Get $40 off your 1st treatment (on quarterly plan), if prescribed. Get started.

FDA-Approved Finasteride.
Delivered to your door.

Finasteride is the generic form of the brand Propecia and is FDA approved to treat male pattern hair loss in men. Get your first 2 months free on a quarterly plan, if prescribed (offer only valid on this page).

  • Free, discreet 2-day shipping
  • Free, unlimited follow‑ups
  • No trips to the pharmacy
  • FDA-approved medication
Start now $60 $20 for your first order* (90-day supply)
Availability: In stock

IMPORTANT Finasteride must be prescribed by a healthcare provider. A Roman-affiliated healthcare professional or nurse practitioner will evaluate your health information to determine if treatment with Finasteride is appropriate. Finasteride is not for use by women or children, and should not be handled by pregnant women. It decreases blood PSA levels and may increase the risk of high-grade prostate cancer. Learn more about Finasteride including important safety information here.

*final price depending on prescribed treatment plan.

Male Pattern
Baldness In Stock

Combined daily use of finasteride, prescription treatment for male pattern baldness, and minoxidil, topical treatment for the crown of your head.

2 Months Free - $72 Value* Important Safety Information

*Shipped & Billed Quarterly

Receding Hairline In Stock

In a clinical study, finasteride prevented further hair loss in 70% of men with mild to moderate hairline recession.

2 Months Free - $40 Value* Important Safety Information

*Shipped & Billed Quarterly

Thinning Crown In Stock

In a clinical study, 70.6% of men using 5% minoxidil for 16 weeks reported hair loss improvement.

1st Month Free - $16 Value* *Shipped & Billed Quarterly

You can stop hair loss.

Two-thirds of men will experience noticeable hair loss by age 35. If you decide to fight to keep it, we can help with a treatment plan and prescription (if approved).

How do I get generic Propecia?

Roman-affiliated healthcare professionals or nurse practitioners can prescribe generic Propecia and send you a hair loss treatment plan designed by Roman's physician advisors.

Is it delivered to my door?

If you’re approved for a prescription, we can send your generic Propecia (finasteride) right from our pharmacy to your door in just a few days.

What is Finasteride?

Roman-affiliated healthcare professionals and nurse practitioners can prescribe FDA-approved finasteride (generic Propecia) and send you a hair loss treatment plan designed by Roman’s physician advisors.

Important Safety Information

Finasteride is not for use by women or children, and should not be handled by pregnant women. Finasteride decreases blood PSA levels, and may increase the risk of high-grade prostate cancer. For complete safety information, see the Important Safety Information.

How it works
  • Start online Complete your free online visit.
  • Hear back in 24 hours A healthcare professional will get back to you within 24 hours.
  • Fast & free 2-day shipping Overnight shipping available for an additional charge.
  • Free, unlimited follow-ups Free, unlimited follow-ups for any questions.

Important Safety Information

Finasteride

Finasteride safety information

Finasteride is for use by ADULT MEN ONLY and should NOT be used by women or children.

Do not take finasteride 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 broken or crushed finasteride tablets. If a pregnant woman comes in contact with crushed or broken finasteride tablets, wash the contact area right away with soap and water. If a woman who is pregnant comes into contact with the active ingredient in finasteride (for example from a crushed or broken tablet), a healthcare provider should be consulted. If a woman who is pregnant with a male baby swallows or comes in contact with the medicine in finasteride, the male baby may be born with sex organs that are not normal.
  • are allergic to any of the ingredients in finasteride.
What should I tell my healthcare provider before taking finasteride?

Before taking finasteride, tell your healthcare provider if you:

  • have any other medical conditions, especially problems with your prostate or liver
  • Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Know the medicines you take. Keep a list of them to show your healthcare provider and pharmacist when you get a new medicine.

Withholding or providing inaccurate information about your health and medical history in order to obtain treatment may result in harm.

How should I take finasteride?

  • Take finasteride exactly as your healthcare provider tells you to take it.
  • You may take finasteride with or without food.
  • If you forget to take finasteride, do not take an extra tablet. Just take the next tablet as usual.You may take finasteride with or without food.
  • Finasteride will not work faster or better if you take it more than once a day.
Side Effects of Finasteride

Finasteride can have the following side effects:

  • Decrease in your blood Prostate Specific Antigen (PSA) levels. Finasteride can affect a blood test called PSA (Prostate-Specific Antigen), which is used as a screening test for prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking finasteride because finasteride decreases PSA levels. Changes in PSA levels will need to be evaluated by your healthcare provider. Any increase in follow-up PSA levels from their lowest point may signal the presence of prostate cancer and should be evaluated, even if the test results are still within the normal range for men not taking finasteride. You should also tell your healthcare provider if you have not been taking finasteride as prescribed because this may affect the PSA test results. For more information, talk to your healthcare provider.
  • There may be an increased risk of a more serious form of prostate cancer. In studies, this was found in men taking finasteride at 5 mg. Which is 5 times the dose used for hair loss.

The most common side effects of finasteride include:

  • decrease in sex drive
  • trouble getting or keeping an erection
  • a decrease in the amount of semen

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
  • Depression
  • 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 effect that bothers you or that does not go away. These are not all the possible side effects of finasteride. For more information, ask your healthcare provider or pharmacist.

Keep finasteride and all medicines out of the reach of children. Do not give finasteride to other people, even if they have the same symptoms you have. It may harm them.

Finasteride Oral vs Finasteride Topical

Oral finasteride 1 mg is one of two FDA-approved treatments for male pattern hair loss, the other one being topical minoxidil 2% or 5%. Since oral finasteride has been shown to cause sexual side effects in a small number of men (3.8% of men who took finasteride vs 2.1% of men who took placebo in phase III clinical trials for finasteride), researchers have been interested in whether topical finasteride applied to the scalp may be effective in treating male pattern hair loss with a lower potential for side effects.

A 2018 systematic review of the results of seven different studies concluded that topical finasteride is effective for the treatment of male pattern hair loss but also lowers plasma (blood) DHT levels which can lead to undesired side effects like low libido. Still, it appears that the incidence of side effects was lower with topical finasteride than oral finasteride. Also, some researchers found that plasma DHT levels were only minimally decreased with topical finasteride.

At this time, topical finasteride is not FDA-approved for the treatment of male pattern hair loss and must be specially compounded by a compounding pharmacy and requires a doctor’s prescription. For this reason, compounded topical finasteride is not available through Roman.

Can You Get Finasteride without a Prescription?

In the United States, finasteride, whether oral or topical, is not available without a prescription from a healthcare practitioner. Oral finasteride in the 1 mg and 5 mg doses are FDA-approved medications to treat male pattern hair loss and the symptoms of BPH, respectively. Topical finasteride is not FDA-approved and can be made by compounding pharmacies but still requires a prescription. There may be sellers who advertise finasteride online without a prescription, but these are not recommended as they may not be regulated for purity of ingredients, efficacy, or safety.

Important Safety Information

Minoxidil

What is minoxidil?

Minoxidil is one of two FDA-approved treatments for male pattern hair loss (androgenetic alopecia). It was originally designed as an oral pill to treat hypertension. It was quickly abandoned as a primary treatment for hypertension because patients didn’t tolerate the oral (pill) form very well. It is still available in oral form, but it is rarely used. One of the side effects of oral minoxidil was unwanted hair growth. This prompted a study of minoxidil in topical form, which turned out to still have the positive effect of stopping hair loss and in some cases, even regrowing hair that was lost. The topical form is better tolerated and does not have the same effects as when it was taken by mouth.

How is minoxidil different from Rogaine®?

Rogaine® was the original brand name version of topical minoxidil that was FDA-approved for male pattern hair loss. After several years of Rogaine® being on the market, the FDA approved generic formulations of minoxidil. Rogaine® and generic minoxidil are both available in 2% and 5% strengths as a solution and as a foam. Minoxidil 5% has been found to be more effective in men, while the 2% and 5% are equally effective in women. Both strengths are FDA-approved for use in men and the 2% strength is also FDA-approved for use in women.

Side effects of topical minoxidil

The most common side effects of topical minoxidil are irritation and itching of the scalp where the medication is applied. Unintended hair growth can occur if minoxidil comes in contact with areas other than your scalp. Other potential side effects of topical minoxidil that are more rare include:

  • Acne at the application site
  • Burning of scalp
  • Increased hair loss
  • Inflammation or soreness at root of hair
  • Reddened skin
  • Facial swelling or swelling of the face, hands, feet, or lower legs
  • Blurred vision or other changes in vision
  • Chest pain
  • Dizziness
  • Fainting
  • Fast or irregular heartbeat
  • Headache
  • Lightheadedness
  • Numbness or tingling of hands, feet, or face
  • Weight gain

You should contact your doctor immediately if you experience any of these side effects.

What drugs interact with minoxidil?

When minoxidil is used topically, only about 2% of it is absorbed, which is why it has such a good side effect profile. Topical minoxidil does not interfere with any known drugs that are taken orally under normal circumstances. You should not use topical minoxidil over damaged skin because this will increase the amount that is absorbed systemically. Consult a dermatologist before using topical minoxidil if you are using other topical medications on your scalp.

Minoxidil dosing information

Minoxidil comes in two strengths, 2% and 5%. 5% minoxidil has been shown to be more effective than 2% in men but not in women. Both strengths are approved for hair loss in men, but only the 2% strength is approved in women.

For minoxidil solution: The dose should not exceed 2 mL per day.

For minoxidil foam: The dose should not exceed one capful per day.

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Roman offers access to online diagnosis and treatment of hair loss & other men’s health conditions. Our service is discreet, safe, and secure.

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Roman Reviews

Photos from Roman members taken after 6 months on finasteride

before after

“I have an odd pattern of hair loss and I feel like it has been filling in pretty well. I have also been using minoxidil in conjunction with the finasteride.”

Roman member
before after

“I’m seeing results, hair loss has stopped up to 60% even seeing a little bit of hair growth hoping it will stop the hair fall 100% and cover the bald spots soon.”

Roman member
before after

“It’s working quite well! I’m very pleased with the progress from using finasteride and the convenience of the Roman pharmacy refill and virtual doctor checkups/consultation. I’ve attached a picture showing the progress of new hair growth around my crown where it was thinning quite severely. Lots of new hair growth!”

Roman member
before after

“I believe there is no further loss and the hair present is definitely thicker.”

Roman member
before after

“No side effects noted, after a few weeks on the meds I noticed tingling in my scalp so I assumed it started working. Roman is way faster and easier than trying to make appointments with my in-person doctor.”

Roman member
before after

“So far I think your product has preformed as advertised. I think we all want a full head of hair when we get up in the morning and sometimes it’s just not there. I have been taking your product since October of 2018 so it has taken some time, but I have never lost focus on the outcome. All in all my girlfriend says she is very happy with the results, so if she’s happy well I’m happy”

Roman member
before after

“Yes, I have noticed less hairs in the shower drain. Small baby hairs slowly coming up. Safe, quick physician attention, great packaging too. It’s been a great service so far, I have zero complaints. I spoke with my Roman doctor after the first month to check in. Quick and trustworthy.”

Roman member
The below opinions were shared by Roman members who were prescribed finasteride and received their medication at no cost.

We handle everything from evaluation, to prescription delivery.

In addition to your remote online visit, we offer convenient monthly delivery of medication.

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