The short answer
Finasteride 0.25% with minoxidil 5% or 12% in one scalp foam or solution, with tretinoin in some formulations to help absorption. Compounded only, not FDA-approved, with less of the finasteride reaching the rest of you than the tablet.
- Applied to the scalp once daily, wherever the thinning is. Works only where you put it, so aim.
- Lower finasteride blood levels than the tablet, but not zero. Sexual side effects and mood changes remain possible.
- Compounded topical finasteride is not an FDA-approved product.
Local politics.
Topical finasteride aims to lower DHT at the scalp while sending less of the drug through the rest of the body. Studies suggest scalp DHT falls meaningfully with lower blood levels than the tablet. It is still absorbed, so it is not a side-effect-free version. Minoxidil in the same bottle lengthens the growth phase of the follicles that are still active.3
Foam, drops, five or twelve.
The 5% minoxidil strength matches the FDA-approved over-the-counter concentration; 12% is a compounded higher strength for men who have plateaued, with more irritation possible. Tretinoin is added to some formulations to improve absorption at the cost of extra dryness. Your clinician chooses; you can switch at a check-in.3
Compounded means compounded.
There is no FDA-approved topical finasteride product in the United States. Every topical finasteride prescription is prepared by a licensed compounding pharmacy for an individual patient and has not been evaluated by FDA for safety, effectiveness, or quality.3
Possible side effects
Scalp irritation, dryness, and unwanted hair where the product spreads, plus the same list as oral finasteride at lower frequency: libido or erection changes, breast tenderness, mood changes. Tretinoin adds dryness and sun sensitivity. People who are or may become pregnant should not handle the product or touch treated skin before it dries.3
Where it comes from
Compounded formulations are prepared for you individually by a licensed compounding pharmacy. They are not FDA-approved, and FDA has not verified their safety, effectiveness, or quality. Your clinician chooses the formulation and strength for you; the pharmacy prepares that exact prescription and ships it discreetly to your door.3
Strengths and plans
Canopy, your way.
Every strength of Canopy costs the same. Your clinician chooses the strength with you; you choose how long the plan runs. The price includes your consult and ships the medicine to your door.
- Foam 5Finasteride 0.25% / minoxidil 5% scalp foam, compoundedThe usual starting strength. Foam dries fast and is kinder to the pillow.
- Foam 12Finasteride 0.25% / minoxidil 12% scalp foam, compoundedHigher-strength minoxidil for men who have plateaued on 5%. More irritation is possible.
- Drops 12Finasteride 0.25% / minoxidil 12% scalp solution, compoundedThe same strength as Foam 12 in a dropper solution, for men who prefer to aim.
- Drops + tretinoinFinasteride 0.25% / tretinoin 0.01% / minoxidil 5% scalp solution, compoundedTretinoin is added to help the minoxidil absorb. Expect more dryness; sun protection matters.
- Foam + tretinoinFinasteride / minoxidil / tretinoin scalp foam, compoundedThe tretinoin combination as a foam. Your clinician sets the strengths.
One price covers the consult and, if prescribed, the medication for the full plan. A plan never guarantees a prescription; if medication is not appropriate for you, you are refunded under the Refund Policy. Compounded medicines are not FDA-approved.
Hairy questions, straight answers
Is finasteride + minoxidil, topical FDA-approved for this use?
Compounded preparation from a licensed compounding pharmacy; not FDA-approved.
How do I get finasteride + minoxidil, topical through Thicket?
Pick this medicine and a plan length in the plan builder (oral plans $40 for one month down to $20 a month for twelve; topical plans from $89 a month), paid once, consult included. A licensed LPMD Medical Group clinician reviews your photos and health history over secure chat and, if this medicine is appropriate for you, sends the prescription to a licensed pharmacy that ships discreetly to your door. Medicines that come from your own pharmacy travel the Trailhead route: the $45 consult on its own. A plan never guarantees a prescription.
Sources
- DailyMed: finasteride prescribing information ↗
- DailyMed: minoxidil topical prescribing information ↗
- FDA: compounding questions and answers ↗
- American Academy of Dermatology: male pattern hair loss ↗
Information checked September 17, 2026. This page summarizes selected points and is not the full prescribing information. Your clinician and dispensing pharmacist provide instructions for your actual prescription.