Hair Restoration
Prescription hair formulas for men and women
Hair loss has several causes: pattern baldness (androgenetic alopecia), autoimmune loss (alopecia areata) and shedding after stress or hormonal change (telogen effluvium). Your prescriber works out which one you have. We compound the formula they write, often several prescription ingredients in one bottle at the strengths they choose.
Compounding lets your prescriber choose the strength, combine several ingredients in one solution, or use a topical instead of a pill.
Men's Topical Formulas
Men's topical formulas can combine a 5-alpha reductase inhibitor (finasteride or dutasteride) with minoxidil. Tretinoin or azelaic acid may be added when your prescriber orders them.
Your prescriber and pharmacist give directions with the prescription. Responses vary; ask your prescriber what to expect.
Topical Finasteride & Minoxidil Spray
Active Ingredients:
Minoxidil and finasteride in one topical spray, compounded to the prescriber's order.
Available Forms:
Minoxidil + Dutasteride Scalp Serum
Active Ingredients:
Minoxidil, dutasteride, tretinoin and azelaic acid in one scalp serum, compounded to the prescriber's order.
Available Forms:
Ketoconazole Rx Shampoo
Active Ingredients:
Ketoconazole antifungal shampoo, compounded to the prescriber's order.
Available Forms:
Men's Oral Formulas
Oral options include low-dose minoxidil and dutasteride, often used off-label. Your prescriber decides whether a pill, a topical or both fit you, and tracks side effects at follow-up visits.
Oral Minoxidil Tablets
Active Ingredients:
Low-dose oral minoxidil, compounded to the prescriber's order (off-label for hair loss).
Available Forms:
Dutasteride Capsules
Active Ingredients:
5-alpha reductase inhibitor, compounded to the prescriber's order (off-label for hair loss).
Available Forms:
Questions about a hair prescription?
Women's Topical Formulas
Women's hair loss often has different causes than men's: hormonal shifts (PCOS, menopause, after a pregnancy), low iron, or thyroid disorders. Topical formulas may include spironolactone or latanoprost, often off-label. Your prescriber chooses the formula based on your workup.
We will show you how to apply minoxidil so it stays on the scalp and off your face.
Minoxidil + Spironolactone Scalp Serum
Active Ingredients:
Minoxidil, spironolactone, tretinoin and azelaic acid in one scalp serum, compounded to the prescriber's order.
Available Forms:
Latanoprost Hair Serum
Active Ingredients:
Latanoprost and minoxidil in one topical serum, compounded to the prescriber's order (off-label).
Available Forms:
Women's Oral Formulas
Some prescribers order low-dose oral minoxidil for women, often off-label. Your prescriber decides the dose and any follow-up.
Oral Minoxidil Tablets
Active Ingredients:
Low-dose oral minoxidil, compounded to the prescriber's order (off-label for hair loss).
Available Forms:
Alopecia Areata
Alopecia areata is an autoimmune condition in which the immune system attacks hair follicles. Some prescribers use a topical JAK (Janus kinase) inhibitor off-label. It is not used for pattern hair loss. Your prescriber supervises its use.
Tofacitinib Topical for Alopecia Areata
Patients with alopecia areata
Active Ingredients:
Topical JAK inhibitor, compounded to the prescriber's order (off-label).
Available Forms:
Formula types at a glance
| Formula type | Prescribed for | Things to know |
|---|---|---|
| Topical scalp solution or serum | Androgenetic alopecia (pattern hair loss) | Applied to the scalp as your prescriber directs |
| Oral capsule or tablet | Pattern hair loss (often off-label) | Your prescriber decides on monitoring, such as blood pressure |
| Topical JAK inhibitor | Alopecia areata (off-label) | Prescription only; your prescriber supervises use |
Your prescriber and pharmacist give directions with the prescription. Responses vary from person to person.
From the formulary
Hair restoration formulas
Prescription-only formulas your prescriber can order from our formulary. Strengths and bases are set by your prescriber.
Finasteride / Minoxidil Scalp Solution
Finasteride · +1 optional
High-consent DHT pathway in a topical program (clinician-led).
Minoxidil Capsule
Minoxidil
Systemic hair growth support at clinician-directed low doses.
Finasteride / Minoxidil / Biotin Capsule
Finasteride · Minoxidil · +1 optional
Oral finasteride and low-dose minoxidil in one daily capsule.
Minoxidil / Spironolactone Capsule
Minoxidil · Spironolactone
Low-dose oral minoxidil with spironolactone for female pattern hair loss, dosed by the prescriber.
Dutasteride / Minoxidil / Tretinoin Scalp Solution
Dutasteride · Minoxidil · +1 optional
Dual 5-AR inhibition (dutasteride + minoxidil) for advanced hair protocols, compounded per prescriber's plan.
Questions About a Hair Prescription?
Talk to your prescriber about whether a compounded formula fits you. Call a pharmacist with any question about the preparation.
Not sure where to start? Answer three questions
Please note: Compounded medications require a prescription from a licensed prescriber for an individual patient. Compounded medications are not FDA-approved. The FDA does not review them for safety, effectiveness or quality. A compounded medication is not the same as, or a generic version of, any FDA-approved drug. This page is general information, not medical advice. Your prescriber decides whether a treatment is right for you and sets the final ingredients, strength and dosage form.