Spironolactone

Women with female-pattern hair thinning or hormonal acne sometimes consider spironolactone, particularly breakouts along the jaw and chin that flare with the menstrual cycle. It isn't right for everyone. A licensed clinician reviews your health history, current medications, and pregnancy plans, and prescribes it off-label only if appropriate after that review.

Androgens can shrink scalp follicles and drive the oil production behind hormonal breakouts. Spironolactone blocks androgen activity at the follicle and the oil gland, so it may help support calmer skin and slow further thinning. Spironolactone is FDA-approved for other conditions, not for hair or skin; prescribing it for them is off-label, which your clinician will explain before you start.

Spironolactone is an oral tablet taken every day, with or without food, on the schedule your clinician sets. Clinicians typically begin at a low dose and adjust based on how you respond and what your labs show. It works only while you keep taking it, so message your care team before changing or stopping anything.

Hair and skin change slowly. Acne often takes a few months to settle, and hair thinning takes longer still because follicles turn over gradually. Results vary from person to person, and consistency matters more than speed. Photos every few months help you and your care team judge how the plan is working and adjust it at follow-up.

Common effects include more frequent urination, dizziness, breast tenderness, and irregular periods. Spironolactone can raise potassium, so avoid potassium supplements and tell your clinician about kidney disease or any medication you take. It must not be used in pregnancy, so reliable contraception matters while you're taking it. Contact your clinician about anything you notice.

You can cancel anytime from your online patient portal. There are no cancellation fees or long-term contracts. Canceling won't stop an order already sent to the pharmacy. If your order is still pending, contact support and we'll help.