Should you split your dose of spironolactone for best results?

Question

I am taking spironolactone for adult female hormonal acne. I currently take my full dose in the evening. I now have to discontinue my birth control pill because I’ve turned 50. I am worried about hormonal breakouts. Would it be better to split my dose of spironolactone rather than take it at once? I am on 200mg/day.

Laura A. Katz, MD · Answer

Hello Kk1968.  Usually dosing of spironolactone for acne is a once a day dosing regimen.  The half life of the active parts of the medicine is up to 16 hours.  200mg is the max dose for hormonal acne.  I would continue with the once a day dosing rather than risk overlapping of the active metabolites of the medicine.  It is the total dose at one time that determines how effective it is for you.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hello and thank you for your question. In general, I recommend my patients to take the medication once a day at night. However, depending on the side effects experienced, the dosing and frequency may vary. I would recommend consulting your board certified dermatologist for evaluation of your progress and discussion of appropriate treatment. Best of luck.

Should you split your dose of spironolactone for best results?

Answers (2)