Texture · lines · acne
Tretinoin
Tretinoin · Azelaic · Niacinamide. A retinoid doctors have prescribed for decades.
Coming soon
Hair & skin · Prescription dermatology
One prescription formula, made for your skin.
Prescription ingredients, compounded for your skin. Coming soon.
What are you dealing with?
Your formula may include
TretinoinAzelaic acidClindamycin
A retinoid plus an anti‑inflammatory in one formula. For breakouts along the jawline, a clinician may discuss topical spironolactone. We start with a low strength.
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TretinoinNiacinamideAzelaic acid
Tretinoin is a long‑used prescription retinoid. The formula also has niacinamide. Strong redness, burning, or peeling means contact your clinician.
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Topical minoxidilSpironolactone
One compounded solution you put on your scalp, with topical minoxidil and topical spironolactone. Judge it over months, not weeks.
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Compounded medications are not FDA‑approved. A clinician decides if any option fits you.
Rated 4.5 out of 5 on Trustpilot 50,000+ patients
Every plan still needs sunscreen and time.
SPF 30+
Every day. One of the biggest factors in your results.
8–12 wk
Texture may improve in 4–6 weeks. Dark spots and acne often take 8–12. We start gentle, and strong irritation means contact your clinician.
The formulas we compound.
Hormonal acne Hormonal acne
Spironolactone (topical)
Spiro · Clindamycin · Azelaic. Compounded topical. Not FDA‑approved for acne.
Coming soon
Hair thinning
Minoxidil + Spironolactone
Topical minoxidil · Spironolactone. One compounded scalp solution for women’s pattern hair loss. Not a pill.
Coming soon
Compounded medications are not FDA‑approved. A clinician sets the strength for your skin.
From our members
In their own words.
“Zappy Health is extremely easy to enroll in. They were helpful every step of the way & I knew within the hour of submitting my application that I was a candidate. As soon as I made my decision to start my journey the communication from them has been impressive.”
Individual results vary and are not typical.
Read on Trustpilot (review by Jayne)“100% Satisfied-Great customer service, easy appointments, great products. As a person who needs this medication and doesn’t have a normal situation this company has been able to help me and I am extremely satisfied. Pricing is a little higher than I would like but you get what you pay for. Tried a cheaper company and got horrible customer service.”
Individual results vary and are not typical.
Read on Trustpilot (review by Angela)Reviews from Trustpilot, published as written. Each reviewer was invited by Trustpilot after a real order. Individual results vary and are not typical.
Common questions.
What strength of tretinoin do I get?
Your clinician picks the right strength for your skin type, usually 0.025% to 0.1%. That's enough to work without too much irritation.
Can I use this with my retinol?
Your clinician makes one formula that replaces your over-the-counter retinol. Using both just adds irritation.
How fast will my skin change?
Texture often gets better in 4–6 weeks. Dark spots and acne usually improve over 8–12 weeks of steady use.
Will spironolactone help my acne?
We can't promise that. We offer a compounded topical (put on the skin). It is not FDA-approved for acne. It may help with hormonal acne. Spironolactone pills are a different treatment, with their own risks. Your clinician talks through options with stronger evidence, and pregnancy precautions, before choosing.
Clear the shelf.
A short intake. A clinician builds one formula for your skin.
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Hair & skin care opens soon.
The hair & skin intake isn’t open yet. Check back here.
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