Hair comparison

    Finasteride vs Minoxidil: which works better for hair loss?

    Reviewed by the FaroRx clinical team · Updated September 2026

    The short answer

    Finasteride slows hair loss by blocking DHT, the hormone that shrinks follicles. Minoxidil regrows hair by extending the growth phase and improving blood flow to the follicle. They do different jobs, and the strongest results come from using both. On FaroRx, finasteride starts at $35/mo, minoxidil at $39/mo, and the 4-in-1 hair spray combines both plus tretinoin and fluocinolone at $119/mo.

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    What each one does

    FinasterideMinoxidil
    JobStops further loss (blocks DHT)Regrows and thickens hair
    FormOral tablet or topicalOral tablet or topical
    First visible change3–6 months2–4 months (after initial shedding)
    FaroRx priceFrom $35/moFrom $39/mo
    Best forReceding hairline and crown thinningCrown density and overall thickness

    Why the combination wins

    Finasteride removes the cause; minoxidil stimulates regrowth. Using only minoxidil means you are regrowing hair while DHT keeps shrinking follicles underneath. Using only finasteride means you hold your ground but regrow less. Studies of combined therapy consistently show better density than either alone, which is why our 4-in-1 spray puts minoxidil, finasteride, tretinoin and fluocinolone in one nightly application.

    Side effects, plainly

    • Finasteride: a small percentage report reduced libido or sexual side effects, usually reversible on stopping.
    • Topical minoxidil: scalp dryness, itching, unwanted facial hair if it migrates.
    • Oral minoxidil: ankle swelling, increased heart rate, extra body hair.
    • Both: an initial shed in the first 4–8 weeks is normal and a sign the cycle is resetting.

    The FaroRx safety note

    FaroRx medications are prescription-only. A licensed provider reviews your intake, medical history and medication list before anything is prescribed, and can decline if a treatment is not appropriate for you. Nothing here is medical advice.

    Common questions

    Should I use finasteride or minoxidil first?

    If you are actively losing hair, finasteride addresses the cause. Most people get the best result using both together.

    Can I use both at the same time?

    Yes — combination therapy is standard and is exactly what the FaroRx 4-in-1 hair spray delivers in one step.

    What happens if I stop?

    Hair maintained by treatment is gradually lost over 6–12 months after stopping, because the underlying process resumes.

    Build your hair plan

    Complete a short online visit and a licensed provider will review whether treatment is right for you.

    This guide is for information only and is not medical advice. Compounded medications are prepared by a licensed U.S. pharmacy and are not FDA-approved products.