- Trusted by over 2M subscribers
- Free & discreet shipping on all prescriptions
- Affordable pricing with no hidden fees
- FDA-regulated pharmacies
- 100% online process
- Unlimited provider messaging
- US-Sourced ingredients
- Better sex
- Hair regrowth
- Weight loss
- Skin care
- Mental health
- Better sex
personalized to you
- Better sex
- Hair regrowth
- Weight loss
- Skin care
- Mental health
- Better sex
Customized care starts here
Moving in the
right direction
Get a personalized weight loss plan designed with one goal in mind: helping you feel happy in your body.
Eat healthy,
get strong
Find nutritional, protein-packed recipes in the Hims app, to help you maintain muscle mass.
It's more than a plan,
it's personal
A provider licensed in your state will review your information, so that they can combine guidance on nutrition, activity, sleep, and more into a plan designed around your body's needs.
Check your BMI to get started
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See how much
you could lose
you could lose
Compounded products are not approved nor evaluated for safety, efficacy, or quality by the FDA. Paid testimonial. Results have not been independently verified. Individual results will vary.
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Compounded products are not approved nor evaluated for safety, efficacy, or quality by the FDA. Paid testimonial. Results have not been independently verified. Individual results will vary.
Doctor-trusted solutions,
personalized to you
Care that fits
your schedule
No in-person visits needed. Manage treatment and get ongoing support in the app.
Prescribed by
licensed providers
Free consultations and ongoing support from licensed providers in all 50 states and DC.
Compounded drug products are not FDA-approved. FDA does not evaluate compounded products for safety, effectiveness, or quality. Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate.
Here's what you
need to know
What is Hims?
Hims is a 100% online platform with over 1 million subscribers that connects patients to licensed healthcare professionals in all 50 states. We offer support for weight loss, hair regrowth, mental health, and skincare.
Through our simple online process you can connect with licensed medical providers who can recommend customized treatment plans including prescription treatments, if appropriate, shipped right to your door.
How does Hims work?
First, complete an online intake form to give your healthcare provider information about your symptoms and medical history. Then, a licensed provider will assess that information and determine the right treatment option for you. For states that require a video or audio visit, you'll be offered available times and dates to schedule your online visit. For states that don't, a provider will send your treatment recommendation to your chat inbox.
If your provider determines treatment is right for you, it’s delivered in discreet packaging to your shipping address.
Who are the providers at Hims?
Providers through Hims are physicians, nurse practitioners, psychiatrists, dermatologists, and pharmacists. They’re licensed in all 50 states and DC, and offer safe, high-quality, evidence-based treatment and care.
Does Hims require insurance?
Nope! Hims doesn’t require insurance. We offer transparent pricing on treatments and your medical visit, ongoing shipments, and provider messaging are all included in one low price.
What states is Hims available in?
Hims is currently available in all 50 states and Washington, DC.
Are Hims ingredients sourced in the US?
The ingredients we use are carefully researched and sourced in order to make sure that they are high quality: we verify that each active ingredient complies with specifications set by the United States Pharmacopeia — an independent, not-for-profit organization that sets quality and safety standards for medicine. We test formulations with a third-party analytical laboratory, ensuring that the potency and strength in the formulation is as labeled.
Are Hims pharmacies FDA-regulated?
Yes. 503A pharmacies are licensed by state boards of pharmacy and 503B pharmacies are registered by the FDA. Both types of pharmacies are regulated by the FDA.
Important Safety Information
Important Safety Information
Topical finasteride + minoxidil spray is intended for use by MEN ONLY and should NOT be used by women or children.
Read this patient information before you start using this medication and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment.
Topical finasteride + minoxidil spray is a prescription medication used for the treatment of male pattern hair loss (androgenetic alopecia). It is a treatment alternative to oral finasteride that has been shown in research studies to be safe and effective.
Unlike oral finasteride, topical finasteride + minoxidil spray is a compounded product and has not been approved by the FDA. It is only available if prescribed after an online consultation with a medical provider through the Hims platform.
The use of topical finasteride to treat hair loss has not been as comprehensively studied as oral finasteride. While research has shown that serum DHT levels decrease while using topical finasteride, the systemic side effects (e.g., sexual dysfunction) typically associated with oral finasteride were not reported in the studies of topical finasteride.
Do not use other topical minoxidil products while you are using the Topical finasteride 0.3% + minoxidil 6% spray.
Do not allow individuals who are pregnant or breastfeeding, individuals who have the potential to become pregnant, or children handle this medication. Do not allow any of these individuals to come into contact with the treatment site (your scalp) after the medication has been applied. If they do, they should immediately clean the site of contact on their skin with soap and water.
What should I tell my healthcare provider before using topical finasteride + minoxidil?
- If you are pregnant, planning to become pregnant, or are breastfeeding
- Topical finasteride + minoxidil spray should not be used or handled by individuals who are pregnant or breastfeeding, individuals who have the potential to become pregnant, or individuals under the age of 18.
- If you have any other medical conditions, including problems with your prostate or liver
- If you have ever had a hypersensitivity or allergic reaction to topical minoxidil or topical finasteride + minoxidil
- All of the medications that you are currently taking, including prescription and nonprescription medications, vitamins, and herbal supplements.
- Know the medications you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medication.
Who should not use topical finasteride + minoxidil?
Do not use topical finasteride + minoxidil if you:
- are currently taking oral finasteride for hair loss or for treatment of an enlarged prostate (Propecia®, Proscar®). Oral finasteride and topical finasteride + minoxidil spray cannot be used at the same time
- are currently taking other medications in the same class as finasteride (5-alpha reductase inhibitors: dutasteride, Avodart®, Jalyn®)
- are pregnant, trying to get pregnant, or may become pregnant due to the possibility of absorption of finasteride and the subsequent potential risk to a male fetus
- are breastfeeding
- are allergic to any of the ingredients of topical finasteride + minoxidil
- have chronic liver disease
- have a history of breast cancer
- have a history of prostate cancer
- are younger than 18 years of age
What are the possible side effects of topical finasteride + minoxidil spray?
The most common side effects of topical finasteride + minoxidil spray typically occur at the site of medication application (scalp). These side effects include:
- Itching
- Redness
- Irritation
- Burning sensation
- Contact dermatitis
- Dry, & flaky scalp
If you develop any of the following side effects, please stop using this topical medication and contact your healthcare provider right away:
- Chest pain
- Rapid heart beat
- Faintness or dizziness
- Sudden & unexplained weight gain
- Swelling of hands or feet
- Breast tenderness/enlargement
- Unwanted facial hair growth
- Sexual dysfunction (e.g., low libido, erectile dysfunction, decreased volume of ejaculate)
- Symptoms of depression
- No scalp hair regrowth after 6 months of use
- Severe scalp irritation
These are not all of the possible side effects of topical finasteride + minoxidil spray. For more information, ask your healthcare provider or pharmacist.
Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How do I use the topical finasteride + minoxidil spray?
- Use this medication exactly as your healthcare provider tells you to use it.
- Do not use this medication more than once a day as it will not improve results and can increase the risk of side effects.
- Wash your hands with soap immediately after applying this medication to your scalp.
What should I do if this medication gets on my face?
There is the potential for hair growth to occur on any skin that this medication comes into contact with after repeated use. For this reason, only apply the topical finasteride + minoxidil spray to the scalp, and carefully blot any excess to avoid it running onto your face. If it does get on your face, clean off the medication with gentle soap and water.
How should I store the topical finasteride + minoxidil spray?
- Store this medication at room temperature between 59˚F to 86˚F (15˚C to 30˚C).
- Keep this medication and all other medications out of the reach of children.
- Individuals who are pregnant or breastfeeding, individuals under the age of 18 should not handle this medication
- Discard any unneeded medication
General information about the safe and effective use of the topical finasteride + minoxidil spray:
Do not use this medication for a condition for which it was not prescribed.
Do not give this medication to other people, even if they have the same symptoms you have. It may harm them.
Minoxidil is suspected to be toxic to cats and dogs. Please do not allow cats, dogs, or other pets to ingest this medication or to come into contact with the treatment site after the medication has been applied. If these occur, consult your pet's veterinarian.
Important Safety Information
The information below includes important safety information about escitalopram, which is the generic version of the brand name drug Lexapro. Read this information before you begin taking escitalopram. You must notify your healthcare provider if you start or stop taking escitalopram.
Escitalopram is a prescription medicine used to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD). Escitalopram may also be helpful when prescribed “off-label” for obsessive compulsive disorder (OCD), panic disorder, and premenstrual dysphoric disorder.
WARNING: SUICIDALITY AND ANTIDEPRESSANT DRUGS
Escitalopram and other antidepressant medicines may increase suicidal thoughts or actions, especially in some people 24 years of age and younger within the first few months of treatment or when the dose is changed. If you are experiencing a mental health crisis, please call or text 988 to be connected with help, or go to your nearest hospital emergency department. Pay particular attention to such changes when escitalopram is started or when the dose is changed.
Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. If these symptoms emerge, they should be reported to the patient’s prescriber or healthcare professional. All patients being treated with antidepressants for any indication should watch for and notify their healthcare provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Do not take Escitalopram if you:
- are allergic to escitalopram, or any of the ingredients in escitalopram
- Take any medication for Parkinson’s Disease or depression called monoamine oxidase inhibitors (MAOI), or if you have stopped taking an MAOI in the last 14 days as they may cause a dangerous increase in blood pressure. MAOIs include, but are not limited to: isocarboxazid, phenelzine, rasagiline, selegiline, tranylcypromine
- Take St John’s Wort or 5-Hydroxytryptophan (5-HTP)
- also take pimozide (Orap) or citalopram (Celexa)
- are drinking large amounts of alcohol
- are using or abusing recreation drugs or prescription medications
Escitalopram can cause serious side effects. Rarely reported side effects include:
- increased bleeding (gums)
- low sodium blood levels (symptoms may include headache, weakness and difficulty remembering or concentrating)
- teeth grinding
- seizure
- angle closure glaucoma (symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye)
- QT prolongation and ventricular arrhythmia including Torsades de Pointes (changes in the electrical activity of your heart; symptoms may include fast, slow or irregular heartbeat, shortness of breath, and dizziness or fainting)
- serotonin syndrome (symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death)
Before you take escitalopram, tell your healthcare provider if you:
- have thoughts of suicide or harming yourself
- have a history of psychiatric or medical problems, including bipolar disorder
- have taken any medication in the past for your condition, whether effective or not
- have suffered adverse or side effects from previous medication therapies
- drink alcohol or use/abuse recreational or prescription drugs
- are pregnant, plan to become pregnant, or are breastfeeding
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements, and recreational drugs.
Escitalopram may affect the way other medicines work, and other medicines may affect the way escitalopram works, causing side effects. Especially tell your healthcare provider if you take any of the following:
- Aspirin or nonsteroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen, celecoxib, diclofenac)
- Warfarin or other anticoagulants
- Any other serotonergic medications including: trazodone, migraine medications (triptans), pain medications (tramadol), antibiotic linezolid, amphetamines
During treatment with this medication, common side effects of this medication may go away as your body adjusts to the medication. The most common side effects of escitalopram include: headache, dizziness, nausea, vomiting, diarrhea, constipation, upset stomach, nose or throat irritation, dry mouth, loss of appetite, weight loss, increased sweating, yawning, feeling nervous, restless, fatigued, tremor, unusual dreams, sleepiness or having trouble sleeping (insomnia). Sexual side effects, such as problems with orgasm or ejaculatory delay, often do not diminish over time.
If you miss a dose of escitalopram, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider. Do not double your next dose or take more than what is prescribed.
Do not abruptly stop taking escitalopram even when you feel better. Abruptly stopping can cause withdrawal symptoms including: vomiting, irritability, dizziness, headaches, sensation of tingling skin, or nightmares.
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
If you no longer need your medication, the best way to dispose of most types of old, unused, unwanted, or expired medicines (both prescription and over the counter) is to drop off the medicine at a drug take back site, location, or program immediately. You can use the DEA DIVERSION CONTROL DIVISION LOOKUP to find your nearest drug disposal site.
If no drug take back sites, locations, or programs are available in your area, and there are no specific disposal instructions (such as flushing) in the medication guide or package insert, you can follow these simple steps to dispose of most medicines in your trash at home:
- Mix medicines (liquid or pills; do not crush tablets or capsules) with an unappealing substance such as dirt, cat litter, or used coffee grounds;
- Place the mixture in a container such as a sealed plastic bag;
- Throw away the container in your trash at home; and
- Delete all personal information on the prescription label of empty medicine bottles or medicine packaging, then trash or recycle the empty bottle or packaging.
Important Safety Information
What is the most important information that I should know about the Anti-Aging Treatment?
- Do not use the Anti-Aging treatment if you are:
- Pregnant, planning to become pregnant, or breastfeeding
- Allergic to any of the ingredients:
- ▪ Tretinoin
- ▪ Niacinamide
- ▪ Azelaic Acid
- Younger than 18 years of age
What if I am currently using a product containing a retinoid (tretinoin, Retin-A®, Tazorac®, Differin®, or another over-the-counter retinol)?
Please stop the treatment that you are currently using and continue using the Anti-Aging treatment in the same fashion. While using the Anti-Aging treatment, please do not use any other treatments on your face that contain a retinoid (including over-the-counter products)
What are the most common side effects of this medication:
You may experience side effects with this medication. These side effects are common and typically go away with time and regular use:
- Stinging of the skin
- Irritation
- Itching
- Burning
- Redness
- Dryness
- Peeling
- Increased sensitivity to the sun
You should also avoid other products known to cause skin irritation on the area of treatment, such as medicated or abrasive (rough) soaps, products with alcohol or astringents, chemical hair removers, and cosmetics with a strong drying effect. If you are having any treatments such as a facial, electrolysis, or waxing, please inform the individual providing the service that you are using a product with tretinoin.
What should I tell my medical provider before the Anti-Aging treatment is prescribed?
- If you are pregnant, planning to become pregnant, or breastfeeding
- If you are currently using any products containing a retinoid (e.g., tretinoin, Retin-A®, Tazorac®, Differin®, or another over-the-counter retinol)
- If you have a hypersensitivity or allergy to tretinoin, other retinoids, or any component of the Anti-aging treatment
- If you have a history of perioral dermatitis or rosacea
- If you have a current or past history of skin cancer
- If you are currently taking other medications that make you more sensitive to sunlight (e.g., tetracyclines, fluoroquinolones, sulfonamides, thiazides, phenothiazines)
- If you are currently sunburned on your face
Can I use the Anti-Aging treatment more than once a day?
- No - the treatment is meant to be applied no more than once a day in the evening
Will my skin be more sensitive to the sun while using the Anti-Aging treatment?
- This treatment may make your skin more susceptible to sunburn and other adverse effects of the sun (this includes the use of tanning beds, artificial sunlamps, etc.). It is important to apply sunscreen on a daily basis with an SPF of at least 15 while using this treatment.
What if I get a sunburn while using the Anti-Aging treatment?
- Stop your treatment until your skin has recovered
What type of facial cleanser should I use with the Anti-Aging treatment?
- Use a mild, non-medicated cleanser. Abrasive, or rough soaps, may irritate the skin. Wait 20-30 minutes after washing your face before you apply this treatment.
What will happen once I stop using the Anti-Aging Treatment?
- Once this treatment is stopped, the improvement may gradually disappear.
Important Safety Information
The information below includes important safety information about escitalopram, which is the generic version of the brand name drug Lexapro. Read this information before you begin taking escitalopram. You must notify your healthcare provider if you start or stop taking escitalopram.
Escitalopram is a prescription medicine used to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD). Escitalopram may also be helpful when prescribed “off-label” for obsessive compulsive disorder (OCD), panic disorder, and premenstrual dysphoric disorder.
WARNING: SUICIDALITY AND ANTIDEPRESSANT DRUGS
Escitalopram and other antidepressant medicines may increase suicidal thoughts or actions, especially in some people 24 years of age and younger within the first few months of treatment or when the dose is changed. If you are experiencing a mental health crisis, please call or text 988 to be connected with help, or go to your nearest hospital emergency department. Pay particular attention to such changes when escitalopram is started or when the dose is changed.
Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. If these symptoms emerge, they should be reported to the patient’s prescriber or healthcare professional. All patients being treated with antidepressants for any indication should watch for and notify their healthcare provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Do not take Escitalopram if you:
- are allergic to escitalopram, or any of the ingredients in escitalopram
- Take any medication for Parkinson’s Disease or depression called monoamine oxidase inhibitors (MAOI), or if you have stopped taking an MAOI in the last 14 days as they may cause a dangerous increase in blood pressure. MAOIs include, but are not limited to: isocarboxazid, phenelzine, rasagiline, selegiline, tranylcypromine
- Take St John’s Wort or 5-Hydroxytryptophan (5-HTP)
- also take pimozide (Orap) or citalopram (Celexa)
- are drinking large amounts of alcohol
- are using or abusing recreation drugs or prescription medications
Escitalopram can cause serious side effects. Rarely reported side effects include:
- increased bleeding (gums)
- low sodium blood levels (symptoms may include headache, weakness and difficulty remembering or concentrating)
- teeth grinding
- seizure
- angle closure glaucoma (symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye)
- QT prolongation and ventricular arrhythmia including Torsades de Pointes (changes in the electrical activity of your heart; symptoms may include fast, slow or irregular heartbeat, shortness of breath, and dizziness or fainting)
- serotonin syndrome (symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death)
Before you take escitalopram, tell your healthcare provider if you:
- have thoughts of suicide or harming yourself
- have a history of psychiatric or medical problems, including bipolar disorder
- have taken any medication in the past for your condition, whether effective or not
- have suffered adverse or side effects from previous medication therapies
- drink alcohol or use/abuse recreational or prescription drugs
- are pregnant, plan to become pregnant, or are breastfeeding
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements, and recreational drugs.
Escitalopram may affect the way other medicines work, and other medicines may affect the way escitalopram works, causing side effects. Especially tell your healthcare provider if you take any of the following:
- Aspirin or nonsteroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen, celecoxib, diclofenac)
- Warfarin or other anticoagulants
- Any other serotonergic medications including: trazodone, migraine medications (triptans), pain medications (tramadol), antibiotic linezolid, amphetamines
During treatment with this medication, common side effects of this medication may go away as your body adjusts to the medication. The most common side effects of escitalopram include: headache, dizziness, nausea, vomiting, diarrhea, constipation, upset stomach, nose or throat irritation, dry mouth, loss of appetite, weight loss, increased sweating, yawning, feeling nervous, restless, fatigued, tremor, unusual dreams, sleepiness or having trouble sleeping (insomnia). Sexual side effects, such as problems with orgasm or ejaculatory delay, often do not diminish over time.
If you miss a dose of escitalopram, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your healthcare provider. Do not double your next dose or take more than what is prescribed.
Do not abruptly stop taking escitalopram even when you feel better. Abruptly stopping can cause withdrawal symptoms including: vomiting, irritability, dizziness, headaches, sensation of tingling skin, or nightmares.
Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to 6-8 weeks to fully improve.
If you no longer need your medication, the best way to dispose of most types of old, unused, unwanted, or expired medicines (both prescription and over the counter) is to drop off the medicine at a drug take back site, location, or program immediately. You can use the DEA DIVERSION CONTROL DIVISION LOOKUP to find your nearest drug disposal site.
If no drug take back sites, locations, or programs are available in your area, and there are no specific disposal instructions (such as flushing) in the medication guide or package insert, you can follow these simple steps to dispose of most medicines in your trash at home:
- Mix medicines (liquid or pills; do not crush tablets or capsules) with an unappealing substance such as dirt, cat litter, or used coffee grounds;
- Place the mixture in a container such as a sealed plastic bag;
- Throw away the container in your trash at home; and
- Delete all personal information on the prescription label of empty medicine bottles or medicine packaging, then trash or recycle the empty bottle or packaging.
Important Safety Information
COMPOUNDED SEMAGLUTIDE is a glucagon-like peptide-1 (GLP-1) receptor agonist indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:
- >27 kg/m2 or greater (overweight or obesity)
Limitations of Use:
- Co-administration with other COMPOUNDED SEMAGLUTIDE-containing products or any GLP-1 receptor agonist is not recommended.
- The safety and efficacy of coadministration with other products for weight management have not been established.
- COMPOUNDED SEMAGLUTIDE has not been studied in patients with a history of pancreatitis.
IMPORTANT SAFETY INFORMATION
WARNING: RISK OF THYROID C-CELL TUMORS
See full prescribing information for complete boxed warning.
- In rodents, SEMAGLUTIDE causes thyroid C-cell tumors in clinically relevant exposures. It is unknown whether SEMAGLUTIDE causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans as the human relevance of SEMAGLUTIDE-induced rodent thyroid C-cell tumors has not been determined
- SEMAGLUTIDE is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Counsel patients regarding the potential risk of MTC and symptoms of thyroid tumors.
Do not take COMPOUNDED SEMAGLUTIDE if you:
- Have a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN2).
- Have been diagnosed with Diabetes (Type 1 or 2)
- Have been diagnosed with pancreatitis or history of pancreatitis
- Have a diagnosis or history of gastroparesis - severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems with digesting food
- Have a known allergy to semaglutide/any other GLP-1 drug or any of the inactive ingredients in COMPOUNDED SEMAGLUTIDE. Inactive ingredients include: di-sodium hydrogen phosphate dihydrate, sodium chloride, benzyl alcohol, hydrochloric acid, sodium hydroxide pellets and water.
- Have a history of suicidal attempts or active suicidal ideation
WARNINGS AND PRECAUTIONS
- Acute Pancreatitis: Has occurred in clinical trials. Discontinue promptly if pancreatitis is suspected. Do not restart if pancreatitis is confirmed.
- Acute Gallbladder Disease: Has occurred in clinical trials. If cholelithiasis is suspected, gallbladder studies and clinical follow-up are indicated.
- Gastroparesis: Uncommon, but more serious, gastrointestinal adverse effect may also occur more frequently with GLP-1 receptor agonists than with other weight loss agents.
- Hypoglycemia: Concomitant use with an insulin secretagogue or insulin may increase the risk of hypoglycemia, including severe hypoglycemia. Reducing the dose of insulin secretagogue or insulin may be necessary. Inform all patients of the risk of hypoglycemia and educate them on the signs and symptoms of hypoglycemia.
- Acute Kidney Injury: Has occurred. Monitor renal function when initiating or escalating doses of COMPOUNDED SEMAGLUTIDE in patients reporting severe adverse gastrointestinal reactions or in those with renal impairment reporting severe adverse gastrointestinal reactions.
- Hypersensitivity Reactions: Anaphylactic reactions and angioedema have been reported postmarketing. Discontinue COMPOUNDED SEMAGLUTIDE if suspected and promptly seek medical advice.
- Females and males of reproductive potential: Discontinue COMPOUNDED SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long half-life of COMPOUNDED SEMAGLUTIDE.
- Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue COMPOUNDED SEMAGLUTIDE immediately
- Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: Has been reported in trials with COMPOUNDED SEMAGLUTIDE. Patients with a history of diabetic retinopathy should be monitored. Diabetic retinopathy damages blood vessels in the retina and can scar your retina. As the scars get bigger, they can pull on your retina and detach it from the back of your eye, a serious condition called retinal detachment.
- Heart Rate Increase: Monitor heart rate at regular intervals.
- Suicidal Behavior and Ideation: Monitor for depression or suicidal thoughts. Discontinue COMPOUNDED SEMAGLUTIDE if symptoms develop.
- A recent study suggested there may be a connection between semaglutide use and increased risk for a blinding eye disease called non-arteritic anterior ischemic optic neuropathy (NAION). There isn't enough data yet to suggest patients should be concerned or should stop taking their medications. People who have diabetes are already at risk for NAION, whether they use semaglutide or not. It is premature to conclude that the association is a causal association. More research is necessary to test the hypothesis. Until then, patients should be aware of this information and make a careful, informed choice based on their individual risk profile.
Side Effects
Most common side effects (incidence ≥ 5%) in adults or pediatric patients aged 12 years and older are: nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, dyspepsia, dizziness, abdominal distension, eructation, hypoglycemia in patients with type 2 diabetes, flatulence, gastroenteritis, gastroesophageal reflux disease, and nasopharyngitis.
To report SUSPECTED ADVERSE REACTIONS, contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch
DRUG INTERACTIONS
COMPOUNDED SEMAGLUTIDE delays gastric emptying. May impact absorption of concomitantly administered oral medications. Use with caution.
USE IN SPECIFIC POPULATIONS
- Pregnancy: May cause fetal harm. When pregnancy is recognized, discontinue COMPOUNDED SEMAGLUTIDE.
- Females and Males of Reproductive Potential: Discontinue COMPOUNDED SEMAGLUTIDE at least 2 months before a planned pregnancy because of the long half-life of COMPOUNDED SEMAGLUTIDE.
Important Safety Information
Important Safety Information
This prescription is for use by MEN only and should NOT be used by women or children.
Read this patient information before you start taking Finasteride & Minoxidil + Hair Vitamins and each time you get a refill. There may be new information. This information does not take the place of talking with your healthcare provider about your medical condition or treatment.
What is finasteride and minoxidil?
Finasteride and minoxidil are prescription medicines used for the treatment of male pattern hair loss (androgenetic alopecia):
Who should not take finasteride & minoxidil?
Finasteride is not for use by women and children and should not be handled by women or children.
Do not take finasteride & minoxidil if you:
- Are pregnant or may become pregnant. Finasteride may harm your unborn baby.
- Females who are pregnant or who may become pregnant should not come in contact with finasteride & minoxidil compounded tablets.
- If a pregnant woman comes in contact with finasteride & minoxidil compounded tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with finasteride, a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with finasteride, the baby may be born with sex organs that are not normal.
If any of the following apply to you, please speak with a healthcare provider in person about seeking treatment for your male pattern hair loss:
- Younger than 18 years of age
- Have heart, kidney or liver disease
- Have pheochromocytoma
- Have active depression or anxiety
- Have prostate problems
- Have recently treated cancer
- Are allergic to any of the following ingredients: oral minoxidil, biotin, vitamin B5, vitamin B6, or vitamin C
What should I tell my healthcare provider before taking finasteride and minoxidil?
Before taking finasteride and minoxidil, tell your healthcare provider if you:
- have any other medical conditions, including problems with your heart, kidney, prostate or liver.
Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Know the medications you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medication.
How should I take Finasteride & Minoxidil + Hair Vitamins?
- Take this medication exactly as your healthcare provider tells you to take it.
- You may take it with or without food.
- If you forget to take a dose, do not take an extra tablet. Just take the next tablet as usual.
This medication will not work faster or better if you take it more than once a day.
Oral minoxidil can cause early hair shedding as beneficial hair cycling is triggered. This is an expected side effect that will improve with continued medication use.
What are the most common side effects of minoxidil?
- Hypertrichosis, or increased hair growth on the face or body
- Lightheadedness
- Palpitations or tachycardia
- Headaches
- Leg swelling or fluid retention (edema)
- Swelling around the eyes
- Insomnia
- Nausea
- Rash
What are the most common side effects of finasteride?
- Breast tenderness or enlargement of the breasts (reported in less than 1% of patients; typically resolves after the medication is stopped)
- Sexual dysfunction
In clinical trials, 1.2%-1.8% of patients taking finasteride experienced sexual dysfunction side effects including decreased libido, erectile dysfunction or a decrease in the volume of ejaculation vs. 1% of those taking placebo:
- Decreased libido 1.8%
- Erectile dysfunction 1.3%
- Decreased volume of ejaculate 1.2%
Several studies have documented the majority of these side effects are reversible. However, 1.4% of the patients who experience side effects may continue to have symptoms following discontinuation of Finasteride. Of particular note there has been an association of the sexual dysfunction symptoms and the use of NSAIDS (Motrin, Advil, Aleve type medications.) For this reason Finasteride should be stopped for the period of time when you take NSAIDS.
Does finasteride cause depression?
A literature review shows there may be evidence of increased depressive symptoms in individuals younger than age 45 while using Finasteride for hair loss. Patients with new or worsening depression should stop Finasteride use and follow up with their health care provider or a mental health therapist. SOURCE: MEDPAGETODAY.ORG
Does finasteride cause prostate cancer or prostate enlargement (BPH)?
There have been reports of a slight increased risk (1.8% with 5mg finasteride dosage versus 1.0% placebo) of high grade prostate cancer for men over age 55 years old. These reports are from men taking a higher dosage of finasteride (5mg) than the dosage we prescribe for hair loss (1mg). There have been conflicting studies on the increased risk in the number of high grade prostate cancers; however, several recent studies have shown no increase in the number of deaths (with a recent study showing fewer deaths) in patients who use finasteride at the 1mg dosage.
Does finasteride change blood Prostate Specific Antigen (PSA) levels?
Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking finasteride because finasteride decreases PSA
The following have been reported in general use with finasteride:
- breast tenderness and enlargement. Tell your healthcare provider about any changes in your breasts such as lumps, pain or nipple discharge.
- decrease in sex drive that continued after stopping the medication. allergic reactions including rash, itching, hives and swelling of the - - - lips, tongue, throat, and face.
- problems with ejaculation that continued after stopping medication.
- testicular pain.
- difficulty in achieving an erection that continued after stopping the medication.
- male infertility and/or poor quality of semen.
- in rare cases, male breast cancer.
Tell your healthcare provider if you have any side effects that bother you or that do not go away.
Seek emergency medical care if you experience any of these side effects:
- New or worsening chest pain
- Shortness of breath
- Sudden swelling of the lips, tongue, throat, and face
- Sudden changes to your vision or hearing
- Very severe heartburn
The above symptoms may be signs of a more serious reaction.
These are not all of the possible side effects of finasteride and minoxidil. For more information, ask your healthcare provider or pharmacist. Contact your healthcare provider for medical advice about side effects. You can message a healthcare provider through your Hers account if you have any questions about your treatment, including any side effects you may be experiencing. You may report side effects to the FDA by calling 1-800-FDA-1088 or visiting HTTP://WWW.FDA.GOV/MEDWATCH.
How should I store Finasteride & Minoxidil + Hair Vitamins?
- Store at room temperature between 59˚F to 86˚F (15˚C to 30˚C).
- Keep the medication in a closed container and keep tablets dry (protect from moisture). Keep this medication out of the reach of children.
General information about the safe and effective use of Finasteride & Minoxidil + Hair Vitamins.
Medicines are sometimes prescribed for purposes other than those listed in this Patient Information. Do not use Finasteride for a condition for which it was not prescribed. Do not give Finasteride to other people, even if they have the same symptoms you have. It may harm them.