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Posted underSpironolactone For Acne q&a

Is it normal for Spironolactone to affect your monthly cycle?

cvoisinApr 18, 2018
I am currently on a prescription of Spironolactone of 50 mg/once a day for hormonal acne. I am also on a 0.180 mg TriNessa birth control daily. Once I began the Spironolactone 2 weeks ago I began to spot and have been since, even though I wasn't on my sugar pills. My period now seems a lot heavier with a lot more side effects.

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From board-certified doctors and trusted medical professionals
Dr. Laura A. Katz, MD
Board Certified OB-GYN
Answered on Jan 28, 2019
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Laura A. Katz, MD

As far as spironolactone side effects, it can cause its own menstrual irregularities esp when you first use it. Since it is originally a diuretic blood pressure agent, you have to monitor potassium. Weight gain shouldnt really be an issue since you tend to urinate more fluids when you are on...

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Reuel Aspacio, MD, FAAD - Account Suspended

Thank you for your question. It is common to have breakouts when starting any acne treatment, and in my experience, breakouts may last weeks to months before acne improves and clears. If acne breakouts are severe, there are additional treatments that can help, so I highly recommend you consult...

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Isobel Walker, MBBS

Hard to comment on politically, however clinically, the use of spironolactone to treat acne can be both effective and safe- providing potassium levels are monitored. For the occasional outbreak the steps outside below maybe alternatives to spironolactone.  Acne can be treated with peels,...

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