Clinician-prescribed therapies · Personally reviewed by your provider
HairMinoxidil 5% / Dutasteride 0.1% / Finasteride 0.1% / Tretinoin 0.025% / Ketoconazole 2%
The whole hair lane, in one bottle.*
A compounded topical that combines the five agents with the strongest evidence for pattern hair loss into a single nightly application.
Hair
Hair-Restore Topical Solution
Minoxidil 5% / Dutasteride 0.1% / Finasteride 0.1% / Tretinoin 0.025% / Ketoconazole 2%
Tides · Clinician-Prescribed
Quick read
What it is
A prescription-strength topical solution compounded from minoxidil, dutasteride, finasteride, tretinoin, and ketoconazole.
Primary benefit
Slows shedding, stabilizes the hairline, and gradually restores density over 3 to 6 months.
Mechanism
DHT blockade (finasteride + dutasteride) plus follicle vascularization (minoxidil), scalp penetration (tretinoin), and inflammation control (ketoconazole).
Who it's for
Adults with pattern hair loss who want one nightly step instead of a stack of separate products.
Read the full science
What it does
DHT blockade, more completely
Finasteride blocks the Type II 5α-reductase enzyme; dutasteride blocks both Type I and Type II. Together they suppress DHT more completely than either alone.Follicle vascularization
Minoxidil widens vessels around the follicle and extends the growth phase. The active ingredient in the retail topical, dosed alongside the DHT blockers.Better absorption
Tretinoin at low concentration improves scalp penetration of the other agents and supports cell turnover.Calmer scalp
Ketoconazole controls the low-grade inflammation that shortens the follicle growth phase and accelerates shedding.
How it works
Pattern hair loss has three tractable levers: androgen exposure at the follicle (DHT), vascular support around the follicle, and inflammation on the scalp. Retail products address one at a time. This compounded solution addresses all three in a single nightly step. Applied to a clean, dry scalp; give the combination 3 to 6 months before evaluating density change.
Clinical context
- Typical dose
- 1 mg 1 mL to the scalp nightly
- Range
- 5–7 mg/week
- Route
- Topical
- Per shipment
- ~60 days per bottle
Who it's for
- Pattern hair loss that has been progressing for at least 6 months
- Adults who want one nightly step instead of a stack
- Adults who have tried single-agent minoxidil or finasteride and want the layered approach
Cautions
- Not for use in women or during pregnancy
- Sexual side effects reported in a minority of finasteride users; typically reversible on discontinuation
- Apply only to intact scalp; avoid broken skin
$109/moLASTS ABOUT 9 WEEKS
60 mL bottle. Covers about 2 months at 1 mL nightly. Pharmacy and clinician fees included.
How the price works
- Unit size
- 1 bottle
- Prescribed dose
- 7 mg weekly
- Frequency
- 1 mL to the scalp nightly
- How long one unit lasts
- about 9 weeks per bottle
- bottles per year
- 6 bottles over 12 months
- Per month
- $109
- Per dose
- about $4
What’s included
- Clinician review by Dr. Rachel Deutsch, DNPShe reviews your case and prescribes the protocol. Every 4th refill returns to her for a scheduled check-in, and she can adjust that cadence based on your specific care. Not a bot, not a checkbox.
- Compounding by a licensed US pharmacy503A partnership. Every batch traceable, every ingredient sourced under FDA oversight.
- Temperature-controlled shipping when requiredTemperature-controlled packaging for injectables that need it. Ground shipping for orals and topicals.
- Unlimited messaging with your care teamAsk Rachel anything, any time. Dr. Rachel typically replies within one business day.
- No charge until Rachel approves your orderYour card is authorized at checkout, captured only when Rachel signs off. If she declines, nothing is charged.