Scalp DHT: Why It Matters More Than Blood Levels for Hair Loss

Looking to get a finasteride or dutasteride prescription online for hair loss? You've come to the right place. An EU-licensed doctor can review your case online and, if appropriate, issue a prescription for these medications. The cost is just €25 for the consultation, your prescription is ready in under 24 hours, and it's valid at any pharmacy across the EU.

How it works — get your finasteride or dutasteride prescription in 4 steps

1. Fill 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 — no risk.
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 the medication.

Who qualifies for finasteride or dutasteride

Our EU-licensed doctors individually review each case to determine if finasteride or dutasteride is appropriate for you. They look for specific criteria, including:

• Evidence of androgenetic alopecia (male or female pattern baldness).
• No contraindications such as liver disease, prostate cancer, or known allergies to the medication.
• For women, finasteride and dutasteride are generally not prescribed if you are pregnant, planning to become pregnant, or breastfeeding.
• A thorough review of your medical history and current medications to ensure safety and efficacy.

The doctor's assessment ensures that the treatment is safe and effective for your specific situation. If the doctor determines it's not suitable, you get your money back.

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

Finasteride and dutasteride are medications designed to combat hair loss caused by Dihydrotestosterone (DHT). DHT is a hormone derived from testosterone. It binds to receptors in hair follicles, causing them to shrink and eventually stop producing hair – a process called miniaturization.

These medications work by inhibiting the enzyme 5-alpha-reductase, which is responsible for converting testosterone into DHT. Finasteride primarily blocks Type II 5-alpha-reductase, while dutasteride blocks both Type I and Type II, leading to a more significant reduction in DHT levels.

What they do:

• Reduce DHT levels in the scalp, slowing down or stopping hair loss.
• Can lead to regrowth of hair, particularly in areas where miniaturization is not too advanced.
• Improve hair thickness and quality over time.

What they don't do:

• Produce immediate results; it takes several months of consistent use to see noticeable changes.
• Regrow hair in areas where follicles are completely dormant or scarred.
• Work for all types of hair loss; they are specifically for androgenetic alopecia.

Consistency is key. You need to take these medications long-term to maintain their benefits.

Side effects and when to stop

Like all medications, finasteride and dutasteride can have side effects. While many people experience no issues, it's important to be aware of potential concerns:

• Common side effects: Decreased libido, erectile dysfunction, ejaculatory disorders, and breast tenderness or enlargement. These are generally mild and often reversible upon stopping the medication.
• Less common side effects: Mood changes, depression, and in rare cases, allergic reactions.

When to stop:

• If you experience severe or persistent side effects.
• If you are a woman and become pregnant or are planning to become pregnant (these medications are contraindicated during pregnancy).
• If your doctor advises you to stop due to medical reasons or lack of efficacy.

Always discuss any concerns or side effects with your doctor. Your Hi-Doctor account includes a private, RGPD-compliant chat for direct communication with your doctor.

Why Hi-Doctor vs. walking into a clinic

Getting your finasteride or dutasteride prescription through Hi-Doctor offers distinct advantages over traditional clinic visits:

• Speed: Receive your prescription in under 24 hours, compared to weeks for a clinic appointment.
• Price: A flat €25 online consultation fee. No hidden costs, no variable private clinic fees.
• Privacy: Everything happens in your secure, in-app account. No waiting rooms, no reception desks, no in-person visits.
• Convenience: Complete your consultation from your phone or computer, anywhere in the EU. No travel to a city-centre clinic.
• Trust: Over 50,000 patients served with a 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Experience healthcare that fits your life, not the other way around.

Frequently asked questions

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

If the doctor determines that finasteride or dutasteride 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, this prescription is recognised and valid at any pharmacy in the EU, including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, and Ireland.

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

You will receive a downloadable PDF file of your REMPE prescription in your Hi-Doctor account and by email. Simply print this PDF or show it on your phone to the pharmacist at any EU pharmacy. The pharmacist will read the QR code or signature and dispense your medication.

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

Yes, it is legal to obtain finasteride or dutasteride via an EU-licensed doctor who issues a valid REMPE prescription. This process complies with EU cross-border healthcare directives, making your prescription valid across all member states.

How long does the prescription take?

Once you complete your medical questionnaire and the doctor reviews your case, you will receive your REMPE electronic prescription within 24 hours, often much faster.

Is my data private?

Yes, your data is completely private and secure. Hi-Doctor is RGPD-compliant, ensuring all your personal and medical information is handled with the highest standards of confidentiality and security within your private in-app account.

How much does it cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case. If a prescription is issued, you then pay for the medication directly at the pharmacy.