Understanding the Hamilton-Norwood Scale for Hair Loss

Dealing with male pattern baldness? Understanding your stage on the Hamilton-Norwood Scale is the first step towards effective treatment. You can get a finasteride or minoxidil prescription online from an EU-licensed doctor at Hi-Doctor. Our €25 online consultation provides a prescription in under 24 hours if appropriate, valid at any EU pharmacy. If the doctor determines treatment isn't for you, your €25 is refunded — no risk.

How it works — get your hair loss medication prescription in 4 steps

1. Fill out the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. A licensed EU doctor reviews your case in private. If the doctor decides the treatment is not appropriate, your €25 is refunded automatically — you pay nothing.
3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect your finasteride, minoxidil, or dutasteride medication.

Who qualifies for hair loss medication like finasteride or minoxidil?

EU-licensed doctors at Hi-Doctor assess your individual case to determine if treatments like finasteride, dutasteride, or minoxidil are appropriate. They look for specific criteria:

• Male pattern baldness (Androgenetic Alopecia): These medications are specifically for this type of hair loss, not other forms.
• Norwood Scale Stage: Early to moderate stages (typically 1-5) often respond best to medical treatments. Advanced stages (6-7) may have more limited results from medication alone.
• Overall Health: Doctors check for any underlying health conditions or medications that could interact negatively with finasteride, dutasteride, or minoxidil.
• No Contraindications: Specific conditions, such as certain liver issues or known allergies to the medication components, would prevent a prescription.

The doctor will review your medical history through the online questionnaire to ensure the treatment is safe and effective for you.

What finasteride and minoxidil actually do (and don't do)

These medications work differently to combat hair loss:

• Finasteride (and Dutasteride): These are oral medications that work by blocking the conversion of testosterone into dihydrotestosterone (DHT), a hormone that shrinks hair follicles in genetically susceptible men. By reducing DHT, they help slow hair loss and, for some, promote regrowth.
• Minoxidil: Available as a topical solution or oral tablet, minoxidil is a vasodilator. It is thought to improve blood flow to hair follicles and extend the anagen (growth) phase of hair. It can stimulate hair growth and thicken existing hairs.

Realistic Timelines: Expect to use these medications consistently for at least 3-6 months before seeing noticeable results. Full effects can take 12 months or more. They primarily slow or stop further hair loss and can promote regrowth, but they won't bring back hair in completely bald areas.

Side effects and when to stop treatment

Like all medications, finasteride, dutasteride, and minoxidil can have side effects. It's important to be aware of them:

• Finasteride/Dutasteride: A small percentage of men may experience sexual side effects such as decreased libido, erectile dysfunction, or ejaculation disorders. These are often reversible upon stopping the medication.
• Minoxidil (topical): Common side effects include scalp irritation, itching, or dryness. In rare cases, unwanted hair growth on other body parts can occur.
• Minoxidil (oral): Can cause lightheadedness, swelling of the hands/feet, or increased heart rate.

If you experience any severe or concerning side effects, stop the medication and consult your doctor immediately. Your Hi-Doctor account includes a private, RGPD-compliant chat for direct communication with your doctor.

Why Hi-Doctor vs. walking into a clinic for your prescription

Choosing Hi-Doctor for your hair loss medication prescription offers distinct advantages over traditional clinic visits:

• Speed: Get your finasteride or minoxidil prescription in under 24 hours, compared to weeks of waiting for an in-person appointment.
• Price: A flat €25 online consultation fee. No hidden costs, and a money-back guarantee if treatment isn't appropriate. Traditional private clinic fees can vary significantly.
• Privacy: Everything happens securely within your Hi-Doctor account – no waiting rooms, no reception desks, no awkward conversations.
• Convenience: Access an EU-licensed doctor from anywhere, anytime, using your phone or computer. No travel, no time off work.
• Trust: Over 50,000 patients served with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for the medication?

If the doctor determines that finasteride, dutasteride, or minoxidil treatment is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, any pharmacy in the EU (including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to dispense from it. You receive a downloadable PDF that you can print and present at the counter.

How do I actually collect the medication once I have the prescription?

Once you receive your REMPE prescription as a PDF, you can either print it or show it on your phone at any EU pharmacy. The pharmacist will scan the QR code or verify the digital signature and dispense your medication.

Is it legal to get finasteride or minoxidil online in my country?

Yes, it is legal to obtain finasteride or minoxidil via an EU-licensed doctor who issues a valid REMPE prescription. This prescription is recognised across all EU member states, allowing you to collect your medication legally from any EU pharmacy.

How long does the prescription take?

After you complete your medical questionnaire, an EU-licensed doctor reviews your case. If approved, your REMPE electronic prescription is issued in under 24 hours.

Is my data private?

Yes, your data is fully private and RGPD-compliant. All communication and medical records are kept secure within your Hi-Doctor account, with no WhatsApp, SMS, or external communication channels used.

How much does the online consultation cost?

The online consultation for hair loss medication is a flat fee of €25. This includes the doctor's review and, if appropriate, the prescription. If treatment is not suitable, you receive a full refund.