Can Spironolactone cause insomnia?

I suggest seeing a hair loss expert to evaluate and go over your condition and provide you information about your best treatment options and possible side effects. There are great non-invasive options like prp which combined with progesterone can give improvement without causing insomnia and/or hair transplantation. See an expert. Best, Dr. Emer

Insomnia
has been reported as a side effect in patients taking Spironolactone.  You asked for alternatives to your hair loss,
have you tried topical Rogaine?  Or a low
level light therapy (LLLT) device like Laser Cap?   Have you seen a hair restoration physician?

This drug can change your hormone balance and in doing so can cause insomnia as a known side effect