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- US-licensed pharmacy
- Ships in 3 to 5 days
Common questions
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.
- Made for women
- An option when finasteride is not
- Two oral mechanisms
- Compounded for you
Find the plan that fits you.
Answer three quick questions to match your priorities and budget. Get your recommendation and free hair treatment guide by text. No card to start.
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 after reviewing your required post-purchase intake.
Payment does not guarantee a prescription. Complete the required pharmacist intake after purchase.
What's included
- ✓Medication and supplies
- ✓Provider visit and unlimited follow-ups
- ✓Free expedited shipping
Pause, change, or cancel anytime from your account.
After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before your formula ships.
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.
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.
How to get it
Today
Take the quiz
Answer a few questions about your hair loss, health history, and goals.
Next
A provider reviews
A US-licensed provider reviews your intake and prescribes the compounded capsule if it is appropriate.
3 to 5 days
The pharmacy compounds and ships
A US-licensed 503A pharmacy compounds your minoxidil and spironolactone and ships it free in discreet packaging.
Ongoing
Take once daily
Take one capsule a day and message your care team anytime as your results build.
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
Other hair options
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.
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.