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
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
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.
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.
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.
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.
01
Share your goals
02
Talk with a licensed provider
03
Get it shipped, with dosing guidance
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.
안 · Why Telean Rx
Why get it
from Telean Rx?
Prescribed by real physicians
Clear pricing, no insurance
Licensed pharmacies
Support that continues
안 · FAQ
Frequently asked questions
Is oral minoxidil safe at low doses?
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.
Who is this combination for?
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.
Do I need lab work?
Your provider may check potassium and kidney function, especially if you have kidney problems or take other medicines that raise potassium.
Can I use it with topical minoxidil?
Only if your provider says so. Using both raises your total minoxidil dose.
Can I take it while pregnant?
No. Spironolactone should not be taken during pregnancy. Stop and contact your provider if you become pregnant.
What happens if I stop?
The benefit lasts as long as you take it. Hair loss usually picks up again after you stop.
Do I need a prescription, and how much does it cost?
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.
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.


