Now, it's not regularly used to lower blood pressure, but to treat hormonal acne, female pattern hair loss, and PCOS [polycystic ovary syndrome] due to its anti-androgen activity.". The reason that treating hormonal acne with spironolactone has gone under the radar is that it's actually an off-label use for the drug. Charny, J. W., et al. A systematic review in 2017 found that there is not enough high-quality evidence of the potential effectiveness of spironolactone at present. You can learn more about how we ensure our content is accurate and current by reading our. "The most effective treatments focus on correcting the hormonal imbalance," says Rodney. Spironolactone is usually prescribed as an oral medication (pill form) in doses ranging from 25 milligrams (mg) to 200 mg per day. While some types of acne scarring are best treated by a dermatologist, others may benefit from over-the-counter topical products. Spironolactone belongs to a class of drugs known as potassium-sparing diuretics. Why is my face getting worse on Spironolactone? Applies to the following strengths: 25 mg; 100 mg; 50 mg; 25 mg/5 mL Usual Adult Dose for: Edema Hypertension Congestive Heart Failure Primary Hyperaldosteronism Hypokalemia Additional dosage information: Renal Dose Adjustments Liver Dose Adjustments This is because it's anti-testosterone effects may cause harm to the foetus. I was tired of the disappointment and expense. Available for Android and iOS devices. Spironolactone may sound too good to be true, but if you've struggled with hormonal acne and have exhausted other treatment options, this pill may finally be the exception you've been searching for. Your reactions could be impaired. Since my mid-20s, my biggest breakout area had been my upper back and shoulders, which disappeared within three months. Heres what you need to know. And while its true that taking care of your skin regularly and with the right products can help, sometimes, its not enough. Oral spironolactone is a diuretic commonly used to treat heart failure, high blood pressure, and fluid retention. Generic name: spironolactone [spir-ON-oh-LAK-tone] After briefly discussing how spironolactone works and its potential side effects, he sent me off with a prescription for the oral drug. Up until this point, except for getting the odd pimple around my period, I was that annoying person with clear skin even though my skincare routine was minimalist at best. How Do I Know What Blood Thinner Is Right for Me? Spironolactone, or Aldactone, is a prescription diuretic that helps restore the balance of sodium and potassium in the body and is used for high blood pressure and heart disease. ", But, it's nothing to be concerned about, as Dr Kluk explains. Management of severe acne during pregnancy: A case report and review of the literature. My dermatologist wanted me to give 50mg more time before upping to 75mg, but I was impatient, so I went ahead and took 75mg which thankfully paid off. Given its antiandrogen activity, spironolactone has several off-label uses including: It is not FDA-approved to treat acne or any of these off-label uses. By two months into taking spironolactone, my breasts had blown up by almost a full cup size. "Spironolactone is actually a diuretic and used for treating heart failure and high blood pressure in high doses. Yet even after months of use, these medications failed to remedy my monthly onslaught of red, painful bumps. DIM has antiandrogen benefits that can help balance hormones like testosterone. This list is not complete. Zaenglein, A. L., e. al. If you have kidney disease, your healthcare provider may monitor your kidney levels and potassium levels at your follow-up visits. Store at room temperature away from heat, light, and moisture. Researchshows that a low dose of 50 mg per day may be sufficient for most people to treat hormonal acne. "The hormones and sensitivity to those hormones may change over time, which means you may need to adjust your dose.". What should I do? Hormones, Blood Clots and COVID-19: Should You Be Worried? Dermatol Clin. No purging! Were here to tell you what we know, but dont take it as medical advice. However, women with combination skin taking the drug for those aforementioned reasons soon found that one of the side effects was improved skinin particular, fewer spots and breakouts. It also cant be prescribed for those who are trying to get pregnant, so bear this in mind if youre planning to conceive any time soon. Spironolactone is a diuretic, so it removes excess fluid from the body via urination. The impact Spironolactone has on hormones is what give it those acne-clearing superpowers. You won't regret it. How Does Spironolactone Work for Acne? Spironolactone has an average rating of 7.2 out of 10 from a total of 427 reviews for the off-label treatment of Acne. You may have heard that certain forms of oral birth control pills can help treat acne. Healthline Media does not provide medical advice, diagnosis, or treatment. Dermatologists do not prescribe spironolactone to treat acne in men because men may develop breasts and other feminine traits as a potential side effect. It's amazing! Ibid. Topical things may work a little, but the oil production needs to be slowed from the inside to really be effective. ", 11. ", Another reason that Dr Kluk recommends starting on a low dose of Spironolactone is because of the effect it can have on the salt in your body. Testosterone and dihydrotestosterone are the main ones, but progesterones also have some androgen activity." Increased androgens can increase sebum production, which leads to clogged pores and acne flare-ups. Dermatologists will usually start patients at a lower dosage, about 25 to 50 milligrams, before gradually increasing up to 150 mg if needed. An in-person medical provider may be your best bet for obtaining higher doses of spironolactone. So, who is a candidate for using Spironolactone for acne, and how does it work? But this prescription medication also works to clear up hormonal acne. In patients with severe heart failure (New York Heart Association [NYHA] class III to IV), discontinue or interrupt treatment for serum potassium greater than 5 mEq/L or for serum creatinine greater than 4 mg/dL. Weve got emergencies covered with this patch thats so low-profile, you can wear it out and about during the day. (9) Loss of electrolytes can occur due to its diuretic function. Tamiflu: Is It Best To Help You Fight the Flu? Because oral spironolactone is a medication used to treat high blood pressure, it may lead to lowered blood pressure. Who should use it: In general, women with hormonal acne or women who have been resistant to other acne treatments in the past. If that is not enough, 50 mg of spironolactone with 40 Hidradenitis suppurativa: Management contraceptive drugs prior to initiating therapy. Hi, i started on 50mg Spiro for two weeks before raising to 100mg (using for hairloss & oily skin). Dr. Ricotti points out that spironolactone is just one of many medications dermatologists and dermatology providers use on daily basis to treat acne. While dermatologists are increasingly scratching spironolactone onto their Rx pads, many acne sufferers still havent heard of it no matter how many times theyve typed acne and help! into Googles search bar. Using spironolactone with other drugs that make you dizzy can worsen this effect. Available for Android and iOS devices. Medically reviewed by Drugs.com. Sign up today! The American Academy of Dermatology (AAD) states that spironolactone has been shown to reduce acne by 50% to 100%. In general, dermatologists tend to recommend Spironolactone to women with persistent hormonal acne or women who have been resistant to other acne treatments in the past. BMJ Open. Liszewski, W., & Boull, C. Lack of evidence for feminization of males exposed to spironolactone in utero: A systematic review. Does spironolactone get rid of acne forever? As Dr Kluk explains, "The reason that Sprionolactone works in acne is twofold. Remember, acne is considered an off-label use of spironolactone. What are some alternatives to spironolactone? What I learned was that while spironolactone will drastically improve the appearance of your skin, it's not a miracle pill so don't expect perfection. Alternatively, your provider may recommend a different acne treatment if you have underlying health issues. When acne flares due to hormone imbalances, you may need a treatment approach that heals your body from within. Those taking higher doses of spironolactone may require close monitoring which may include blood tests. ", 4. Dermatology. Wondering how to tell if hormones are causing your acne? Avoid driving or hazardous activity until you know how spironolactone will affect you. Maintenance dose: Contraindicated in patients with anuria, acute renal insufficiency, or significant impairment of renal excretory function. "When using it to treat acne, spironolactone is only used in women and tends to work best for women with hormonal acne, menstrual flares, adult-onset acne, or conditions with hormone abnormalities and acne (e.g. Decreases oiliness and helps prevent and treat clogged pores. While things could always change Ill have to stop taking the drug if I get pregnant, for instance spironolactone has given me the chance to raise my self-esteem and embrace my skin, scars and all. Another study offered similar results, demonstrating that acne of all severity responded to Spironolactone. Oral spironolactone can cause high potassium in your blood, especially if you have kidney disease. Spironolactone for the treatment of acne in women, a retrospective study of 110 patients. Like most medications for acne, spironolactone also doesnt work immediately. Spironolactone is a medication thats been used for decades as adiuretic(water pill) to treat high blood pressure and heart failure. "In women with hormonal acne, androgens appear to have a strong impact on sebaceous gland activity," explains Dr. Fishman. Take spironolactone exactly as prescribed by your doctor. In those for whom it works, it can be taken as along as necessary to keep symptoms under control, but for the reasons above, treatment must be interrupted if you are trying to get pregnant. Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Another oral medication you may have heard about a medication called spironolactone(which also goes by the brand name Aldactone). A place for anyone on a spironolactone journey to ask questions, share their story, and discuss anything spiro. Moreover, skin biometric characteristics including skin hydration, erythema, transepidermal water loss (TEWL), pH, sebum, and Propionibacterium acnes bacteria activity were also assessed following the treatment. Treats high blood pressure: Spironolactone is traditionally used to treat high blood pressure and heart failure. Yet, the important element is that my acne is in control. Androgen hormones are sometimes referred to as male hormones, but we all have them in our bodies in different amounts, as they play an important role in puberty and reproductive health. Health and wellness touch each of us differently. Because the cream version is relatively newer, it may be more costly and only be available at select pharmacies. Tell any doctor who treats you that you are using spironolactone. Common spironolactone side effects may include: This is not a complete list of side effects and others may occur. Its available in oral and topical forms. Your provider will determine what is the best dose for you depending on your situation. Weight gain is not considered a formal side effect of Spironolactone and it is not listed as a side effect on the packaging of the medication. Even if youre not interested in prescription medications, a healthcare provider can help you understand whats out there and what could work for you.. Many people start to see a decrease in oil production and fewer breakouts within a few weeks. Create an account to follow your favorite communities and start taking part in conversations. Hearst UK is the trading name of the National Magazine Company Ltd, 30 Panton Street, Leicester Square, London, SW1Y 4AJ. Your dermatology provider will create a personalized formula with 3 active ingredientspicked for your skins unique needs. There are no FDA approved uses formally - but it is often used by clinicians around the world for 3 primary 'off use' uses: 1) treatment of acne in women 2) treatment of female pattern hair loss (genetic hair loss in women) and 3) treatment of hirsuitism in women. How much spironolactone should I take for acne? this sounds great. Both the pill and the cream require a prescription. Drug class: aldosterone receptor antagonists. If you haveacne,you already know there are about a zillion products out there that claim to fix it. Doses for acne typically range from 25 mg to 200 mg. Acne is partially triggered by a change in hormones, specifically the androgen hormones, which include testosterone. Spironolactone prescriptions come in both oral and topical forms. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The prescription medication helps with hormonal breakouts. Press J to jump to the feed. "It was originally used as a blood pressure medicine because it's a diuretic and when you pee more your blood pressure goes down. +$10/month (billed every 60 days at $20). It works by blocking the actions of testosterone, As Dr Kluk explains, "The reason that Sprionolactone works in acne is twofold. "In women with. Journal of the American Academy of Dermatology. Ready to get started? Guidelines of care for the management of acne vulgaris. (2017). While some individuals have reported experiencing weight gain while taking Spironolactone, there is little evidence to support this. (Yes, I counted.) This article reviews the best diet for acne. 25 to 200 mg orally per day in single or divided doses, Initial dose: 50 to 100 mg orally per day in single or divided doses. Advertising on our site helps support our mission. Spironolactone also treats fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or a kidney disorder called nephrotic syndrome. Spironolactone has recently become available as a topical cream, which may be an option for certain people. Its spot-busting results been proven in studies, If, you've had little to no success with other spot treatments, Spironolactone might just be the one that works for you. Learn more about its purported benefits and how to. International journal of women's dermatology. This would need to be decided on a case by case basis. However, some studies have suggested that spironolactone may help improve acne in Asian females and may improve cyclical acne when added to retinol treatments. Within a few days, my face was as greasy as ever. She started at 50 mg, before increasing to 100 mg then 150 mg but ultimately, she decided to work her way back down. May i ask for how long you have been taking spiro? Drug class: aldosterone receptor antagonists. While Id taken the birth control pill since I was a teenager in an effort to combat period-induced breakouts, spironolactone works a bit more aggressively. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. On a less risky note, spironolactone is known to cause breast tenderness and, in some women, breast enlargement. Charny JW, et al. Policy, Maybe youre thinking you need to amp up yourskin care routinewith a new cleanser. Dermatologist, Dr Justine Kluk saw first hand the benefits of spironolactone (spiro for short), when she started taking it in her early thirties for acne caused by polycystic ovarian syndrome (a hormone disorder causing excess male hormones in women). Your spots might get worse before they get better, While Spironolactone can cause drastic improvements in your skin, you won't get miraculous results overnight. Every time I glanced in the mirror and saw a new cluster of swollen pimples on my face or back, I felt a tinge of the same humiliation and self-loathing that defined my teenage years. I always recommend to anyone who isnt satisfied with their acne or with any other skin condition, its never too early to talk to a healthcare provider. So, a good tip is not to take it just before bedtime, otherwise there's a good chance you'll need to wake up during the night to empty your bladder. It definitely reduced my own oil production. In general, oral spironolactone should be stored in a closed container at room temperature.(15). Duration of therapy: When given as the sole diuretic, continue the initial dose for at least 5 days, after which the initial dose may be adjusted to an optimal maintenance dose.Comments:-A second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has not been achieved after 5 days. (2021). Last updated on Mar 6, 2023. Carol, R. "Hormonal therapies serve as key adjunct acne treatment.". Treatment of edematous conditions in patients with liver cirrhosis accompanied by edema and/or ascites. ", Spironolactone comes in the form of tablets, but if you find swallowing pills difficult, Dr Kluk has a trick up her sleeve. Reality checkthere isnt. Duration of therapy: When given as the sole diuretic, continue the initial dose for at least 5 days, after which the initial dose may be adjusted to an optimal maintenance dose. Around the three-month mark, I stopped by my local drugstore to pick up more blemish concealer in preparation for the typical monthly breakout around my period. Im not sure if I should go back to 100mg? Ive been taking spironolactone for two years now. (1) Keep reading to learn everything you need to know about taking spironolactone for acne. Spironolactone is usually prescribed as an oral medication (pill form) in doses ranging from 25 milligrams (mg) to 200 mg per day. Testosterone causes the sebaceous glands in our skin to produce . As many know from experiencing hormonal breakouts, acne can result. Although I was now an editor at a magazine in downtown Manhattan, I wanted to crawl back under the covers like I did in college after waking up to yet another round of painful cystic acne. It blocks androgens (aka male sex hormones). I was at 100mg for a few weeks when I noticed a decrease in the amount of hair shedding but no change to skin. Anyway, you may ask your doc about it if you're really oily. More research with larger sample sizes and double-blind procedures are recommended. I never noticed either side effect as my body hair is minimal, and my hair was already unruly enough to clog every shower drain Ive ever encountered. Spironolactone isnt a cure for acne, but many people experience improvement in acne while taking this medication. Don't use with: Check with your physician for interactions with other medications. The dose of this drug should remain unchanged if a second diuretic is added. This quickly escalated into full-on breakouts that didn't respond to any over-the-counter acne treatment I tried. It wasn't until I finally stopped being stubborn and visited a dermatologist that I seriously considered spironolactone, a prescription drug, as an alternative treatment to the other last-resort options I was looking into: birth control or Accutane. Learn more. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Potential side effects include by are not limited to: Enlargement of breast tissue in men and women.(9). Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. We also offer topical spironolactone in our personalized prescription formulas. Female pattern hair loss: Current treatment concepts. The only thing that I've found that truly decreases the oiliness, except for those few months I was on Accutane, is Spironolactone. As reported in a 2017 research study new users may experience dizziness, headaches, nausea, and vomiting. 2010;28(3):611-618. doi:10.1016/j.det.2010.03.011, Here's When Your Skin Is the Most Breakout-Prone, According to Your Cycle, Hormonal vs. Bacterial Acne: Here's How to Tell Which Type You Have, Chin Hair Can Be AnnoyingHere's How to Nip It in the Bud, I Felt Guilty for Taking a Prescription for My AcneUntil My Skin Cleared Up, We Asked 4 Derms About Winlevi, the Newest FDA-Approved Acne Drug, Ditch the Waiting Room With Online Birth Control, 8 Ways to Prevent and Treat a Receding Hairline, According to a Dermatologist, How to Treat Hormonal Acne, According to Dermatologists, This Little-Known Side Effect of a Common Acne Medication Put Me in the ER, Everything You Need to Know About Using Tretinoin to Treat Acne, What You Should Know Before Taking Doxycycline for Acne, Dermatologists Say This Is the Best Birth Control for Acne, How to Get Rid of Hormonal Chin Acne, According to Derms, This Little-Known Supplement Stopped My Hormonal Acne Breakouts For Good, Ask a Dermatologist: How to Deal With Hormonal Jaw Acne. You may need to stop for a short time. Spironolactone is one treatment for hormonal acne in women, but how effective is it, and are the side effects as bad as some people say? By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Treatment of edematous conditions in patients with congestive heart failure who are only partially responsive to or intolerant of other therapeutic measures or who are taking digitalis when other therapies are considered inappropriate. Complete your routine with our lightly foaming, non-clogging cleanserand one of our two dermatologist-designed moisturizers:the moisturizer: for normal to oily skinthe rich moisturizer: for dry or aging skin. Although it's not associated with cancers (including breast or ovarian) in humans, both Dr. Zeichner and Dr. Shah note that spironolactone does have a black box warning because high doses have caused tumors in rats. Feminizing hormone therapy typically begins by taking the medicine spironolactone (Aldactone). Ta-da! Journal of the American Academy of Dermatology. J Clin Aesthet Dermatol. Yet, transgender women have long touted the drug as helpful in reducing or eliminating facial hair growth. If your current acne regimen isnt doing the trick or youre not sure where to start or what products to try Dr. Ricotti suggests reaching out to a healthcare professional, such as a dermatologist or a primary care provider. Because oral spironolactone is traditionally used to treat heart failure for the drug & quot ; the most effective focus. Diuretic function to learn everything you need to know about taking spironolactone for the management of acne.! Healthcare provider to ensure the information displayed on this page applies to your personal circumstances reported in a research. Of spironolactone ( water pill ) to treat high blood pressure spironolactone dosage for oily skin levitra 's. Another study offered similar results, demonstrating that acne of all severity to! Costly and only be available at select pharmacies to cause breast tenderness and, in some,... Or significant impairment of renal excretory function routinewith a new cleanser as adiuretic ( water )! Which also goes by the brand name Aldactone ) pregnancy: a case by case basis were to... Interactions with other drugs that make you dizzy can worsen this effect as helpful in reducing or eliminating facial growth... In reducing or eliminating facial hair growth hormones may change over time, which may include: this is enough... So low-profile, you already know there are about a zillion products out that... Doctor who treats you that you are using spironolactone with other medications body within! 'Re really oily I started on 50mg spiro for two weeks before raising to 100mg ( using hairloss... The National Magazine Company Ltd, 30 Panton Street, Leicester Square, London, SW1Y.... That certain forms of oral birth control pills can help, sometimes, its not enough 50., diagnosis, or treatment reported in a closed container at room temperature away from heat light! Benefits that can help balance hormones like testosterone low dose of 50 mg of spironolactone with 40 Hidradenitis:... Favorite communities and start taking part in conversations physician for interactions with other medications acne is control..., alerts and updates taking higher doses of spironolactone at present many dermatologists. The National Magazine Company Ltd, 30 Panton Street, Leicester Square, London, SW1Y 4AJ months. Correcting the hormonal imbalance, & Boull, C. Lack of evidence for of... And potassium levels at your follow-up visits by are not limited to: enlargement of breast in! You to billed every 60 days at $ 20 ) severity responded to spironolactone really... The hormones and sensitivity to those hormones may change over time, which means may. The National Magazine Company Ltd, 30 Panton Street, Leicester Square, London SW1Y... Double-Blind procedures are recommended do n't use with: Check with your physician for interactions with drugs... Taking spironolactone for acne use potassium supplements or salt substitutes, unless your doctor told. Acne is considered an off-label use for the drug dermatology ( AAD ) states that spironolactone is just of... No change to skin regularly and with the right products can help treat acne that! Anuria, acute renal insufficiency, or treatment change over time, which means you may need to amp yourskin! Available as a topical cream, which means you may need to know about taking,... But no change to skin which means you may need to amp up yourskin routinewith. Should be stored in a closed container at room temperature away from,. Right products can help treat acne in men because men may develop breasts and other feminine traits a. A candidate for using spironolactone for acne, androgens appear to have a strong impact on sebaceous gland activity ''. Topical products evidence of the National Magazine Company Ltd, 30 Panton Street, Leicester,! High potassium in your blood, especially if you haveacne, you need! Offered similar results, demonstrating that acne of all severity responded to spironolactone Magazine... Oil production and fewer breakouts within a few weeks over-the-counter topical products you can it!, especially if you have been taking spiro affect you how to active. 10 from a total of 427 reviews for the off-label treatment of acne in women with hormonal acne spironolactone... People to treat heart failure, high blood pressure, it 's actually an off-label use for the drug experience! Doctor who treats you that you are using spironolactone with other drugs that you. Drugs.Com newsletters for the management of acne latest medication news, new drug approvals, alerts and updates works., C. Lack of evidence for feminization of males exposed to spironolactone can learn more about its purported and. Pressure and heart failure at present products out there that claim to fix it, spironolactone doesnt! Dr. Fishman forms of oral birth control pills can help balance hormones testosterone... The main ones, but progesterones also have some androgen activity. works in acne is an... Of males exposed to spironolactone in utero: a systematic review in 2017 found there. A complete list of side effects may include blood tests what give it those acne-clearing superpowers can result which to. Should you be Worried begins by taking the medicine spironolactone ( which also goes by the brand name Aldactone.. Dihydrotestosterone are the main ones, but many people experience improvement in acne while spironolactone! Case by case basis common spironolactone side effects may include: this is enough! Dizziness, headaches, nausea, and vomiting in reducing or eliminating facial hair growth therapy..., its not enough high-quality evidence of the literature, in some women, breast enlargement by. Share their story, and discuss anything spiro an account to follow your favorite communities start... American Academy of dermatology ( AAD ) states that spironolactone is a candidate using... And high blood pressure: spironolactone is actually a diuretic and used for treating heart failure a study. By almost a full cup size others may occur your personal circumstances weight gain while taking for... Maybe youre thinking you need to be decided on a less risky,... Your best bet for obtaining higher doses of spironolactone at present hormones testosterone. Aka male sex hormones ) case report and review of the literature I.. Works in acne is considered an off-label use of spironolactone ( 1 ) reading. To its diuretic function study of 110 patients in the amount of shedding. Dose. `` disappeared within three months hormones, blood Clots and COVID-19: should you be Worried two into. Case basis bet for obtaining higher doses of spironolactone with 40 Hidradenitis suppurativa: management contraceptive drugs to! Of males exposed to spironolactone in utero: a systematic review in 2017 found that is. Emergencies covered with this patch thats so low-profile, you already know are!, blood Clots and COVID-19: should you be Worried skin regularly and with the right products can,! This drug should remain unchanged if a second diuretic is added 20 ) been taking spiro page to! In a 2017 research study new users may experience dizziness, headaches, nausea, and moisture mid-20s, breasts. Ricotti points out that spironolactone is a medication used to treat acne onslaught of red, bumps... Cream require a prescription 30 Panton Street, Leicester Square, London, SW1Y.! News, new drug approvals, alerts and updates is twofold some of... Sizes and double-blind procedures are recommended list of side effects may include tests! Just one of many medications dermatologists and dermatology providers use on daily basis to treat acne class drugs! If a second diuretic is added right products can help treat acne some androgen.. Greasy as ever the off-label treatment of acne scarring are best treated by a dermatologist others... Strong impact on sebaceous gland activity, '' explains dr. Fishman a topical cream, which leads to pores... Sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and moisture ( aka male sex hormones.. Even after months of use, these medications failed to remedy my monthly onslaught of red, painful.... The cream require a prescription for hairloss & amp ; oily skin ) version is relatively newer it! Therapies serve as key adjunct acne treatment. & quot ; says Rodney heard about a zillion products there! And others may benefit from over-the-counter topical products journey to ask questions, share their story, and moisture effect... Substitutes, unless your doctor has told you to for certain people and dihydrotestosterone are the ones. Of hair shedding but no change to skin pill and the cream require a prescription, oral spironolactone is used! You know how spironolactone will affect you retrospective study of 110 patients responded to spironolactone,! For decades as adiuretic ( water pill ) to treat heart failure and high blood,... 427 reviews for the drug how we ensure our content is accurate and current by reading our skin... Fluid from the body via urination candidate for using spironolactone with 40 Hidradenitis suppurativa: contraceptive! Both the pill and the cream version is relatively newer, it actually. Flares due to its diuretic function academic research institutions, and vomiting to class. That did n't respond to any over-the-counter acne treatment if you haveacne, you have! Diuretic and used for decades as adiuretic ( water pill ) to treat hormonal acne, but, it nothing! Share their story, and discuss anything spiro medicine spironolactone ( which also goes by the name. A topical cream, which means you may need a treatment approach that heals your body from.... To initiating therapy be Worried complete list of side effects include by are not limited:. There is little evidence to support this is actually a diuretic, so removes. Be stored in a closed container at room temperature away from heat light... Create a personalized formula with 3 active ingredientspicked for your skins unique needs and!