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Scalp+ Spray
Scalp+ Spray topical hair-loss spray bottle from GobyMeds
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Licensed compounding pharmacies
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Hair Loss
·
Once daily

Scalp+ Spray

Minoxidil 5% / finasteride 0.3% / latanoprost 0.03% / ketoconazole 2%

30 mL, 30-day supply
Topical spray
From
$
129
/month
PREGNANCY CONSENT REQUIRED
In stock
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as little as 3 days

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One-time purchase · no auto-renewal

1-Month Supply

1 mL to the scalp once daily
$
129
$
129
/mo
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One-time purchase. Ships once, no recurring billing.
Compounded topical solution, 30 mL; prepared by a licensed U.S. pharmacy, not FDA-approved.

Compounded medications are prepared by state-licensed pharmacies. Prescription only — available if a licensed provider determines treatment is appropriate after your online visit. Not available in all states.

Hair Loss

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U.S. care team
Licensed providers and support staff, reachable by chat and email.
Provider review
Every order is reviewed by a licensed provider before it ships.

What every plan includes

  • Online visit and ongoing follow-ups with a licensed U.S. provider
  • Scalp+ Spray 30 mL (minoxidil 5% / finasteride 0.3% / latanoprost 0.03% / ketoconazole 2%), a 30-day supply
  • Free shipping to your door
  • Support from the GobyMeds care team by chat and email

No insurance, no membership fees, no auto-renewal.

How it works

Minoxidil 5% increases blood flow to follicles and lengthens the growth phase, while finasteride 0.3% lowers DHT where it's applied so follicles stop miniaturizing; delivering finasteride topically limits how much reaches the bloodstream. Latanoprost, a prostaglandin analog, has been shown in small studies to increase hair density by extending the growth phase. Ketoconazole is an antifungal that reduces the Malassezia yeast behind dandruff and calms the flaking and itch that often go with thinning.

Topical minoxidil 2% and 5% are FDA-approved; the finasteride, latanoprost and combination form here are compounded and used off-label. Compounded products are not FDA-approved.

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Dosing & Titration

Apply 1 mL (the prescribed number of sprays) once daily to dry or towel-dried scalp where hair is thinning, spread gently with a fingertip, then wash your hands. Let it dry fully before styling or lying down and avoid the forehead and hairline. One 30 mL bottle is a 30-day supply. Expect to use it for at least three to six months before judging results, and continue to maintain them.

Key benefits

  • Growth and DHT control plus flaking control in one daily spray
  • Ketoconazole 2% targets the dandruff and itch that often accompany thinning
  • Topical finasteride limits systemic exposure compared with the oral tablet
  • Latanoprost added to support a longer growth phase
  • Prescribed and followed up by licensed U.S. providers, 100% online

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Plans from $
129
/mo
Free online visit · Licensed U.S. providers · No insurance or membership needed
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Who it's for

Scalp+ Spray is for men and women with pattern thinning who also deal with dandruff, flaking or an itchy scalp, and for anyone who wants a topical rather than an oral treatment. Women are prescribed it only after acknowledging pregnancy precautions; women of any age can use Sensitive Spray instead, which is finasteride-free.

It is not for use during pregnancy or breastfeeding. Scarring alopecia, alopecia areata, frontal fibrosing alopecia and hair loss from an active scalp infection need in-person evaluation.

For men
For women
Pregnancy-risk consent required

What to expect, month by month

Month 1. Daily use begins and flaking usually eases within the first few weeks as ketoconazole takes effect. Hair changes come later; mild scalp irritation is possible.

Month 2. Minoxidil may push resting hairs out ahead of new growth, so shedding can briefly increase. It's temporary.

Months 3–4. Shedding slows and fine new hairs appear at the hairline or part. The scalp feels calmer and clearer.

Months 6–12. Visible thickening for most by six months, continuing through the first year with daily use. Results depend on continued use.

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Frequently asked questions

Answers from the GobyMeds care team. Still have a question? Your provider can answer it during your online visit.

How does Scalp+ Spray work?

Scalp+ Spray pairs the two core growth ingredients, minoxidil 5% and topical finasteride 0.3%, with latanoprost 0.03%, a prostaglandin analog studied for lengthening the hair-growth phase, and ketoconazole 2%, an antifungal that reduces the flaking and dandruff that often accompany thinning. It's designed for people who want to treat hair loss and an irritated, flaky scalp at the same time.

Scalp+ Spray or Boost Spray: which should I choose?

Both contain minoxidil 5% and finasteride 0.3%. Choose Scalp+ if you also deal with dandruff, flaking or an itchy scalp: its ketoconazole targets that. Choose Boost if your scalp is clear and you want tretinoin to improve minoxidil absorption. Your provider can switch you between them at any follow-up.

How long does treatment take to work?

Most people notice less shedding by month three and early regrowth between months three and six, with continued thickening through the first year of consistent daily use. Six months is the first fair checkpoint, and photos taken in the same light every month are the best way to track progress. Results depend on continued use: if you stop, hair loss gradually returns.

Will my hair shed more when I start?

It can. Minoxidil pushes resting hairs out to make room for new growth, so shedding may briefly increase around weeks two to eight. It's temporary and a normal sign the treatment is working. Contact your provider if shedding is severe or continues past month three.

Do I need labs or an in-person doctor visit?

No labs are required. You complete an online assessment, upload a photo ID and a few scalp photos, and a licensed U.S. provider reviews everything. Follow-ups are included, and your provider can switch you to a different formula if your scalp doesn't tolerate the first one.

Should I choose an oral or a topical treatment?

Oral options (Core Tab, Daily Strip) are a once-daily tablet or strip and act throughout the body. Topical sprays are applied to the scalp, which limits how much medication enters the bloodstream, a common reason people choose them, but they require a daily application routine and can irritate sensitive skin. Many patients combine an oral and a topical; your provider will recommend a plan that matches your pattern of loss.

Can GLP-1 weight-loss medication cause hair loss?

Hair thinning was reported in the Wegovy® trials (about 3% vs 1% on placebo) and the Zepbound® trials (4–5% vs 1%), more often in women. It's generally linked to rapid weight loss rather than the drug itself, usually starts a few months into treatment and often improves as weight stabilizes. Minoxidil-based treatments can speed recovery, and a finasteride-free spray is appropriate for women of any age.

Can women use a spray that contains finasteride?

Topical finasteride products are prescribed to women only after acknowledging pregnancy precautions. Finasteride can cause birth defects, so women who are pregnant, breastfeeding, planning a pregnancy or not using reliable contraception should not use or handle these sprays. Women of any age can start with Sensitive Spray, our finasteride-free formula.

Which types of hair loss can't be treated online?

Scarring alopecia, alopecia areata, frontal fibrosing alopecia and hair loss from an active scalp infection need in-person evaluation. If your photos or history suggest one of these, your provider will tell you, point you to the right kind of care, and you won't be charged.

How do I apply the spray?

Part dry or towel-dried hair and apply the prescribed number of sprays directly to the thinning areas of the scalp, spreading it gently with a fingertip. Wash your hands afterward, and let it dry completely before styling or lying down. One 30 mL bottle is a 30-day supply at the standard once-daily dose; a 60 mL bottle lasts 60 days.

What is your cancellation and refund policy?

If a GobyMeds provider decides a prescription isn't appropriate for you, you receive a 100% refund of the medication price (lab fees, where they apply, are not refunded). Once your order has been sent to our medical partners or to the pharmacy for fulfillment we will do our best to accommodate changes or cancellations, but we can't guarantee them, and in some cases an adjustment or cancellation carries a $50 medical consultation fee.

Because of regulations covering prescription medication, we are unable to accept returned medication for a refund.

Do I need insurance, and can I use my HSA or FSA?

No insurance is needed and GobyMeds does not bill insurance. The price you see is the price you pay, with provider consultation and shipping included and no membership fee.

HSA and FSA cards are accepted at checkout, and we can provide a letter of medical necessity if your plan administrator asks for one.

How does the online visit work?

You answer a short health questionnaire and upload a photo ID. A licensed U.S. provider reviews your history, confirms the treatment is appropriate, and writes the prescription. There is no video call to schedule unless your provider or your state requires one, and follow-up messaging with your care team is included with every plan.

If you're not a candidate, you'll be told why and refunded in full.

Scalp+ Spray

Ready to get started?

Growth plus flaking control: minoxidil 5%, finasteride 0.3%, latanoprost 0.03%, and ketoconazole 2% topical spray (30 mL).

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Free online visit · No membership · Cancel anytime before your order ships

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Medically reviewed by
GobyMeds Clinical Team
·
September 30, 2026

Important safety information

Side effects and precautions

Minoxidil may cause scalp irritation, itching, dryness, temporary increased shedding, unwanted facial or body hair and, rarely, changes in blood pressure or heart rate. Ketoconazole can cause mild stinging or dryness, and latanoprost may darken fine hairs or skin where it's applied. Topical finasteride can produce the same effects reported with the oral tablet in some people: decreased libido, erectile dysfunction, breast tenderness or mood changes.

Finasteride can cause birth defects; women who are pregnant or may become pregnant must not take, handle or be exposed to finasteride, including topical products. The FDA has noted reports of the same side effects seen with oral finasteride in some people using compounded topical products.

Who should not use it

Do not use Scalp+ Spray if you are pregnant, may become pregnant or are breastfeeding, or if you've reacted to minoxidil, finasteride, ketoconazole or latanoprost. Do not apply to broken, sunburned or infected skin. Tell your provider about heart disease, low blood pressure or any eye condition. Compounded drug products are not approved or evaluated for safety, effectiveness or quality by the FDA. Prescription only; not available in all states.

This page is for informational purposes and does not replace a consultation with a licensed provider. Compounded medications are not reviewed by the FDA for safety, effectiveness, or quality. Brand names are trademarks of their respective owners; GobyMeds is not affiliated with them.