern thinning.
Minoxidil extends growth
Low-dose oral minoxidil supports blood flow and a longer active growth phase.
Follicles stay active
Less androgen pressure and more growth-phase support work on the same follicles.
An androgen blocker and a growth-phase support in one daily capsule.
What the research shows
Minoxidil and spironolactone have each been studied in women with pattern hair loss. Here is what that research found.
88%
In a study of 80 women on oral antiandrogen therapy, including spironolactone, 88 percent had no further progression of hair loss or saw regrowth over at least a year.
Sinclair et al., Br J Dermatol 2005
634 patients
A review of 17 studies and 634 patients found low-dose oral minoxidil an effective, well-tolerated option for people who struggle with topical treatment.
Randolph & Tosti, J Am Acad Dermatol 2021
Minoxidil + spironolactone or Spironolactone alone
Combination vs one agent alone
| Minoxidil + spironolactone | Spironolactone alone | |
|---|---|---|
| Mechanisms | Two, androgen blockade plus growth support | One, androgen blockade |
| Growth-phase support | Yes, low-dose minoxidil | No |
| Route | One oral capsule daily | One oral tablet daily |
| Suitable when finasteride is not an option | Yes | Yes |
| Monitoring | Provider-reviewed | Provider-reviewed |
| Best for | Women who want both mechanisms in one capsule | Women starting with an androgen blocker only |
What to expect
Most people notice visible change between eight and twelve weeks, with results continuing to build toward a peak around twelve to eighteen months. A 2023 review found improvement in 56.6 percent of women on spironolactone alone, rising to 65.8 percent when combined with minoxidil, though neither drug carries an FDA hair-loss approval and controlled trial data remain limited. Minoxidil's documented effects include low blood pressure, fluid retention, a faster heartbeat, unwanted hair growth elsewhere on the body, and temporary shedding; spironolactone's documented effects include elevated potassium, irregular periods, and breast tenderness.
Weeks 1 to 4
Start your capsule
Begin your once-daily dose after your provider confirms your prescription. Give your body time to adjust.
Months 3 to 4
Shedding settles
Many women notice less shedding in this window. Keep taking it daily and message your care team with questions.
Months 6 to 9
Density builds
Regrowth in female pattern hair loss tends to be gradual, filling in the midscalp and part line over time.
Months 12 and beyond
Peak and maintain
Results generally build over the first year and are maintained with continued daily use.
Safety and side effects
This product is compounded by a licensed pharmacy and is not FDA-approved. It has not undergone FDA review for safety or efficacy. It's absolutely contraindicated during pregnancy or breastfeeding, and in anyone with active cancer. Because spironolactone can raise potassium levels, your provider monitors potassium and kidney function with periodic blood tests, and will ask about low blood pressure, heart conditions, and any ACE inhibitor or ARB medications you take, since those combinations need extra caution.
Common
- Menstrual irregularity or spotting
- Breast tenderness
- Increased urination
- Lightheadedness, especially when standing
Less common
- Fluid retention or mild swelling
- Unwanted hair growth on the face or body from minoxidil
- Headache
Seek care
- High potassium, which can cause muscle weakness or an irregular heartbeat
- Signs of an allergic reaction such as swelling of the lips, tongue, or throat
This is not a complete list of side effects. This formula is compounded by a US-licensed pharmacy and is intended for women. Spironolactone can harm a developing male fetus, so it must not be used in pregnancy. Because spironolactone affects potassium, tell your provider about kidney conditions and any blood pressure or potassium medications before starting.
Frequently asked questions
Will I need blood tests while taking spironolactone?
Yes. Because spironolactone can raise potassium levels, your provider checks potassium and kidney function periodically while you're on this combination. This monitoring is part of why the prescription requires an online visit rather than an over-the-counter purchase, and it continues for as long as you're taking it.
Other hair options
Add to your daily routine.
No prescription needed. Dietary supplements to keep alongside your hair care routine, sold separately from prescription treatment. Ask your provider before adding one to your routine.
Dietary supplements, not medications. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.
Approval is never automatic.
An independent US-licensed clinician reviews every request. If they decide the treatment is not right for you, you get a full refund for the medication.
Choose a planNo insurance required
Prescriptions are filled by a US-licensed pharmacy and shipped free, in discreet packaging, on every plan.
LegitScript-certified · Cert 50087439
Compounded medications are prepared by a US-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. Products are dispensed only after a licensed provider determines they are appropriate. Information here is educational and is not a substitute for medical advice.