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Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. There have been rare reports regarding spironolactone and alteration in voice pitch. Spironolactone may also cause hoarseness, particularly in women 60 years of age and older who have been taking the drug for less than one month.
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Spironolactone considerations and side effects
Hormone therapies can trigger hormone imbalances in women, causing hair loss — and potentially causing permanent female pattern baldness. Most of the time, these drugs only cause temporary hair loss that goes away once you’ve adjusted to or stopped taking the medicine. Different drugs cause hair loss at different stages of the hair growth cycle.

Missed Dose
If you are living with a severe autoimmune disease or a chronic illness, your medical provider will advise you on whether or not you should take spironolactone for hair loss. In recent years, it has been used, alongside other medications, to treat hair loss resulting from androgenic alopecia. If you have any medical questions or concerns, please talk to your healthcare provider. The articles on Health Guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. Androgenetic alopecia and frontal fibrosing alopecia, conditions that may lead to baldness, are among common types of hair loss.
Spironolactone - Did anyone experience weight gain?
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Appropriate studies have not been performed on the relationship of age to the effects of spironolactone in the pediatric population. You may need to purchase a home blood pressure monitor to check your blood pressure at home. The typical dosage is 100 mg to 400 mg daily in preparation for surgery.
However, spironolactone’s active metabolites persist for a longer time in the body, so it may take a day or more for some temporary side effects to abate. Other side effects, such as minor electrolyte imbalances (including hyperkalemia), may take longer to resolve. Severe electrolyte imbalances will require IV electrolyte replacement in a medical setting. Low white blood cell counts, low platelet counts, and severe allergic reactions may take several days to resolve.
For high blood pressure
My husband made me quit taking it & Im glad he did bc it now is going back to normal after stopping it after the 10th day. If you no longer need to take spironolactone oral tablets and have leftover medication, it’s important to dispose of it safely. This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.
For more information on the possible side effects of Aldactone, talk with your doctor or pharmacist. They can give you tips on how to manage any side effects that may be concerning or bothersome. The following lists contain some of the key side effects that may occur while taking Aldactone. The generic is considered to be as safe and effective as the original drug. Spironolactone oral tablets may be available through a mail-order pharmacy.
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Medications that cause hair loss in males
If you and your doctor determine that spironolactone is safe and effective for you, you’ll likely take it long term. If your potassium level increases too much, your doctor may lower your dosage to 25 mg taken once every other day. If you and your doctor decide you should stop taking spironolactone, your doctor will explain the best way to do this. Whether you can suddenly stop taking the drug safely will depend on several factors. These include the condition you’re using it to treat, the reason for stopping treatment, and whether you’ll be switching to a different treatment.
The drug will have its greatest effect in your body during this time. Along with its needed effects, spironolactone may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
The doctor will discuss any alternative treatment options and ensure that a person switches safely to any new medications. I started Spironolactone two years ago due to my acne, and noticed in october that I had lost a lot of hair. I now have less than 50% of the hair that I had before starting on Spironolactone. Please answer me, I am desperate and depressed because of this. At the 3 month mark, I notice thinning around my hairline and A LOT of brittle broken hairs at my temples.
If your hair loss is due to other causes, like stress, spironolactone may not be helpful. Patients only need to gently massage the scalp after applying 1 mL of the solution twice daily without other treatment. This study had the shortest treatment period, lasting only 12 weeks. The quartile grading scale also increased after the intervention.
To learn more about how generics compare with brand-name drugs, see this article. For information about the effectiveness of spironolactone, see the “Spironolactone uses” section below. Dizziness, lightheadedness, or fainting may also occur, especially when you get up suddenly from a lying or sitting position. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Then sit for a few moments before standing to prevent the dizziness from returning. Measure it with a marked measuring spoon, oral syringe, or medicine cup.
How often you take spironolactone depends on the condition you’re taking the drug to treat. Studies have determined the dosages that help keep an effective level of the drug in the body for the different conditions spironolactone treats. Your doctor will recommend the right dosage of spironolactone for your condition. Taking spironolactone in combination with other high blood pressure medicines for hypertension and heart failure can reduce the risk of strokes and heart attacks. It may also lessen the need for hospitalization due to heart failure. Other than as a treatment for severe edema due to severe kidney disease, the safety and effectiveness of spironolactone use in children have not been established.
Before exploring this treatment option for hair loss, speak with your primary health doctor or dermatologist to determine if this is the right treatment method for your current lifestyle. However, because spironolactone suppresses androgen hormones (like testosterone and dihydrotestosterone, or DHT), it has an interesting relationship with hair. It helps hair regrowth on the scalp, but it also works to reduce excess hair growth on the face and body (hirsutism). That’s why it can both treat PCOS hair loss as well as PCOS symptoms like hirsutism. After removing duplicates and irrelative records, we screened the titles and abstracts of remaining studies and full text if necessary. Ultimately 7 records4−10−15 were enrolled for final analysis (Figure 1).
Where possible, the best way to treat drug-induced alopecia is to stop taking the medication responsible for the hair loss. However, people should not stop taking a medication without their doctor’s agreement. Hair loss can begin within 2–5 weeks of starting chemotherapy. However, individuals who receive the same drugs and undergo the same treatment can still have different hair loss experiences.
Not all of the alternatives available for treating the same conditions as spironolactone are included. Talk with your doctor about other options that may work for you. There are no specific recommendations for older adult dosing. A usual adult dose may cause levels of this drug to be higher than typical in your body.
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