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- Keeps finasteride | Skip to review
- Keeps minoxidil solution | Skip to review
- Keeps minoxidil foam | Skip to review
- Keeps finasteride tablets and minoxidil solution bundle | Skip to review
- Keeps thickening shampoo | Skip to review
- Keeps thickening conditioner | Skip to review
- Men’s Rogaine 5% minoxidil topical solution | Skip to review
- Men’s Rogaine 5% minoxidil foam | Skip to review
- Women’s Rogaine 2% minoxidil topical solution | Skip to review
- Women’s Rogaine 5% minoxidil foam | Skip to review
Thankfully, there is a wide variety of oral and topical products available to help fight hair loss, and many can be ordered online and sent directly to your home.
|brand name for topical minoxidil, developed in 1950s by Upjohn and purchased in 1996 by Johnson & Johnson
|subscription service for a variety of hair loss medications, offering access to licensed doctors via messaging or phone
|minoxidil topical liquid and foam, with separate versions of each for men and women
|finasteride pill, minoxidil topical liquid and foam (unisex), ketoconazole dandruff shampoo, thickening shampoo, conditioner, and pomade
|approximately $15–$20 per month depending on treatment
|approximately $11–$44 per month depending on treatment
|online and in pharmacies nationwide; all products available without a prescription
|online at Keeps and Amazon; medications available nationwide but doctor access limited to certain states; some products require a prescription
Upjohn scientists in the 1950s were working on a treatment for ulcers when they stumbled upon a formula that lowered blood pressure and stimulated hair growth. From their work came Rogaine, the brand name for topical minoxidil solution. Rogaine hit U.S. markets in 1988.
A version for women was introduced 4 years later. In 1996, the Food and Drug Administration (FDA) authorized over-the-counter sales, making Rogaine more easily available across the nation.
Rogaine can help regrow and thicken hair by stimulating follicles that aren’t producing as well as their neighbors. It is still the only topical hair loss treatment with FDA approval.
Founded in 2018, Keeps is a subscription service offering a variety of FDA-approved hair loss treatments, along with cosmetic products intended to boost their effects. The service offers consultations with a doctor and a supply of medication shipped to your door every 3 months.
Keeps sells a generic version of Rogaine, plus two additional medicinal and three cosmetic products. Finasteride supports hair growth by suppressing dihydrotestosterone (DHT), which is a hormone that can inhibit hair growth.
Ketoconazole is an effective antifungal shampoo that can be used to treat dandruff and itchy scalp. Keeps also sells thickening shampoo, conditioner, and pomade that can help make your existing hair look fuller and healthier.
- $ = under $15 per month
- $$ = $15–$35 per month
- $$$ = over $35 per month
Keeps offers a variety of different solutions for hair loss through their subscription service.
Rogaine offers two products each for men and women in a standard size and at the same price.
|Price per month
|1 mg finasteride
|Keeps minoxidil solution
|Keeps minoxidil foam
|Keeps finasteride tablets and minoxidil solution bundle
|finasteride and minoxidil
|Keeps thickening shampoo
|biotin and saw palmetto
|Keeps thickening conditioner
|biotin and saw palmetto
|Men’s Rogaine 5% minoxidil topical solution
|Men’s Rogaine 5% minoxidil foam
|Women’s Rogaine 2% minoxidil topical solution
|Women’s Rogaine 5% minoxidil foam
Pros of Keeps options
- Keeps provides a convenient buying experience at prices close to generic and discount brands, and doctors are available to guide you with your purchases.
- Keeps offers generic versions of all Rogaine products, plus two more with the FDA’s green light, on top of a few cosmetic offerings intended to boost their effectiveness.
Cons of Keeps options
- Some unsatisfied customers report poor support and service experiences with Keeps.
- Their subscription model may still be more expensive than buying the same generic prescription medications via other pharmacies.
Pros of Rogaine products
- Rogaine offers the most time-tested and well reviewed minoxidil option, plus a solid guarantee.
- They also offer savings when purchasing more than a month’s supply.
- All Rogaine products are FDA-approved.
Cons of Rogaine products
- Their offerings are more expensive, though the Rogaine website does offer a 20 percent “subscribe and save” discount.
- There isn’t much variety, with only four products.
Rogaine customer service
Keeps customer service
Keeps has an A+ with the Better Business Bureau and a rating of 1.12 out of 5 as of December 2023.. Keeps also holds a score of 1.8 out of 5 stars on Trustpilot as of December 2023 with the majority of the negative reviews being critical of their customer service and some users experiencing delayed shipments.
Keeps is legally prevented from offering returns on prescription medications but will replace over-the-counter items that are damaged or defective. They do not offer a satisfaction guarantee, but customer service is available from 10 a.m. until 6 p.m. 7 days per week via text, chat, and email. You can reach them by phone Monday through Friday during the same hours.
All three minoxidil solutions are applied directly with a dropper and massaged into the scalp. They work by boosting the time window that follicles have to actively grow hair, but you must be careful to avoid wetting your hair for at least 4 hours after applying minoxidil.
The three foam products should be applied to a cold, clean surface like a counter or mirror before being massaged into the scalp. They can be effective as soon as 8 weeks after starting treatment but can take as long as 4 to 6 months for some people.
Take finasteride pills once daily, ideally at the same time each day. It blocks the production of the hormone responsible for pattern baldness, but it can also take as long as 4 months before you see results.
Hair thickening products
Keeps recommends using their thickening shampoo and conditioner no more than 3 times per week to preserve your hair’s natural oils.
The thickening pomade has the same healthy, growth-promoting ingredients as the shampoo and conditioner. But because it contains no ethanol or propylene glycol, it is gentle enough to use every day.
Both Rogaine and the generic minoxidil offerings from Keeps work by dilating blood vessels. This gives hair follicles a longer and more robust growth period. Extensive studies have proven their effectiveness in both men and women.
Finasteride blocks the production of the hormone DHT, which can cause male and female pattern baldness.
The Keeps ketoconazole shampoo is an antifungal that is effective against dandruff, athlete’s foot, jock itch, and sweat rash.
The natural ingredients in Keeps thickening shampoo, conditioner, and pomade are designed to work together and — along with medical offerings from Keeps — help promote the overall health of your hair and scalp.
Rogaine is available without a prescription and is sold over the counter at many pharmacies.
You can find Keeps products on Amazon, but buying through their website offers you the chance to chat with a doctor free on the first visit and via messaging for the first year. You can reach out through their form or phone, text, email, or live chat via their website.
If you know what products you want, simply provide a copy of your ID and pay via credit, debit, or prepaid card. Most times, your order will be filled within 24 hours. Sometimes a doctor will contact you, and in some states, you will need to provide your own prescription.
If you need help deciding which Keeps offerings are best for you, use their online form. Keeps will assign you a doctor — you can’t choose your own. Once you have established a treatment plan, Keeps will follow up after 30 days.
Their doctors are always available for consultations and to make adjustments to your plan, and Keeps will ship you a fresh supply every 3 months.
Topical minoxidil side effects
All minoxidil products share the same side effects. Keeps and Rogaine both recommend stopping minoxidil and contacting your doctor if you experience:
- chest pains
- serious skin irritation
- sudden weight gain
- swelling in your hands and feet
Side effects that are less serious but more common include:
- minor skin irritation
- atypical hair growth
Some people report actually losing hair when they first start using minoxidil.
Rogaine’s foam for men instructs women not to use it. But none of the other minoxidil products offered by either company have a similar warning.
Women and anyone with liver issues, kidney issues, or prostate cancer shouldn’t take finasteride. People who are pregnant or breastfeeding shouldn’t handle broken pills because of the risk of serious developmental issues for the fetus.
Oral finasteride side effects
Typical side effects from regularly taking oral finasteride can include:
- allergic reactions
- swelling and tenderness of the breasts or testicles
- nipple discharge
- problems with erections and ejaculation
Keeps hair thickening products
The thickening shampoo, conditioner, and pomade from Keeps are cosmetic products and may cause allergic reactions in some people. They have not been studied for their potential side effects.
More treatments for hair loss are available now than ever before, both with and without a prescription. Rogaine and Keeps offer two different approaches, each with its own pluses and minuses. Which one you choose will depend on how important price is to you and how much guidance you need.