Product image is for illustrative purposes only. Actual medication, packaging, and labeling may vary depending on the dispensing pharmacy.
Minoxidil/
Foam absorbs quickly and leaves less residue than many liquids, and this one combines minoxidil, finasteride and tretinoin with fluocinolone, a steroid that helps calm the scalp. It is compounded and prescribed after provider review. Supplied as six 15 mL containers.
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How it works
Submit your free assessment
Step 1: Complete your medical assessment for review by a licensed medical provider. If appropriate, the provider will determine whether the treatment is right for you.
Get your plan and your order at home
Step 2: If approved, your provider selects a formulation and explains how and when to use it. Your order ships in plain, unbranded packaging.
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Minoxidil/Tretinoin/Fluocinolone/Finasteride Foam
How Minoxidil/Tretinoin/Fluocinolone/Finasteride supports hair growth
Minoxidil/Tretinoin/Fluocinolone/Finasteride Foam is a prescription foam containing minoxidil, tretinoin, fluocinolone and finasteride. It is a four-ingredient scalp foam that includes finasteride.
Complete your assessment
Answer questions about your health history, goals and current medications.
Provider review
A licensed provider reviews your answers and decides whether this treatment is appropriate.
Delivered to your door
If prescribed, your medication ships from a licensed pharmacy with clear directions.
Provider-guided from start to finish
A licensed provider reviews your health history, checks for contraindications, sets an appropriate starting plan, and monitors your progress over time.
How to use it
Apply to a dry scalp as directed on your prescription label and wash your hands afterwards.
Real Medical Professionals. Personalized Care. Transparent Pricing.
Your health deserves more than a one-size-fits-all approach.
Medura connects you with licensed medical professionals who take the time to review your health history, evaluate your individual needs, and determine which treatments may be right for you.
We believe quality healthcare should come with professional oversight, personalized attention, and honest, transparent medication pricing.
No unnecessary medication markups. No confusing treatment pricing. Just a more straightforward approach to getting the care you deserve.
Licensed Medical Professionals
Your treatment is evaluated by qualified, licensed providers.
Personalized Medical Evaluations
Recommendations are based on your individual health needs.
Provider-Approved Prescriptions
Medication is prescribed only when clinically appropriate.
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Know the medication price before moving forward.
Connect with a licensed medical professional and discover whether treatment is right for you. Prescriptions require a medical evaluation and provider approval.
Quality and ingredient standards
Made in the U.S.A.
Some treatments are compounded by licensed U.S. pharmacies in facilities registered with the FDA. Registration does not mean a compounded medication is an FDA-approved finished medication.
USP <797>
Sterile compounding standards.
Documented handling.
Every batch released to spec.
ISO Class 7
Cleanroom-grade air.
Filtered environments.
Tighter contamination control.
Clean ingredients, careful delivery
- No heavy metals
- No added dyes
- Licensed U.S. pharmacies
- Provider-prescribed
- Cold-chain protection
- Plain, unbranded packaging
- Serves all 50 states
- HSA and FSA eligible
Medication guide
What to know about Minoxidil/Tretinoin/Fluocinolone/Finasteride Foam
General education to help you prepare for a conversation with a licensed provider. It is not a prescription or personal medical advice.
- Generic name
- Finasteride, minoxidil and tretinoin topical foam
- Drug class
- 5-alpha reductase inhibitor, vasodilator and retinoid
- Form
- Foam applied to the scalp
- Regulatory status
- Compounded, not FDA-approved
Topical finasteride is not FDA-approved in any form. In April 2025, FDA alerted patients and providers to potential risks of compounded topical finasteride, including reports of depression, suicidal thoughts, erectile dysfunction and reduced libido, and the risk of exposing women and children through skin contact. Topical minoxidil is FDA-approved over the counter at 2% and 5%; higher strengths are compounded.
Compounded medications are not FDA-approved. FDA does not review them for safety, effectiveness or quality before they are dispensed. A compounded preparation can differ from approved products in strength, ingredients, dosage form and how it is absorbed, so it should not be assumed to work the same way as an approved medication. Compounding is meant for patients whose needs cannot be met by an FDA-approved drug.
Overview
A compounded scalp foam combining finasteride, minoxidil and tretinoin. Tretinoin is added because some research suggests it may increase minoxidil’s effect in the scalp.
Who may be evaluated for it
- Men with male-pattern hair loss, especially early to moderate thinning at the crown or mid-scalp.
Who may not be a good fit
- Women who are or may become pregnant must not take or handle crushed or broken tablets: finasteride can cause abnormal development of the genitals of a male baby.
- Women in general (finasteride 1 mg is approved for men only).
- Men with a history of depression should discuss it first, as mood changes have been reported.
How it works
Finasteride applied to the scalp lowers DHT in the follicles, though some is absorbed into the blood.
Minoxidil extends the growth phase of hair follicles.
Tretinoin may increase scalp activity of the enzyme that activates minoxidil, and helps it penetrate.
Potential benefits and realistic timelines
What the evidence supports
- Topical minoxidil is FDA-approved for hair loss.
Early or limited research
- Small studies suggest tretinoin may improve response to minoxidil in some people.
Not established
- Safety and effectiveness of this three-ingredient compounded foam.
- 3 monthsShedding may slow. Some people notice brief extra shedding early on.
- 6 to 12 monthsVisible improvement, if it occurs, is usually judged here.
- After stoppingGains are typically lost within about 12 months.
Results vary from person to person. Your provider decides whether and how long to continue.
How it’s used
FDA label: 1 mg once daily, with or without food.
- Apply the prescribed amount to a dry scalp as directed, and let it dry fully.
- Wash hands right after.
- Avoid letting women or children touch treated areas, pillows or hats until dry, and never let a pregnant woman handle it.
If you miss a dose
Apply at the next scheduled time. Do not apply extra.
Storage and handling
Room temperature, closed tightly, away from flame (solutions often contain alcohol). Follow the beyond-use date on your label.
Your prescription label and provider instructions always take priority over this general information. Do not change your dose or stop without talking to your provider.
Side effects and safety
More common, usually manageable
- Scalp redness, peeling or irritation (more likely with tretinoin)
- Sun sensitivity of the scalp
- Temporary increased shedding
Less common but serious
- Sexual side effects: lower sex drive, erection problems and reduced ejaculate. These usually resolve after stopping, but some men report them persisting.
- Depression and thoughts of self-harm (added to the label in 2022).
- Breast enlargement or tenderness; report any breast lumps or nipple discharge.
- Lowers PSA by about half, which can mask prostate cancer if not accounted for.
Get medical help right away
- Thoughts of harming yourself, or worsening depression.
- Swelling of the lips, face or throat, or trouble breathing.
- Chest pain, racing heartbeat or fainting (rare with topical minoxidil)
Call 911 or go to the nearest emergency room for chest pain, trouble breathing, swelling of the face or throat, fainting, or signs of a stroke (sudden weakness, numbness, trouble speaking or seeing).
Pregnancy, breastfeeding and fertility
Must not be used or handled by women who are or may become pregnant. Both finasteride and tretinoin carry pregnancy concerns.
Interactions and combinations
Known interactions
- Other scalp products may change absorption; ask before combining.
- Do not combine with oral finasteride unless directed.
Related treatments and options
Listed for education, not as a recommendation to combine. Any combination needs your provider’s approval.
Overlapping ingredients.
- Other scalp retinoids or exfoliantsUse with caution
Increases irritation.
Monitoring and follow-up
- Baseline photos of the scalp help judge progress objectively.
- A review at about 6 and 12 months to decide whether to continue.
- Tell anyone ordering a PSA test that you take finasteride, so the result is interpreted correctly.
- Report mood changes or sexual side effects at any time.
Lab tests and follow-up visits are not included in the medication price unless your plan says so. Your provider will tell you what is needed.
Alternatives to discuss
- Finasteride / Minoxidil Topical
Same approach without tretinoin; may be less irritating.
- Finasteride 1 mg
FDA-approved oral form.
Lab tested medications for quality and potency.
Every medication ships from a licensed U.S. pharmacy in our network, delivered straight to your door.
Third party quality control testing
Compounded in U.S. pharmacies
Dosage, Schedule & Supply
- Dosage
- Your provider selects the strength during your assessment.
- Schedule
- Determined by your prescribing provider.
- Supply
- Six 15 mL containers.
- Estimated Supply Duration
- Varies based on the number of sprays prescribed and how often they are used.
Supply duration is an estimate based on the prescribed treatment plan. Actual duration may vary depending on dosage, frequency of use, and medication expiration.
Treatment information is for educational purposes. Your licensed healthcare provider will determine the appropriate dosage and schedule. Always follow your prescription instructions.
Frequently Asked Questions
Is topical finasteride safer than the pill?
Not proven. Less may reach the blood, but FDA has received reports of sexual and mood side effects with compounded topical finasteride, and it can transfer to others.
Can my partner touch my scalp?
Let it dry fully and wash your hands. Pregnant women should avoid contact with treated skin, pillows and hats.
Do I have to take it forever?
Benefits last only while you take it. Hair lost to male-pattern balding usually returns to its previous trend within a year of stopping.
How is the strength of Minoxidil/Tretinoin/Fluocinolone/Finasteride Foam chosen?
Strength, quantity and schedule are set during your assessment. They are not chosen on this page, and your provider decides what is appropriate.
Do I need a provider review?
Yes. A licensed Medura provider reviews your assessment and decides whether it is appropriate for you. Nothing is prescribed or shipped until that review is complete.
What does the monthly price include?
The price shown is the starting monthly price. Your exact price for the strength and quantity your provider selects is shown inside the assessment before you pay.
What happens after I request treatment through Medura?
You complete an online assessment about your health history, current medications and goals. A licensed provider reviews it and decides whether a prescription is appropriate. Completing the assessment does not guarantee a prescription. If one is written, a licensed pharmacy prepares and ships it, and your provider can adjust or stop treatment as needed. If lab work is needed, your provider will tell you; it may be ordered and billed separately.
What to expect and possible side effects
- 1
Complete your assessment
Answer questions about your health history, goals and current medications.
- 2
Provider review
A licensed provider reviews your answers and decides whether this treatment is appropriate.
- 3
Delivered to your door
If prescribed, your medication ships from a licensed pharmacy with clear directions.
Questions to ask your provider
- 1.Is my hair loss male-pattern (androgenetic) or something else?
- 2.What results are realistic for my stage of hair loss?
- 3.How will we track progress?
- 4.What should I do if I notice sexual or mood side effects?
- 5.What happens if I stop?
References
- FDA alert on potential risks of compounded topical finasteride (FDA, Apr 22, 2025)
- Minoxidil topical solution labeling (DailyMed)(opens in a new tab)
- Compounding and the FDA: Questions and Answers (FDA)(opens in a new tab)
Sources last checked October 17, 2026. This page is for general education and does not replace advice from a licensed provider. Treatment requires a clinical evaluation, and a prescription is written only if a provider decides it is appropriate. Individual results vary.
Related Products & Treatments
Explore other options that may support your goals.
Minoxidil/Tretinoin/Fluocinolone/Biotin/Melatonin FoamA foam with biotin and melatonin instead of finasteride.View details for Minoxidil/Tretinoin/Fluocinolone/Biotin/Melatonin Foam
Finasteride/Minoxidil SolutionFinasteride and minoxidil solution. Helps slow hair loss and supports regrowth in pattern hair loss.View details for Finasteride/Minoxidil Solution
Finasteride Oral TabletFinasteride taken by mouth. Helps slow hair loss and supports regrowth in pattern hair loss.View details for Finasteride Oral Tablet
Finasteride/Minoxidil CapsuleAn oral capsule combining finasteride 1 mg and minoxidil 2.5 mg. Helps slow hair loss and supports regrowth in pattern hair loss.View details for Finasteride/Minoxidil Capsule
Minoxidil Oral TabletIt is minoxidil taken by mouth instead of applied to the scalp.View details for Minoxidil Oral Tablet
Dutasteride Oral CapsuleIt is an oral DHT blocker related to finasteride.View details for Dutasteride Oral Capsule
Biotin/Finasteride/Minoxidil CapsuleIt adds biotin to an oral finasteride and minoxidil capsule.View details for Biotin/Finasteride/Minoxidil Capsule
Minoxidil/Finasteride/Biotin FilmIt offers an oral combination as a dissolving film.View details for Minoxidil/Finasteride/Biotin Film
Caffeine/Finasteride/Latanoprost/Melatonin/Minoxidil SolutionIt is a five-ingredient scalp solution.View details for Caffeine/Finasteride/Latanoprost/Melatonin/Minoxidil Solution
Dutasteride/Latanoprost/Minoxidil SolutionIt is a topical solution built around dutasteride.View details for Dutasteride/Latanoprost/Minoxidil Solution
Hydrocortisone/Minoxidil TopicalIt pairs minoxidil with a mild corticosteroid.View details for Hydrocortisone/Minoxidil Topical
Finasteride DropsIt is finasteride applied to the scalp instead of taken by mouth.View details for Finasteride Drops
Minoxidil/Tretinoin/Melatonin/Caffeine/Cetirizine DropsIt is a five-ingredient scalp drop built around minoxidil.View details for Minoxidil/Tretinoin/Melatonin/Caffeine/Cetirizine Drops
Dutasteride/Minoxidil/Tretinoin/Melatonin/Caffeine/Cetirizine DropsIt adds dutasteride to a five-ingredient minoxidil drop.View details for Dutasteride/Minoxidil/Tretinoin/Melatonin/Caffeine/Cetirizine Drops
Minoxidil/Biotin SprayIt is a two-ingredient scalp spray.View details for Minoxidil/Biotin Spray
Minoxidil/Latanoprost/Ketoconazole SprayIt is a three-ingredient scalp spray.View details for Minoxidil/Latanoprost/Ketoconazole Spray
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