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Minoxidil + Spironolactone

$139.00

An oral combination often used for female-pattern hair loss.

안 · What It Is

What is minoxidil
+ spironolactone?

Minoxidil + spironolactone is a compounded capsule that combines low-dose oral minoxidil with spironolactone. It is most often used for female pattern hair loss. A licensed compounding pharmacy prepares it after a provider confirms it fits you.

01

안 ·How It Works

How does
it work?

Minoxidil helps hair follicles stay in the growth phase longer, which can thicken thinning hair. Spironolactone is a diuretic that also blocks the effects of androgens, hormones that play a part in pattern hair loss. The diuretic effect can also offset some of the fluid retention that minoxidil can cause. One capsule a day covers both.

02

안 · Results & Timeline

How long does it
take to work?

Plan on at least 3 months before you judge results, and 6 to 12 months for a full picture. Some people shed more hair in the first weeks of minoxidil as older hairs make room for new ones.

안 · Low-Dose Oral Minoxidil

What is low-dose
oral minoxidil?

Minoxidil was first used as a blood pressure tablet at much higher doses. Today, dermatologists prescribe it at low doses for hair loss, an off-label use. A published review of low-dose oral minoxidil found that most side effects at these doses are mild. Your provider screens your heart health and blood pressure before prescribing it.

Minoxidil + Spironolactone capsules bottle
안 ·Side Effects & Safety

What are the
side effects?

The most common side effect of low-dose oral minoxidil is extra hair growth on the face or body. In a published review, it showed up in about 15% of patients in the largest study. Fluid retention, such as ankle swelling, was less common. A fast heartbeat and dizziness were reported in fewer than 5% of patients.

Spironolactone can raise potassium levels, cause more frequent urination and lower blood pressure. It can cause breast tenderness and changes to your period. Do not take it if you are pregnant or trying to become pregnant. Your provider may order lab work to check potassium and kidney function.

안 · Oral vs Topical

Oral capsule vs
topical minoxidil

Topical minoxidil works on the scalp and has very few effects on the rest of the body, but some people find it messy or irritating. A daily capsule is easier to stick with and adds the anti-androgen effect of spironolactone. The trade-off is a higher chance of side effects elsewhere in the body. Your provider will weigh your health, blood pressure and goals.

Woman looking at hair shed on her hairbrush

안 · How It Works

How do I get a
prescription online?

01

Share your goals

Complete a short online health assessment about your hair loss, history and medicines. It takes about five minutes.

02

Talk with a licensed provider

A licensed clinician reviews your information and confirms whether this combination is appropriate for you. The consultation is free.

03

Get it shipped, with dosing guidance

If it is prescribed, a licensed compounding pharmacy prepares it and ships it with clear instructions.

안 · Cost & Insurance

How much does
it cost?

Telean Rx is direct-pay, so you do not need insurance. You see your price before you commit, and shipping is free. Minoxidil + spironolactone is $139 for a bottle of 90 capsules.

Woman meeting a provider on a telehealth video call

안 · Why Telean Rx

Why get it
from Telean Rx?

Prescribed by real physicians

A licensed U.S. provider reviews your health before prescribing and checks in on your progress.

Clear pricing, no insurance

A transparent price and free shipping, with no prior authorizations to chase.

Licensed pharmacies

Your capsules come from a licensed compounding pharmacy, with clear dosing and provider follow-up.

Support that continues

Message your care team anytime about side effects or results.

안 · FAQ

Frequently asked questions

At the low doses used for hair loss, most side effects are mild. Your provider screens your heart health and blood pressure first and follows up while you take it.

It is most often used for pattern hair loss in women, where the anti-androgen effect of spironolactone helps. Men can take it too, but spironolactone can cause breast enlargement and lower sex drive in men. Your provider will tell you if it fits.

Your provider may check potassium and kidney function, especially if you have kidney problems or take other medicines that raise potassium.

Only if your provider says so. Using both raises your total minoxidil dose.

No. Spironolactone should not be taken during pregnancy. Stop and contact your provider if you become pregnant.

The benefit lasts as long as you take it. Hair loss usually picks up again after you stop.

Yes. A licensed Telean Rx provider can write one after a free online consultation if it is safe for you. Telean Rx is direct-pay with free shipping, so insurance is not required.

Provider meeting a patient on a video call

Start your hair loss treatment the right way

A licensed provider reviews your hair loss and your health, then ships your plan to your door.

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