Best Topical Finasteride: 5 Top Products of 2025
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Best Topical Finasteride: 5 Top Products of 2025

First Published Nov 10 2025
Last Updated Nov 12 2025
Pharmaceutical
Researched & Written By:
Perfect Hair Health Team
Reviewed By:
Perfect Hair Health Team
Best Topical Finasteride: 5 Top Products of 2025

Article Summary

Topical finasteride is exploding in popularity, but not all formulas are created equal. This guide breaks down the 5 best topical finasteride treatments on the market, comparing strength, safety, customization, and real-world value. From ultra-tailored prescriptions like Ulo to big telehealth brands like Hims and Roman, you’ll see exactly which options match your hair goals, skin type, and budget. If you’re ready to tackle hair loss with targeted, science-backed treatment (without committing to a pill), this is where to start.

Full Article

Finding the right hair loss treatment can feel overwhelming, and expert guidance is essential to identify the best formula for your needs. The PhD-led team at Perfect Hair Health leverages emerging research and close collaborations with top innovators to provide readers with the most accurate and actionable reviews of hair restoration offerings. Topical finasteride is one of the most sought-after treatments on the market, boasting clinical support, targeted results, and easy application. 

This comprehensive guide to the top-rated topical finasteride products is based on extensive research, expert recommendations, and the latest consumer feedback. Whether you’re just beginning your hair health journey or searching for better hair loss solutions, this article provides valuable information on safe and effective treatment options. Our recent partnership with Ulo enhances this guide with privileged insights on clinical findings and state-of-the-art protocols.  

Read on for specialized guidance, insightful reviews, and proven recommendations of topical finasteride preparations from today’s leading brands. 

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Quick Look: 5 Best Topical Finasteride Products

Here’s a side-by-side comparison of our top recommended topical finasteride treatments. Read on for more details on each of these excellent products. 

Product Price Finasteride % Customization Application
Ulo $64+/month 0.005% – 0.2%  High Solution
Strut Health $59 0.1-0.25% Medium Solution/Gel
Happy Head $59-99/month 0.3% Medium Liposomal Gel
Roman $50/month 0.3% Low Spray
Hims $35+/month 0.3% Low Spray

Topical Finasteride: What It Is & Why It’s Better 

First, we will briefly explore the science behind topical finasteride, including its mechanism of action in treating hair loss and the advantages of topical formulations. 

What Is Topical Finasteride?

Topical finasteride is a clinically proven treatment for androgenic alopecia (AGA), a type of hair loss that affects more than 50% of men by the age of 50.[1]Jang, W.S., Son, I.P., Yeo, I.K., Park, K.Y., Li, K., Kim, B.J., Seo, S.J., Kim, M.N., Hong, C.K. (2013). The Annual Changes of Clinical Manifestation of Androgenetic Alopecia Clinic in Korean Males … Continue reading AGA is caused by dihydrotestosterone (DHT), a testosterone-derived hormone that damages hair follicles, causing them to shrink and produce thinner hair. Finasteride reduces DHT levels by inhibiting the enzyme 5-alpha-reductase, protecting the hair follicles to stop hair loss and encourage new growth.[2]Duran, R, C-D., Martinez-Ledesma, E., Garcia-Garcia, M., Gauzin, D.B., Sarro-Ramirez, A., Gonzalez-Carillo, C., Rodriguez-Sardin, D., Fuentes, A., Cardenas-Lopez. (2024). The Biology and Genomics of … Continue reading 

While orally administered finasteride has been in use since 1997, topical formulations are a relatively new development. When applied to the scalp, finasteride provides targeted treatment with a reduced risk of systemic side effects associated with oral preparations. Topical finasteride is shown to reduce DHT levels on the scalp for greater hair count and density with comparable effectiveness to oral finasteride.[3]Lee, S.W, Juhasz, M., Mobasher, P., Ekelem, C., Mesinkovska, N.A. (2018).  A Systematic Review of Topical Finasteride in the Treatment of Androgenetic Alopecia in Men and Women. Journal of Drugs in … Continue reading

Numerous studies confirm that topical finasteride slows and reverses hair loss by boosting hair thickness, density, and growth cycles. These results are enhanced when combined with other topical treatments like minoxidil. Due to minimal systemic absorption and attendant side effects, topical formulas are considered a safer choice for prolonged use. Overall, topical finasteride is prized among clinicians and patients as a safe, effective, and convenient solution to pattern hair loss.[4]Lee, S.W, Juhasz, M., Mobasher, P., Ekelem, C., Mesinkovska, N.A. (2018).  A Systematic Review of Topical Finasteride in the Treatment of Androgenetic Alopecia in Men and Women. Journal of Drugs in … Continue reading,[5]Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray … Continue reading

Why Choose Topical Over Oral?

Because topical finasteride is applied directly to the scalp, it offers localized therapy and avoids the side effects associated with oral finasteride’s systemic exposure. Here is a brief overview of this and other primary advantages of topical formulas:

  • Better Safety Profile: Oral finasteride is absorbed into the bloodstream and can have global side effects like sexual dysfunction, hormone disruption, and mood swings. In contrast, topical formulas target the scalp directly and minimally affect plasma levels. Topicals are consistently shown to have fewer systemic side effects. If present, side effects tend to be mild and temporary, such as scalp irritation.
  • Individualized Dosing: While the oral finasteride dose is a standardized 1 mg, topical formulas enable tailored dosages and greater precision through potency titration. This is especially important given the dose-dependent outcomes of finasteride treatment. The finasteride concentration in topicals can range from a maintenance dose of 0.005% to a more aggressive protocol of 2.5%.
  • Greater Customization: Topical formulas often combine other proven treatments, such as tretinoin, minoxidil, and caffeine. Studies demonstrate that finasteride-minoxidil combinations deliver superior results compared to single-agent treatments. Plus, the range of available delivery methods (e.g., solutions, sprays, gels) can improve convenience, satisfaction, and adherence. 
  • Long-Term Use: With a better safety profile and lower systemic impact, topical finasteride is more suitable for prolonged use, which is often necessary to maintain the benefits of hair loss treatment. 

In short, research data indicate that topical finasteride yields comparable results with a more favorable safety profile than oral finasteride, making it a better option for long-term treatment. Further benefits of topical formulations include greater dose precision, synergistic adjuvants like minoxidil, and a range of delivery methods to support compliance.[6]Lee, S.W, Juhasz, M., Mobasher, P., Ekelem, C., Mesinkovska, N.A. (2018).  A Systematic Review of Topical Finasteride in the Treatment of Androgenetic Alopecia in Men and Women. Journal of Drugs in … Continue reading,[7]Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray … Continue reading

Evaluation Criteria: What Makes the Best?

When selecting the best topical finasteride products, we adhered to the following evaluation criteria, which are thoroughly supported by clinical findings and customer feedback.[8]Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray … Continue reading,[9]Suchonwanit, P., Iamsumang, W., Leerunyakul, K. (2020). Topical finasteride for the treatment of male androgenetic alopecia and female pattern hair loss: a review of the current literature. Journal … Continue reading

✓ Effectiveness

We assessed scientific data, DHT decrease rates, and real-world testimonies of hair count increases. The top products deliver measurable results in 3-6 months with continuous improvements in hair density throughout the first year and beyond.

✓ Safety

Because finasteride is a prescription-only treatment, we verified that providers adhere to all safety regulations, including proper prescribing and monitoring protocols. Leading suppliers also provide full ingredient transparency to help assess potential side effects.

✓ Customization

Premium brands offer treatment customization options tailored to patients’ needs and preferences, maximizing outcomes beyond those achieved with traditional, standardized approaches. These include concentration adjustments, synergistic add-on ingredients such as minoxidil, and various delivery methods. 

✓ Convenience

Successful treatment outcomes depend on long-term compliance and a positive user experience. Factors such as ease of application, clear instructions, manageable dose frequency, and responsive support help ensure uninterrupted treatment.

✓ Value

The best providers balance superior quality with transparent and affordable pricing models that cover doctor consultations, prescriptions, and follow-up care. These are especially important concerns in the telehealth landscape, where many subpar platforms employ opaque billing practices to stack on hidden fees and unexpected charges.  

How to Choose the Right Product for Your Needs 

When choosing the product that best meets your hair loss treatment needs, consider the extent of your hair loss and treatment aims, such as basic upkeep or intensive restoration. Also account for your preferred delivery method (i.e., gel, solution, or spray), desired add-ons, medical support requirements, and budget. 

Reviewing the Best Topical Finasteride Products

With the above key factors in mind, let’s turn now to our top recommended options that each offer unique advantages sure to satisfy. 

#1: Ulo Finasteride + Minoxidil Plus Rx

Pros: Cons:
✓ Clinically-proven combination therapy ✗ Prescription products are only available in the USA
✓ True personalization with custom concentrations and medical consultations
✓ PhD-scientist formulated
✓ Ongoing medical monitoring and a user-friendly platform
✓ Quality-tested ingredients free of irritants 

Ulo’s combination formula of high-strength finasteride with prescription-grade minoxidil takes the top spot, reflecting the platform’s commitment to providing safe, scientifically proven hair loss treatments tailored to meet individual needs. Every Ulo product is developed by a team of PhD scientists who deliver innovative interventions in hair restoration.

Their advanced finasteride and minoxidil solution blocks DHT and stimulates new growth in a targeted dual treatment that is proven superior to monotherapies in clinical trials. Ulo’s finasteride formulas are uniquely customizable and available in different concentrations (0.005% for maintenance and 0.2% for stronger protocols), with a series of synergistic add-ons like caffeine to boost circulation, tretinoin for better absorption, and melatonin for antioxidant protection.

The deluxe treatment begins at $64 per month, which includes an onboarding medical consultation to assess each client’s needs, a physician-crafted treatment plan, and continued dermatologist oversight. All Ulo products are strictly sourced from pharmacies that adhere to safety and quality regulations. The clinic’s licensed dermatologists provide customized treatment regimens with free home prescription deliveries and ongoing support.

Bottom Line: Ulo’s individualized hybrid treatment is the ultimate in advanced hair restoration technology. With precise formulation and continuous medical supervision, this tailored solution delivers exceptional results for a low monthly subscription fee starting at $64. Ulo’s guiding dedication to safety and efficacy makes this full-service platform the best option for those who are serious about combating hair loss.

#2 Strut Finasteride Hair Loss Formula

Pros: Cons:
✓ Custom-compounded topical finasteride formulas (with optional add-ons) ✗ Not available internationally, and currently cannot ship to Arkansas
✓ Online consult and prescriptions from U.S. board-certified physicians ✗ Auto-refills by default; some reviews report difficulty canceling and customer service gaps
✓ Multiple formulation options (gel or solution; adjustable finasteride strength)
✓ Convenient telehealth model with free, discreet shipping in most U.S. states.

Strut Health is a U.S.-based telehealth provider offering customized topical finasteride for AGA. After an online questionnaire and photo-based evaluation, a board-certified clinician designs a compounded formula that may contain finasteride alone or in combination with other actives like minoxidil, tretinoin, fluocinolone, or biotin. The company’s finasteride hair-loss formulas typically use 0.1-0.25% topical finasteride, with optional minoxidil concentrations up to 7.5% and tretinoin in a gel or solution base, giving flexibility to tailor potency and tolerability.

Our in-house lab testing showed that Strut Health’s finasteride product contained the correct concentrations of ingredients (finasteride, minoxidil, and tretinoin), indicating that they can be trusted to provide a quality product.

However, there are trade-offs. Strut does not accept insurance, and pricing for topical finasteride (often around the mid-range of the telehealth market) may add up for long-term use. The company currently ships to nearly all U.S. states but cannot ship to Arkansas, and there is no international service. Public reviews highlight convenience for many users but also recurring concerns about auto-refills and difficulty canceling, as well as frustration with customer support responsiveness and refund policies. 

Bottom Line: Strut Health’s topical finasteride offers a flexible, telehealth-delivered alternative for patients who want DHT-targeted treatment without taking a daily pill, with customizable formulas that can include or exclude minoxidil and other actives. Its convenience, physician oversight, and compounding flexibility are strong advantages, but subscription-based pricing and mixed customer service reviews may give more budget-conscious patients pause.

#3 Happy Head Topical Super Solution: Finasteride, Minoxidil & Liposomal

Pros: Cons:
✓ Medical oversight by board-certified dermatologists  ✗ Price rises from $59 to $99 after the first six months
✓ Higher concentrations of 0.3% finasteride + 8% minoxidil ✗ Higher concentrations may increase side effect risk
✓ Made with a delayed-release liposomal base ✗ Gel formula cannot be customized
✓ User-friendly platform and follow-up care ✗ May irritate sensitive skin
✓ Affiliate programs available ✗ Possible shipping and customer service concerns

Our next selection is from Happy Head, known for unique formulations and dermatologist oversight. The Topical Super Solution features a more concentrated combination of 0.3% finasteride with 8% minoxidil for targeted hair restoration. 

Available in a mess-free pump dispenser, this gel is made with the brand’s proprietary liposomal delivery base that boosts scalp penetration with timed medication release and once-daily application. This helps minimize bloodstream absorption, reducing potential side effects, and is a notable safety feature for higher finasteride doses. That said, some ingredients in the carrier base should not be used on sensitive skin. Other products from the brand are more customizable and can be adapted to sensitive skin.

The starting price of Happy Head’s treatment is competitive at $59 for a monthly subscription that covers dermatologist oversight and prescription deliveries. However, the price increases to $99 after the first six months. Some reviews cite a lack of transparency regarding potential side effects, as well as intermittent shipping delays and inconsistent customer service. 

Bottom Line: Happy Head’s potent dual therapy is a useful option for patients with intermediate to severe hair loss and normal skin. The delayed-release gel base increases medication absorption for more targeted treatment while decreasing systemic side effects and requires application only once a day. Advantages include dermatologist support and attractive pricing, but patients should be aware of reviews citing shipping and customer service issues. 

#4: Roman (Ro) Hair Solution Rx

Pros: Cons:
✓ Transparent and competitive price of $50 per month ✗ Contains potential irritants not suitable for sensitive skin 
✓ High finasteride concentration (0.3%) for aggressive treatment ✗ High fixed concentration with a greater risk of side effects
✓ Includes minoxidil and tretinoin for synergistic effects ✗ Limited customization options
✓  Convenient once-daily application ✗ Standard delivery system lacks advanced features
✓ Established telehealth provider with medical supervision

Roman offers a simple topical finasteride formula designed for convenient, once-daily use and focused intervention. The spray contains three active ingredients: high-dose 0.3% finasteride with 6% minoxidil and tretinoin to enhance absorption. This product delivers a potent dose of finasteride on par with premium rivals through a no-frills spray system.

While tretinoin may improve minoxidil absorption, Roman’s spray has some drawbacks for users with sensitive skin or systemic side effect concerns. The 0.3% finasteride concentration cannot be tailored to individual response, and the standard delivery system does not have delayed-release technology to offset the risk of systemic absorption as seen in Happy Head’s liposomal gel. Inactive ingredients like ethyl alcohol and propylene glycol are also known irritants.

Roman is an accessible option for many users. The transparent and fixed monthly fee of $50 covers doctor consultations, prescription deliveries, and unlimited follow-ups. However, users with sensitive skin or more complex treatment needs may find Roman’s standardized and less gentle formulation to be unsuitable for long-term compliance.

Bottom Line: Roman offers a potent and affordable dual finasteride therapy with telehealth support features. Although it is not customizable like leading alternatives, this spray is a convenient choice for individuals with moderate to severe hair loss who can tolerate high dosages and potential irritants.

#5: Hims Topical Finasteride & Minoxidil Spray

Pros: Cons:
✓ Lowest starting rate of $35+/month ✗ Standardized approach that lacks customization 
✓ Well-known brand with recognized platform ✗ Minimal ongoing medical support
✓ Simple ordering process and rapid shipping ✗ Contains irritants not suitable for sensitive skin and fixed high dose
✓ No lengthy consultations required ✗ Basic telehealth features without specialist care
✓ High-dose dual treatment  ✗ Concerns about the price transparency of subscription tiers

Hims is a well-known brand that offers topical finasteride through its streamlined telemedicine platform. Their fixed-dose spray of 0.3% finasteride and 6% minoxidil is a convenient and affordable option without the customization features of premium competitors, appealing to those who value simplicity over tailored care. 

Like similar high-dose sprays, this standardized formula from Hims is not suitable for patients with sensitive skin, complex treatment needs, or those requiring a lower maintenance dose.

This provider’s appeal is its wide accessibility. With low prices starting at just $35 per month, quick doctor consultations, and shipping in all 50 states, Hims is a gateway brand for many new hair loss patients. However, this entry-level approach lacks the treatment personalization and close medical supervision of established specialty providers. 

Bottom Line: Hims’ topical finasteride spray is an affordable and easily accessible option backed by a recognized brand name. Although Hims fails to offer the precision treatment and close medical oversight of premium alternatives, it is a mainstay for patients who prioritize low costs and convenience.

Final Verdict: Our Topical Finasteride Picks

After a comprehensive evaluation, Ulo emerges as our top choice for topical finasteride in 2025. Their genuine customization, science-backed formulations, and ongoing dermatologist supervision set the gold standard for personalized hair restoration.

While competitors offer standardized protocols or unproven technologies, Ulo delivers verified results through precision medicine tailored to individual needs. For patients seeking the highest quality care, Ulo’s scientific rigor and safety-first approach make it the clear winner.

What to Expect: Timeline and Results 

Realistic treatment expectations facilitate long-term compliance and successful outcomes. Medical research has established the following evidence-based benchmarks of expected improvements with topical finasteride use as prescribed to treat androgenetic alopecia.

Clinical Timeline for Topical Finasteride Results

Timeframe What to Expect Clinical Evidence
3 Months Terminal hair count starts to improve; increases in total hair count may not yet be observable [10]​​B. Piraccini et al. (2021). Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European … Continue reading,[11]Cheng Zhou et al. (2025). Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, … Continue reading
6 Months Noteworthy increases in hair counts (total and terminal); visible increase in vertex hair growth [12]​​B. Piraccini et al. (2021). Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European … Continue reading,[13]Cheng Zhou et al. (2025). Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, … Continue reading,[14]A. Rossi et al.  (2020). Efficacy of Topical Finasteride 0.5% vs 17α-Estradiol 0.05% in the Treatment of Postmenopausal Female Pattern Hair Loss: A Retrospective, Single-Blind Study of 119 … Continue reading
12-18 Months Maximum improvement is typically observed; continuous improvements in hair coverage and density [15]A. Rossi et al.  (2020). Efficacy of Topical Finasteride 0.5% vs 17α-Estradiol 0.05% in the Treatment of Postmenopausal Female Pattern Hair Loss: A Retrospective, Single-Blind Study of 119 … Continue reading
  • Early Treatment Phase (Months 1-3): During early treatment, visible changes are minimal, which may be disappointing for new patients. The therapy begins to suppress scalp DHT levels, creating shifts that are not yet cosmetically evident. Studies show that improvements in terminal hair count begin around 3 months, though total hair count is not yet typically impacted. 

In the first 6-8 weeks, some experience a temporary increase in shedding as finasteride prompts new growth cycles to start. This is expected and is an encouraging indication that the treatment is taking effect. 

  • Visible Improvement Phase (Months 3-6): Visible results begin to appear during this period. Studies show notable increases in hair counts and density by 6 months. Patients tend to note particular improvements in the crown or vertex region.
  • Optimization Phase (Months 6-18): The most significant benefits occur during this phase. Research indicates that maximum improvements arise around 12 months of continued treatment, as hair density and new growth quality increase.
  • Long-Term Maintenance: According to clinical data, benefits stabilize around 18-24 months, and treatment transitions from active regrowth to maintenance. Because treatment cessation can lead to the gradual return of hair loss within 6-12 months, continued daily compliance is essential to maintain long-term therapeutic outcomes. 

Topical Delivery Formats

There are several different topical finasteride delivery formats that each offer unique advantages to suit individual needs and preferences, as follows:

  • Solutions are liquid formulas typically applied using a dropper for targeted administration on desired scalp areas. These lightweight preparations are valued for their excellent absorption and residue-free finish. Because solutions may contain irritating excipients such as propylene glycol, sensitive patients should opt for gentle blends like Ulo’s prescription topicals. 
  • Sprays are a lighter, more fluid type of solution applied using an aerosol or pump. This form enables misting over larger or difficult-to-reach scalp areas. However, sprays are not as precise as droppers, as the liquid may run off and fail to effectively reach the hair follicles.
  • Gels offer a more controlled application with a thicker consistency than solutions. They often include advanced delivery bases such as liposome carriers with delayed-release technology, designed to enhance penetration and reduce systemic absorption. However, customization options are typically limited due to compounding practices. Additionally, gel formulas can leave a sticky residue that some users find undesirable.
  • Foams may be beneficial for patients with sensitive skin, as they dry quickly and generally lack harsh additives. However, their capacity for targeted application is limited compared to other formulations. 
  • Creams and lotions are appropriate for sensitive or dry scalps, featuring thick, emollient-laden bases with moisturizing benefits. Lotions are generally faster-absorbing, more spreadable, and lighter than creams.

The best formulation choice depends on hair and skin type, lifestyle, and personal preferences. Patients are encouraged to consult a doctor to determine the ideal format for their individual needs. 

Safety and Side Effects 

Topical finasteride is noted for its favorable safety profile, especially in contrast to oral formulations; however, understanding potential risks and proper monitoring practices is recommended.

  • Common Mild Side Effects: The most common side effects are transient and mild scalp irritation or dryness. Though these reactions often resolve on their own, they also respond well to dose adjustment or calming adjunctive treatments. Patients with sensitive skin should avoid formulas containing irritants like propylene glycol or parabens.[16]Lee, S.W, Juhasz, M., Mobasher, P., Ekelem, C., Mesinkovska, N.A. (2018).  A Systematic Review of Topical Finasteride in the Treatment of Androgenetic Alopecia in Men and Women. Journal of Drugs in … Continue reading,[17]Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray … Continue reading 
  • When to Contact Your Doctor: More serious side effects or reactions are rare but possible and require prompt medical intervention. These include severe scalp irritation, allergic reactions (blistering, swelling, and redness), and systemic effects like mood changes, sexual dysfunction, or gynecomastia.[18]Suchonwanit, P., Iamsumang, W., Leerunyakul, K. (2020). Topical finasteride for the treatment of male androgenetic alopecia and female pattern hair loss: a review of the current literature. Journal … Continue reading,[19]Cheng Zhou et al. (2025). Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, … Continue reading
  • Topical vs. Oral Finasteride Safety: Clinical data show that topical finasteride has a significantly lower risk of sexual side effects, typically less than 2% compared to 8-15% with oral formulations. This is attributed to the targeted delivery of topical preparations that limit systemic exposure while providing localized scalp treatment.[20]Mysore, V. (2012). Finasteride and sexual side effects. Indian Dermatology Online Journal, 3(1), 62. https://doi.org/10.4103/2229-5178.93496.
  • Who Should Avoid Topical Finasteride: Topical finasteride is not suitable for women who are pregnant or nursing due to the risk of birth defects or infant harm. Additionally, individuals with known sensitivity, scalp infections, or certain autoimmune diseases may be ineligible for use. Consult with a doctor before beginning treatment. 

Closing Thoughts 

Topical finasteride is an important development in hair loss therapeutics, providing comparable results with a superior safety profile to oral medications. In today’s market, Ulo’s individualized, clinically rigorous approach sets a benchmark for comprehensive care, outperforming competitors primarily focused on budget or convenience factors.

Successful treatment with topical finasteride requires patience and persistence. Advances in hair restoration technology suggest that tailored medicine, rather than standardized approaches, represents the future. Ready to begin your own journey toward hair restoration? 

Visit Ulo today to see how customized topical finasteride can enhance your results.

Frequently Asked Questions

Do I need a prescription for topical finasteride?

Yes, topical finasteride is a prescription-only medication in the USA. This ensures proper diagnosis, medical supervision, dosage, and quality control. Reputable telehealth providers like Ulo make the prescription process quick and easy via video consultations with licensed doctors specialized in hair restoration therapies. These elite platforms also offer ongoing medical supervision to monitor side effects and adjust treatment for optimization.

Avoid online platforms that market finasteride products without a prescription or those that fail to perform a proper medical consultation before prescribing treatment. Reputable platforms employ board-certified doctors licensed to practice in your state of residence with credentials clearly displayed or offered upon request. Sourcing topical finasteride products from unauthorized vendors without a prescription risks hazardous side effects and ineffectiveness.

Can topical finasteride be used with other hair loss treatments?

Yes, topical finasteride can be beneficially combined with treatments like minoxidil, a popular additive in many available products. These formulas often pair finasteride with additional synergistic ingredients such as antioxidants, vasodilators, antifungals, and absorption enhancers. 

Topical finasteride can also be safely used in conjunction with most non-prescription hair products, hair transplants, and low-level laser treatments. However, it should not be combined with oral DHT blockers (i.e., oral finasteride or dutasteride) due to the risk of systemic side effects. Medical approval is necessary before starting new treatments. 

When will I see results with topical finasteride?

Most patients report stabilization of hair loss after 3-4 months, with notable regrowth in 6-12 months. Shedding within the first 6-8 weeks of starting treatment is considered normal and indicative of the treatment’s efficacy. Because DHT suppression takes time to significantly impact hair growth cycles, consistency and patience are essential for optimal treatment outcomes.

Treatment outcomes can vary between individuals. Consult a doctor to discuss influencing factors and form realistic treatment expectations. This grounded approach facilitates better long-term adherence and more desirable results.  

Is topical finasteride suitable for women?

Although the FDA has not yet authorized topical finasteride to treat AGA in women, it is occasionally prescribed for off-label use in postmenopausal patients with female pattern hair loss (FPHL). Because topical finasteride risks fewer hormonal adverse effects than oral finasteride, it is considered a safer option in these cases. 

However, women of reproductive age are often recommended to completely avoid finasteride due to the risk of severe birth defects from exposure while pregnant. Non-pregnant women who may plan for pregnancy in the future should abstain from finasteride use unless under strict medical supervision with suitable contraception established. Newer low-dose formulations designed for women show promise, although more study is needed to verify long-term viability.

Ultimately, women considering finasteride therapy should speak with an experienced clinician to go over their medical history, weigh the benefits and risks, and review alternative treatment options, such as FDA-approved topical minoxidil.

What is the cost of topical finasteride without insurance? 

The average monthly cost of topical finasteride without insurance can vary from $35 to $90, depending on the source, formulation, and services rendered. Direct-pay telehealth providers tend to offer lower rates than conventional in-person dermatology clinics with combined pharmacy fees. Bespoke formulas with advanced excipients can command higher prices. Patients should account for continued costs to budget for long-term treatment, which is often required for beneficial outcomes. 

What will happen if I stop using topical finasteride? 

If regular topical finasteride treatment is discontinued, hair loss is expected to return gradually within 2-3 months of cessation. Most patients report a rebound to their baseline hair loss level within 6-12 months. Because this regression is gradual, patients have some flexibility regarding therapy breaks or medication transitions if needed. 

Does topical finasteride have any drug interactions?

Compared to oral finasteride, topical formulations have few contraindications due to lower systemic absorption rates. For your safety, inform your prescribing doctor of all current medications, especially blood thinners and other hormonal drugs. While topical finasteride is often safely combined with common medications, there may be exclusions. 

How do I store topical finasteride? 

Topical finasteride should be kept at room temperature out of direct light, moisture, and heat. With proper storage, most products maintain stability for 12-24 months. While refrigeration isn’t required, it may boost shelf life in temperate climates. Be sure to check expiration dates and safely dispose of expired products. 

Can I travel while on topical finasteride? 

Yes, prescribed topical finasteride may be stored in carry-on luggage during domestic travel. When traveling internationally, it is recommended to bring the original prescription and label. Be mindful of TSA restrictions on liquid volumes over 3.4 oz.

How is topical finasteride applied?

Topical finasteride is applied directly to a clean and dry scalp with the product applicator. While specific instructions vary with delivery method, in general, the hair should be parted to expose the scalp and allow targeted application to the desired areas. Patients should consult product instructions for precise indications and dosing protocols. Avoid wetting hair for several hours after application, and thoroughly wash hands after use.

References

References
1 Jang, W.S., Son, I.P., Yeo, I.K., Park, K.Y., Li, K., Kim, B.J., Seo, S.J., Kim, M.N., Hong, C.K. (2013). The Annual Changes of Clinical Manifestation of Androgenetic Alopecia Clinic in Korean Males and Females: A Outpatient-Based Study. Annals of Dermatology. 25(2). 181-188. Available at: https://doi.org/10.5021/ad.2013.25.2.181
2 Duran, R, C-D., Martinez-Ledesma, E., Garcia-Garcia, M., Gauzin, D.B., Sarro-Ramirez, A., Gonzalez-Carillo, C., Rodriguez-Sardin, D., Fuentes, A., Cardenas-Lopez. (2024). The Biology and Genomics of Human Hair Follicles: A Focus on Androgenetic Alopecia. International Journal of Molecular Sciences. 25(5). 2542. Available at: https://doi.org/10.3390/ijms25052542
3, 4, 6, 16 Lee, S.W, Juhasz, M., Mobasher, P., Ekelem, C., Mesinkovska, N.A. (2018).  A Systematic Review of Topical Finasteride in the Treatment of Androgenetic Alopecia in Men and Women. Journal of Drugs in Dermatology. 17(4). 457-463. Available at: PMID: 29601622
5, 7, 17 Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European Academy of Dermatology and Venereology. 36(2). 286-294. Available at: https://doi.org/10.1111/jdv.17738
8 Piraccini, B.M., Blume-Peytavi, U., Scarci, F., Jansat, J.M., Falques, M., Otero, R., Tamarit, M.L., Galvan, J., Tebbs, V., Massana, E. (2021). Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European Academy of Dermatology and Venereology. 36(2). 286-294. Available at: https://doi.org/10.1111/jdv.17738
9, 18 Suchonwanit, P., Iamsumang, W., Leerunyakul, K. (2020). Topical finasteride for the treatment of male androgenetic alopecia and female pattern hair loss: a review of the current literature. Journal of Dermatological Treatment, 33(2), 643–648. Available at: https://doi.org/10.1080/09546634.2020.1782324
10, 12 ​​B. Piraccini et al. (2021). Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. Journal of the European Academy of Dermatology and Venereology, 36: 286 – 294. https://doi.org/10.1111/jdv.17738
11, 13 Cheng Zhou et al. (2025). Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, placebo-controlled study. Chinese medical journal. Available at: https://doi.org/10.1097/CM9.0000000000003495
14, 15 A. Rossi et al.  (2020). Efficacy of Topical Finasteride 0.5% vs 17α-Estradiol 0.05% in the Treatment of Postmenopausal Female Pattern Hair Loss: A Retrospective, Single-Blind Study of 119 Patients. Dermatology Practical & Conceptual, 10 (2020). https://doi.org/10.5826/dpc.1002a39
19 Cheng Zhou et al. (2025). Efficacy and safety of topical finasteride spray solution in the treatment of Chinese men with androgenetic alopecia: A phase III, multicenter, randomized, double-blind, placebo-controlled study. Chinese medical journal. Available at: https://doi.org/10.1097/CM9.0000000000003495
20 Mysore, V. (2012). Finasteride and sexual side effects. Indian Dermatology Online Journal, 3(1), 62. https://doi.org/10.4103/2229-5178.93496.
Perfect Hair Health Team

Perfect Hair Health Team

"... Can’t thank @Rob (PHH) and @sanderson17 enough for allowing me to understand a bit what was going on with me and why all these [things were] happening ... "
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