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Posted underSpironolactone For Acne q&a

If I stop spironolactone for acne and hair loss, will my hair loss start again? Is it forever like minoxidil?

N
NT_LVJul 20, 2022

History of cystic acne and hair loss.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Anna Chacon, MD, FAAD
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Dr. Anna Chacon, MD, FAAD
Board Certified Dermatologist
4.6 | 21 Reviews
Answered on Oct 6, 2023
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Anna Chacon, MD, FAAD

Spironolactone can affect the menstrual cycle due to its anti-androgenic effects. It can cause irregular periods, spotting, or even missed periods. However, after stopping the medication, your menstrual cycle should gradually return to normal. The length of time this takes can vary from person...

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Anna Chacon, MD, FAAD

Spironolactone can affect hormonal balance due to its anti-androgenic properties, and can sometimes cause side effects like breakthrough bleeding. After discontinuation, the time it takes for hormones to normalize can vary widely from person to person, depending on factors like individual...

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Anna Chacon, MD, FAAD

Spironolactone is a medication often used off-label to treat hormonal acne. It's generally considered safe to take alongside hormonal birth control, like the Depo-Provera shot. However, as with any medication, there can be potential side effects or interactions, so it's important to discuss this...

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Anna Chacon, MD, FAAD

Spironolactone can indeed affect your menstrual cycle, as it has anti-androgen effects. It's not uncommon for women taking spironolactone to experience changes in their menstrual cycles, including irregular periods or spotting. However, a cycle as short as 18 days is not typical and should be...

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Anna Chacon, MD, FAAD

Your situation sounds challenging and I understand your concerns about the potential for an Accutane (isotretinoin) purge, which can sometimes exacerbate acne before it gets better. Spironolactone, combined with oral contraceptives like Diane-35, can be an effective treatment for many patients...

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Anna Chacon, MD, FAAD

Both Spironolactone and Accutane (isotretinoin) can be effective in managing oily skin and congested pores, but they work in different ways and have different side effect profiles. Spironolactone is a diuretic that has anti-androgen effects, meaning it can help reduce sebum production and...

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