Doctor-prescribed hair loss treatment online for men and women. HELiXVi clinicians review your hair loss pattern and history, then prescribe clinically proven finasteride and minoxidil, plus other options such as dutasteride where appropriate.
Finasteride and dutasteride are not for use by women who are pregnant or may become pregnant. Results vary between individuals and consistent use is required to maintain results.
HELiXVi prescribes hair loss treatment online and ships it to you, with no clinic visit. Every patient is assessed by a doctor and every prescription is dispensed by a licensed pharmacist. You can have the single agents on their own, minoxidil as a topical or a tablet, finasteride, dutasteride or spironolactone, or a compounded solution that combines several actives if that suits you better. Your doctor decides what is appropriate after reviewing your photos and history, and treatments ship discreetly every 30 days.
The best hair loss treatment depends on whether hair loss is hormonal, how far it has progressed, and what a person can tolerate. Minoxidil and finasteride have the strongest evidence base and are the starting point for most people, while compounded combinations and oral options are used when a single topical is not enough. The finasteride vs minoxidil question usually comes first: minoxidil works on the growth phase of the hair cycle, finasteride works on DHT, and plenty of patients are prescribed both.
| Treatment | How it works | Who it suits |
|---|---|---|
| Topical minoxidil | Prolongs the hair growth phase | Men and women, usual first line |
| Topical finasteride | Blocks DHT at the scalp | Men who want fewer systemic effects |
| Oral finasteride | Blocks DHT systemically | Men with male-pattern hair loss |
| Combination compound | Both mechanisms in one bottle | Anyone wanting a single-step routine |
| Oral minoxidil | Extends the growth phase systemically | People who respond poorly to topicals |
| Spironolactone | Reduces androgen activity | Women with androgenetic thinning |
Yes, if that is what you want. HELiXVi compounds minoxidil and finasteride into one solution, and several formulas add tretinoin, which helps the scalp absorb the minoxidil. Plenty of patients would rather keep the actives separate, and we prescribe them individually too. Your doctor will talk you through which approach suits you.
| Formula | Active ingredients | Strength |
|---|---|---|
| Follicle Fix | Minoxidil / Finasteride | 10% / 0.1% |
| Power Hair Solution | Minoxidil / Progesterone / Finasteride | 5% / 0.25% / 0.1% |
| Power Hair Solution Plus | Minoxidil / Tretinoin / Progesterone / Finasteride | 5% / 0.025% / 0.25% / 0.1% |
| Raven Solution | Minoxidil / Finasteride / Tretinoin / Vitamin E / Fluocinolone | 5% / 0.25% / 0.01% / 0.1% / 0.1% |
| Hair Revive | Biotin / Minoxidil / Tretinoin / Vitamin E / Fluocinolone | 0.2% / 5% / 0.01% / 0.1% / 0.1% |
| Finasteride / Minoxidil / Tretinoin Solution | Three-active scalp solution | 0.1% / 5.0% / 0.025% |
Several of these formulas contain finasteride, so read the safety information below before use in women.
HELiXVi is a USA-verified telehealth pharmacy. Every patient is assessed by a doctor and every prescription is dispensed by a licensed pharmacist. This is the complete hair loss formulary: 14 treatments, eight topical and six oral. If you have read about something that is not on this list, we do not offer it.
| Treatment | Format | Actives | Who it suits |
|---|---|---|---|
| Follicle Fix | Topical solution | Minoxidil 10% / Finasteride 0.1% | A focused two-agent topical with no additives |
| Power Hair Solution | Topical solution | Minoxidil 5% / Progesterone 0.25% / Finasteride 0.1% | The core minoxidil and finasteride pairing in one bottle |
| Power Hair Solution Plus | Topical solution | Minoxidil 5% / Tretinoin 0.025% / Progesterone 0.25% / Finasteride 0.1% | Patients wanting tretinoin to aid absorption |
| Raven Solution | Topical solution | Minoxidil 5% / Finasteride 0.25% / Tretinoin 0.01% / Vitamin E 0.1% / Fluocinolone 0.1% | Thinning alongside scalp irritation |
| Hair Revive | Topical solution | Biotin 0.2% / Minoxidil 5% / Tretinoin 0.01% / Vitamin E 0.1% / Fluocinolone 0.1% | Inflammatory scalp conditions alongside thinning |
| Finasteride / Minoxidil / Tretinoin Solution | Topical solution | Finasteride 0.1% / Minoxidil 5.0% / Tretinoin 0.025% | A streamlined all-in-one topical |
| Men's Scalp Solution | Topical solution | Azelaic acid, liothyronine, progesterone, testosterone | Men wanting a compounded topical protocol |
| Women's Scalp Solution | Topical solution | Azelaic acid, estradiol, progesterone, liothyronine | Women with androgenetic or perimenopausal thinning |
| Oral Minoxidil Tablet | Daily oral tablet (2.5 mg) | Minoxidil | Patients who do not tolerate or want to avoid topical minoxidil |
| Dutasteride Capsule | Daily oral capsule (0.5 mg) | Dutasteride | Patients who have plateaued on finasteride |
| Spironolactone Tablet | Daily oral tablet (50 / 100 mg) | Spironolactone | Women with androgen-driven thinning |
| Biotin / Finasteride / Minoxidil Capsule | Daily oral capsule | Biotin, finasteride, low-dose oral minoxidil | Patients who prefer an oral protocol to a topical |
| Willow Oral | Daily oral tablet | Minoxidil, spironolactone, biotin | Women under 45 with androgenetic thinning |
| Hair Force One | Daily oral capsule | Vitamin C, zinc, biotin, iron, niacinamide, methylcobalamin | Nutritional gaps that may contribute to shedding |
Compounded formulas are prepared for you by a state-licensed pharmacy and are not FDA-approved as formulated. Hair Force One is a supplement rather than a substitute for finasteride or minoxidil.
Spironolactone is an anti-androgen and one of the most widely used options in female-pattern hair loss. HELiXVi prescribes it as a daily tablet, and inside Willow Oral, a combination tablet for women under 45. It is prescribed off-label for hair loss and is not used during pregnancy.
Dutasteride blocks DHT more completely than finasteride, which is why a clinician may consider it for patients whose results have plateaued. HELiXVi prescribes it as a daily capsule. It is prescribed off-label for hair loss, and your doctor decides whether it suits your history.
Women are prescribed a different set from men. HELiXVi prescribes Women's Scalp Solution, Spironolactone Tablet, and Willow Oral for women under 45, alongside topical and low-dose oral minoxidil. None of them are used during pregnancy or breastfeeding, and your doctor confirms what fits before anything is prescribed.
Yes. The HELiXVi Biotin / Finasteride / Minoxidil Capsule puts all three in one daily capsule, and the Oral Minoxidil Tablet is the single-agent oral route, for patients who would rather not apply a solution every day. Your doctor reviews your history, including blood pressure, before prescribing either.
Oral minoxidil is not better than topical minoxidil for everyone, but it suits people who cannot tolerate the topical solution, dislike applying it daily, or have seen little benefit from it. HELiXVi prescribes minoxidil in 2.5mg tablet form alongside topical options, and a clinician decides which route fits your history.
Oral minoxidil is not suitable for everyone. A licensed clinician reviews your medical history, including any heart or blood pressure conditions, before prescribing.
Topical minoxidil is available over the counter in the United States. Finasteride requires a prescription, as do oral minoxidil, dutasteride, spironolactone and all compounded scalp solutions. HELiXVi's online consultation connects you with a licensed clinician who decides whether a prescription is appropriate for you.
Finasteride is not FDA-approved for women and is contraindicated in pregnancy under FDA Pregnancy Category X. Some clinicians prescribe it off-label for post-menopausal women. Women are more commonly prescribed topical minoxidil, spironolactone, or compounded scalp solutions. A clinician reviews your history before recommending any option.
The finasteride label carries warnings for decreased libido, erectile dysfunction and ejaculation disorder, with reports of symptoms persisting after stopping. Other reported effects include breast tenderness, depressed mood and allergic reactions. Most people tolerate finasteride well, but stop treatment and contact your clinician if concerning symptoms appear.
No. Compounded medications are prepared by a licensed pharmacy and are not FDA-approved. The individual actives, such as minoxidil and finasteride, may be FDA-approved on their own, but the combined formula is not reviewed by the FDA for safety, efficacy or quality.
Some clinicians prescribe both topical and oral minoxidil together, but this is a decision for your prescriber, not something to start on your own. Combining routes increases total exposure and requires assessment of your blood pressure and cardiovascular history first.
Hair loss treatment works only while you continue it. If you stop minoxidil or finasteride, hair maintained by treatment is typically shed within three to six months and hair loss resumes at its previous rate. Treatment is ongoing rather than a one-time course.
Most treatments take three to six months before visible change. Increased shedding during the first four to eight weeks is common and expected rather than a sign of failure, because treatment moves follicles into a new growth cycle. Individual results vary and improvement is not guaranteed.
HELiXVi prescribes a wider range than most: topical and oral minoxidil, finasteride, dutasteride, spironolactone, and compounded solutions if you want several actives in one bottle. Every patient is assessed by a doctor and every prescription is dispensed by a licensed pharmacist.