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Hair loss treatment › Oral Minoxidil + Spironolactone for Women

Oral Minoxidil + Spironolactone from Rx.com Rx · prescription only
For women · Compounded

Oral Minoxidil + Spironolactone for Women

One daily capsule for thinning hair: one ingredient regrows, the other blocks the hormones that thin it.

  • Minoxidil 1 mg
  • Spironolactone 60 mg
  • Capsule

Daily capsule · minoxidil 1 mg + spironolactone 60 mg · 90-day supply

$139for a 3-month supply · $46.33/mo
Get Started
  • Online provider visit included
  • Free shipping
  • Billed only if prescribed
  • No auto-renewal
  • LegitScript certified
  • U.S.-licensed providers
  • Licensed U.S. pharmacy
  • Free 1-5 day shipping

What it treats

Made for pattern hair loss

Widening part

Widening part

More scalp showing along the part, the classic sign of female pattern hair loss.

Less volume

Less volume

Hair that feels thinner overall, including around menopause.

Gradual shedding

Gradual shedding

More hair in the brush or shower that has built up over months, not sudden or patchy loss.

What's in it

The formula

Minoxidil1 mg

Lengthens the growth phase of hair follicles and enlarges shrunken ones, for thicker, fuller hair.

Spironolactone60 mg

Blocks androgens (male-type hormones) at the follicle, which drive female pattern thinning.

Compounded for each patient by a licensed U.S. pharmacy. Not FDA-approved. Your provider decides whether it is right for you.

Is it right for you?

A good fit for

  • Women with a widening part or overall thinning
  • Women whose thinning came with hormonal changes, including after menopause
  • Anyone who would rather take a capsule than apply minoxidil twice a day

Not for

  • Pregnancy, trying to conceive or breastfeeding
  • Kidney disease, high potassium, or taking potassium supplements or certain blood pressure medicines
  • Sudden, patchy or scarring hair loss, which needs an in-person exam
Bathroom counter with a pill bottle, a spray bottle and a glass of water One capsule, once a day

How to use it

  1. Take one capsule a day at the same time each day.
  2. Use reliable contraception while taking it if you could become pregnant.
  3. Expect extra shedding for a few weeks after starting. It usually settles by month 2 or 3. Tell your provider about dizziness, swelling or irregular periods.

What to expect

  • Weeks 2-8

    The shed

    A temporary increase in shedding is common and usually means follicles are responding.

  • Months 3-6

    New growth

    Less shedding and fine new hairs, often first along the part.

  • Months 6-12

    Fuller hair

    More volume and coverage. Keep taking it to keep the results.

Start with Minoxidil + spironolactone (women) $139 for 3 months, visit included

The evidence

Spironolactone has been used off-label for female pattern hair loss for decades. It blocks the androgen effects that shrink follicles, and dermatology reviews support it as a treatment option for women.

Low-dose oral minoxidil is also prescribed off-label, with evidence from smaller studies and clinical experience rather than large FDA trials. Combining the two pairs a growth signal with a hormone blocker in one capsule.

What you pay

PlanPricePer month
3-month supply$139$46.33

Every price includes the online visit with a U.S.-licensed provider, the medication and shipping. There is no separate visit fee, no membership and no auto-renewal, and you are billed only if a provider prescribes it. Already have a prescription? Compare minoxidil coupon prices at pharmacies near you.

Important safety information

Rx.com's minoxidil capsules are compounded medications and are not FDA-approved; the FDA has not reviewed compounded drugs for safety, effectiveness or quality. Oral minoxidil can cause unwanted facial or body hair, fluid retention, swelling, a rapid heartbeat, chest pain and dizziness. Get medical care right away for chest pain, fainting, shortness of breath or sudden weight gain or swelling.

Minoxidil + spironolactone is for women and must not be used in pregnancy. Spironolactone can raise potassium, especially with kidney problems, potassium supplements, or ACE inhibitor or ARB blood pressure medicines. It can cause irregular periods, breast tenderness and dizziness.

FAQs

Is this for women only?
Yes. Spironolactone blocks male-type hormones and is not used for male pattern hair loss. Men usually take minoxidil with finasteride instead.
Can I take it while pregnant or breastfeeding?
No. Spironolactone must not be used in pregnancy, so women who could become pregnant need reliable contraception. Tell your provider if you are breastfeeding or trying to conceive.
What side effects can it cause?
Minoxidil can cause extra facial or body hair, ankle swelling, a fast heartbeat or dizziness. Spironolactone can cause irregular periods, breast tenderness, dizziness and higher potassium.
Is it FDA-approved?
No. It is compounded by a licensed U.S. pharmacy for each patient, and both ingredients are prescribed off-label for hair loss.
What does the price include?
The online visit with a U.S.-licensed provider, a 90-day supply and shipping, for $139. You pay once, only if a provider prescribes it. There is no membership and no auto-renewal.

Other hair loss treatments

FDA-approved generic (Propecia)

Rx.com Finasteride

Daily tablet, 1 mg · 3, 6 or 12 months

The most-studied hair loss pill. Blocks DHT, the hormone that shrinks hair follicles. $162 for 6 months or $269 for 12 months ($22.42/mo).

For men · compounded

Oral Minoxidil + Finasteride

Daily capsule · minoxidil 1 mg + finasteride 1.25 mg · 90-day supply

Two hair loss medicines in one daily capsule: finasteride lowers DHT to stop loss while low-dose minoxidil pushes follicles back into growth.

Compounded · no pill

Topical Finasteride + Minoxidil

Scalp liquid · finasteride 0.1% + minoxidil 6% · 90-day supply

Both hair loss medicines in one liquid you apply to the scalp, for people who would rather not take a pill.

Ready to get started?

A short online health questionnaire, a review by a U.S.-licensed provider, and Minoxidil + spironolactone (women) shipped to your door if it is right for you.

Get Started · $139

Prescription required. Medications are prescribed only when clinically appropriate after an evaluation by a licensed independent provider. Compounded medications are prepared by a licensed pharmacy for an individual patient and are not FDA-approved; the FDA has not evaluated them for safety, effectiveness or quality. Off-label means a medication is prescribed for a use not on its FDA label. Individual results vary.

Medical services: All clinical evaluations, treatment planning and prescribing decisions are made by licensed independent medical providers. Rx.com provides the technology platform, does not employ healthcare providers and does not practice medicine.

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