Hair
Minoxidil 1mg / Spironolactone 60mg
Your oral option when finasteride isn't.
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.
Purchase type
Save 10% today and on every refill. Auto-renews at your selected cadence, pause or cancel anytime.
Cadence
Strength set by your provider. They confirm the right strength and dose for you during your online visit.
Only available if prescribed after an online consultation with a licensed provider.
What's included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
Designed for women
Spironolactone blocks the androgen and mineralocorticoid receptors, a hair-loss pathway used in women who cannot take finasteride.
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.
From quiz to your door
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.
Take the quiz
Answer a few questions about your hair loss, health history, and goals.
A provider reviews
A US-licensed provider reviews your intake and prescribes the compounded capsule if it is appropriate.
The pharmacy compounds and ships
A US-licensed 503A pharmacy compounds your minoxidil and spironolactone and ships it free in discreet packaging.
Take once daily
Take one capsule a day and message your care team anytime as your results build.
About Minoxidil 1mg / Spironolactone 60mg
- 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
What the studies show
Minoxidil and spironolactone have each been studied in women with pattern hair loss. Here is what that research found.
Two different approaches
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 |
Your first months
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.
Start your capsule
Begin your once-daily dose after your provider confirms your prescription. Give your body time to adjust.
Shedding settles
Many women notice less shedding in this window. Keep taking it daily and message your care team with questions.
Density builds
Regrowth in female pattern hair loss tends to be gradual, filling in the midscalp and part line over time.
Peak and maintain
Results generally build over the first year and are maintained with continued daily use.
What members say
“Finasteride was off the table for me, so having an option built for women mattered. A provider went through my history before anything was prescribed.”
“My part line was widening and it finally stopped. By month eight there was real fill-in through the top.”
“One capsule instead of a separate pill and a topical was simpler for me. Pricing was upfront and the care team was easy to reach.”
Ratings and member reviews shown here are illustrative composites built from anonymized intake-to-outcome data; identifying details have been altered. Individual results vary. Compounded medications are not FDA-approved.
What to know about 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. If your provider decides this combination isn't clinically appropriate for you, you won't be charged for the medication.
Most common
- Menstrual irregularity or spotting
- Breast tenderness
- Increased urination
- Lightheadedness, especially when standing
Less common, talk to your provider
- Fluid retention or mild swelling
- Unwanted hair growth on the face or body from minoxidil
- Headache
Rare but serious, 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
Frequently asked questions
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.