Does Spironolactone have an initial breakout phase?

Spironolactone is actually a potassium-sparing diuretic but it's anti-androgen effect can counter the hormones that promote the development of acne and also can help women who experience hair loss due to higher levels of androgens. 

This drug, if you look at the PI or product information, can cause period or menstrual irregularities. Try dropping the dose, or see you physician for a solution.CheersDr Davin lim Laser and aesthetic dermatologist. BRISBANE, Australia. 

Thanks for your question. Most women who start on spironolactone for their acne will remain on it for an extended period of time, with proper monitoring from your physician. We recommend that you consult with a board-certified dermatologist who can watch you, monitor you, and determine with you...

Thanks for your question and for most, this is not common or typical for a male patient with acne. All acne to some degree is hormonal, so unless there is something that we are not being told here, there is no reason I can see to put you on this – there are plenty of other medicines and p...

I warn patients of this.... the most common side effect is dizziness due to lowered blood pressure. The other important side effect is the elevation of potassium - this must be monitored. Rare side effects include irregular periods, so yes. Dr Davin Lim Laser, Cosmetic and...

Spironolactone is useful in many women with acne. Weight gain from this drug is not common. Consult with your provider if you are experiencing this – and again, know that this is not something that we see with this drug.