Starting treatment is a big step towards taking control of hair loss, and taking a few minutes to read this guide will help you get the most out of it. Understanding how your treatment works, what to expect and how to use it properly will help you get the best results. Rest assured, you’re not alone on this journey - our team is here to support you every step of the way.

Hair restoration is a process that takes time and consistency. For most men, this is at least a 12-month commitment, but it’s worth it. Many patients see significant improvements with patience, whether it’s slowing hair loss, keeping the hair they have or regrowing some of what was lost.

Stay the course, and if you have any questions or concerns, just reach out — we’re here for you.

Is it possible to treat hair loss?

Many men assume that nothing can be done about hair loss, but the truth is, science disagrees! In fact, around 90% of men with male pattern baldness (MPB) respond positively to treatment. Here’s what your treatment can do for you:

1. Slow your hair loss significantly.
2. Put a stop to the hair loss and help you maintain the hair you already have.
3. Potentially regrow some lost hair and prevent further thinning.

So, there's hope yet! Let's tackle this together.

How does my treatment work?

Male pattern baldness is mainly caused by a hormone called DHT (dihydrotestosterone), which gradually shrinks hair follicles. Over time, this leads to thinner hair, a shorter growth cycle, and eventually, hair loss.

Our complete hair loss plan combines clinically backed ingredients to tackle hair loss from multiple angles:

• Finasteride helps by blocking the conversion of testosterone into DHT, reducing its levels in the scalp. This protects hair follicles from damage, slows down hair loss, and helps more hairs stay in the growth phase for longer.
• Minoxidil improves blood flow to hair follicles, and shifts your hair into the growth phase of the hair cycle. We've also included topical azelaic acid, which is intended to exfoliate the scalp, improve skin quality and enhance the delivery of minoxidil to your hair follicles.

Will this treatment work for me?

Finasteride is a proven DHT blocker that targets one of the key enzymes (5-alpha-reductase type II) responsible for converting testosterone into DHT, the hormone that causes hair follicles to shrink in male pattern baldness.

By lowering DHT levels by approximately 70%, finasteride helps slow hair loss and encourages more hairs to stay in the growth phase for longer.

It’s most effective in men with mild to moderate hair loss and has been shown to be successful in up to 90% of cases. However, results may be more limited when treating more advanced stages of hair loss.

Minoxidil has shown benefits in up to 60% of users by improving or stabilising hair growth. Like all hair loss treatments, individual results can vary.

Starting treatment early is important, as it’s far easier to maintain your current hair than to regrow hair once it’s been lost.

How is oral finasteride taken?

For the best results, it is important to take your medication consistently according to the following instructions:

• Take ONE tablet each day with or without food.
• If you forget a dose - do not take a double dose to compensate for it.

How do I use the minoxidil spray?

It is important to use the topical minoxidil regularly alongside the oral finasteride for optimal results.

The treatment solution should be applied as follows:

1. Wash your hands before and after applying the solution
2. Apply the solution to dry/towel-dried hair and scalp. Part the hair to allow delivery onto the scalp zones most impacted with baldness.
3. Apply 1ml (7sprays) to the areas on your scalp affected by or at risk of hair loss.
   1. If you are using the Minoxidil 5% solution, apply the solution twice each day, once in the morning and evening, approximately 12 hours apart
   2. If you are using the Minoxidil 10% solution apply the solution once each day, we suggest doing this in the evening for convenience.
4. Using more than 1 ml for each application, or more than the suggested frequency will not enhance results and will mean you will lose product unnecessarily.

Extra tips: 

• Allow the solution to dry for at least 20-25 minutes before applying any hair styling products, and at least 2 hours before washing your scalp.
• If you forget to apply, just apply when the next dose is due, no need to double up.
• If you find it too oily, you can gently use a hairdryer to allow the liquid to dry sooner.

How soon can I expect results?

Both medications get to work as soon as you begin treatment, but visible results might not appear immediately. While some early signs can surface within 3-6 months, results usually peak appear after 12 months of continuous treatment.

Keep in mind, restoring hair isn't a quick fix — it's a journey that requires patience and persistence.

How long should I take it for?

Put simply – the same amount of time you wish to keep your hair for, with optimum results seen at 12-24 months. This treatment plan is not a cure for baldness, but an ongoing hair loss stabilisation management plan which offers scope for potential hair regrowth. If you stop taking finasteride, you will most likely begin to lose hair you have gained within 12 months of stopping.

What kind of shampoo should I use with this hair plan?

A mild non-drying shampoo is recommended. You could also try our power shampoo; which includes Caffeine, Biotin and Saw Palmetto. These ingredients can be useful as an adjunct to finasteride and minoxidil treatment.

What are the side effects?

Side effects are a possibility with any medication, so it's crucial to be mindful of them. Finasteride is a highly effective treatment with a strong safety profile backed by years of clinical data. In clinical trials, the vast majority of men were able to use finasteride without side effects getting in the way of results.

However, all medications have potential side effects, and it is important to be aware of those associated with finasteride. Stop taking the medication and consult a clinician if you experience any of the following:

Finasteride side effectsPotential side effects include:

Decreased libido

A small number of men experience a reduction in sex drive during treatment - the increased risk is around 2%.

• This most commonly occurs early in treatment
• Importantly, studies show it often resolves on its own even with continued use of finasteride
• If the medication is stopped then sexual symptoms will return to normal in the vast majority of people, but in rare cases these have been reported to persist
• If you notice any changes to your sex drive, let us know and we can discuss your options

Erectile Dysfunction

Some men may experience difficulty getting or maintaining an erection during treatment. The increased risk is around 2%.

• As with other sexual side effects, this usually occurs early in treatment and studies show it often resolves with time when finasteride is continued.
• However, in some cases, this has been reported to persist even when the medication is stopped.

Testicular Pain

Some men experience testicular pain or discomfort during treatment. This is uncommon and isn't usually associated with any physical abnormality within the testicles, but do let us know if you experience it so we can advise you.

Sudden or severe testicular pain that doesn't improve is a different matter — this can indicate an urgent serious condition and requires immediate medical attention. Call 999 or go to A&E.

Ejaculation disorders

This is usually noticed as a reduction in ejaculate volume during treatment. As with other sexual side effects, this tends to occur early in treatment and often resolves with continued use. If you have any concerns, get in touch and we can advise you accordingly.

Anxiety

Anxiety has been associated with finasteride use in some cases, but it isn't clear exactly how often this happens.

Depression

An increased risk of depressive symptoms such as low mood has been observed in some finasteride users, but it isn't clear exactly how often this happens.

It's important to let someone close to you know you're taking finasteride, as changes in mood can sometimes be difficult to notice yourself. If you experience low mood, loss of interest in things you normally enjoy, or any thoughts of self-harm, stop taking finasteride and contact your doctor or us promptly.

In an emergency, call 999 or contact the Samaritans on 116 123.

Suicidal Ideation

Suicidal thoughts have been reported by some people taking finasteride. Although this is rare, we take it seriously and want you to be aware of it.

Let someone close to you know you're taking finasteride, as changes in mood can be difficult to recognise in yourself. If you experience any thoughts of self-harm or suicide, stop taking finasteride and seek help immediately.

If you are in crisis, call 999 or go to A&E. You can also contact the Samaritans any time on 116 123.

Breast tenderness/enlarged breast tissue

A small number of men report breast tenderness or enlargement of breast tissue (gynaecomastia) during finasteride treatment. This is uncommon - occurring in less than 1% of users, and can affect one or both sides.

If you notice any breast tenderness, pain, or changes in breast tissue, let us know. In some cases your doctor may need to rule out other causes.

Palpitations

This is a sensation of the heart beating hard, fast, or irregularly. This is not a common side effect. Let us know if you experience it so we can advise you.

If palpitations are accompanied by chest pain, shortness of breath, dizziness, or fainting, seek immediate medical attention. Call 999 or go to A&E.

Increased Hepatic Enzymes

Elevated liver enzymes have been reported in rare cases with finasteride.

If you experience yellowing of the skin or eyes (jaundice), dark urine, abdominal pain, or nausea, stop taking finasteride and contact your GP promptly.

Topical minoxidil is generally a very well-tolerated medication. Serious side effects are rare, since only a small amount of the medication is absorbed through the scalp.

However it’s important you understand what to look out for. Stop using this treatment plan and talk to a clinician if you experience any of the following symptoms.

Minoxidil Side EffectsPotential side effects include:

Hypertrichosis

A common side effect of minoxidil is increased hair growth in areas other than the scalp - such as the face, arms, or back. This is generally more of a nuisance than a medical concern and gradually reverses after stopping minnoxidil.

You can avoid this by applying the spray carefully, washing your hands thoroughly and allowing the treatment to dry before sleeping. If it's bothersome, hair removal options such as shaving, waxing, or laser treatment can also help manage it.

Skin irritation

Some people experience skin irritation where minoxidil is applied. This often settles as you adjust to the medication.

• Avoid applying to already irritated or inflamed skin.
• Keep the scalp clean and limit other hair products.
• If your scalp feels dry, a light hydrating serum can help.

Changes in hair colour

Some people notice changes in hair colour, with new growth appearing darker or, less commonly, lighter. This often resolves as the new hair strengthens over consecutive hair cycles.

• Hair dye can be helpful to manage any unwanted colour changes.

Palpitations

Palpitations are the sensation of feeling your heart beating rapidly, irregularly, or strongly.

This is rare when minoxidil is used topically for hair loss, since only a small amount of medication is absorbed systemically. Let us know if you experience it.

If palpitations are accompanied by chest pain, shortness of breath, dizziness, or fainting, seek immediate medical attention. Call 999 or go to A&E.

Headaches

Headaches can occur, especially in the early stages of treatment, and may settle as your body adjusts. Staying well hydrated and using your medication at night can help. If headaches are persistent or severe, let us know.

Swelling

Minoxidil can occasionally cause mild swelling in the hands, feet, or ankles, though this is very unlikely to occur with topical use. If you notice swelling, stop using the product and let us know.

Sudden or severe swelling, swelling in one limb only, or swelling with pain, redness, or heat may indicate something more serious. Contact your GP urgently or call 111.

Cardiac side effects

At the low doses used for hair loss, serious cardiac side effects are extremely unlikely, especially when using the medication topically.

At much higher doses used to treat high blood pressure, minoxidil has been associated with heart conditions including inflammation of the lining around the heart (pericarditis) and fluid around the heart (pericardial effusion), which can compress the heart in severe cases (tamponade).

If you experience chest pain, difficulty breathing, dizziness, or feeling faint, do not wait — call 999 or go to A&E immediately.

Angina

Chest pain or pressure has been reported with minoxidil, though this is associated with higher oral doses rather than topical formulations used for hair loss.

If you experience chest pain or tightness, particularly during exertion, call 999 or go to A&E immediately.

More information about potential side effects

NOTE: Temporary hair shedding may occur in the first few weeks of treatment. This is a normal part of the process - treatment shifts hair follicles into a new growth cycle, causing older hairs to shed before new ones come through. It typically resolves within 2–8 weeks.

Allergies

If you are allergic to finasteride, minoxidil, or any other ingredient in these treatments, do not use them.

Signs of an allergic reaction include rash, itching, swelling of the face, lips, tongue, or throat, difficulty breathing, or feeling faint.

In severe cases this can progress to anaphylaxis, which is a medical emergency. If you experience any of these symptoms after taking your medication, call 999 or go to A&E immediately.

If you feel seriously unwell or experience severe or persistent side effects, please seek immediate medical attention by going to your local Accident & Emergency department or calling 999 in an emergency.

We want the best for you and your health. It is important that you don’t feel alone, so please voice your concerns and get in touch with one of our team members for more help if you need it. You can message a clinician via the live messaging function on your patient account.

If you’d like to speak with a clinician, please call our side effects support line on 020 4538 8411 (Mon-Fri, 09:00–17:00), and you’ll be able to connect with a clinician within minutes.

You can also report side effects through the government’s Yellow Card scheme at https://yellowcard.mhra.gov.uk/. This helps to improve medication safety for everyone.

Who should not take it?

This treatment plan is not suitable for women. Finasteride must not be directly handled by females who could be pregnant or breastfeeding, due to the potential harm it may cause to a developing baby.

Since the medication is applied to the skin, those with scalp conditions or inflammation should not use the minoxidil spray.

Finasteride is not suitable for patients who:

• Currently take a 5-alpha reductase inhibitor for benign prostate enlargement (such as finasteride 5mg or dutasteride)
• Have or have previously had male breast cancer or prostate cancer
• Have galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
• Have significant chronic liver disease
• Have a partner that is pregnant or trying to conceive
• Have an allergy to Finasteride

Minoxidil should not be used by patients who have:

• Chest pain or any heart rhythm abnormalities
• Heart valve problems
• Disease of the heart muscles
• Phaeochromocytoma (a rare adrenal gland tumour)
• An allergy to minoxidil

Please keep your medication out of the reach of children and pets, as consumption of minoxidil can lead to significant harm.

Fertility and pregnancy information

Pregnancy:

Small traces of finasteride may be present in semen. While the amount following a 1mg dose is very small and there are no confirmed cases of birth defects in humans, we cannot rule out a theoretical risk to a developing baby. As a precaution, we advise using a condom during intercourse with a woman who is pregnant while taking finasteride.

Fertility:

On fertility, the evidence is limited - men planning to conceive have often been excluded from clinical trials. There have been reports of infertility or lower sperm quality in some men taking finasteride, though other health factors may have contributed in these cases.

Some studies have shown finasteride can affect sperm parameters, but this does not usually translate to infertility in practice, and sperm quality often normalises even with continued use.

If you are actively trying to conceive, we would advise pausing finasteride during this period. Even if the impact on fertility is likely to be small, introducing an additional variable during what can already be a complex process is best avoided. If you are undergoing fertility treatment or have a known low sperm count, this advice is even more important.

Mood alterations and depression

Mood alterations such as depressed mood, depression and, less frequently, suicidal thoughts have been reported in patients treated with finasteride.

If sexual dysfunction occurs, this may contribute to changes in mood, but can also occur without mood alterations. If you experience any of these symptoms, stop taking finasteride and contact a clinician for further medical advice as soon as possible.

Impact on other medications and tests

Finasteride has no significant known drug interactions. However, it can affect the results of PSA (prostate-specific antigen) testing, used to screen for prostate issues - if you are having this test, let your doctor know you are using finasteride so they can interpret the results correctly.

Minoxidil can interact with blood pressure-lowering medications, potentially causing a greater drop in blood pressure. This is very unlikely to occur when using topical minoxidil.

If you start any new medications, or have any changes in your medical history, please let us know. You can also download a letter from your account page to share with your GP, ensuring they have all the relevant details about your treatment.