Spironolactone Oral Route Side Effects

spironolactone and hair loss

However, this study used a small sample size and had a short duration, so more research is needed to confirm its results in the wider population. Although treatment for androgenetic alopecia is not necessary, some people may wish to reduce their hair loss by using hair loss medication. Research estimates that approximately 50% of males and females experience hair loss, the most common type being androgenetic alopecia.

spironolactone and hair loss

How much is prescribed?

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. We initially retrieved 452 records, of which 207 were duplicates, to end up with 245 studies for the title and abstract screening. After excluding 231 studies in the first screening stage, 14 papers passed to full-text screening, to end up finally with five studies [5,12-15].

It's not too late to save thinning hair - Harvard Health

It's not too late to save thinning hair.

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It takes at least six months to see results

If any side effects become severe or unbearable, seek medical attention immediately. Spironolactone is a medication used to treat high blood pressure, heart failure, and liver and kidney diseases. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Medical Weight Management New

spironolactone and hair loss

To help avoid interactions, be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. They’ll let you know if any interact with propranolol and adjust your treatment if needed. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist. To learn more about taking spironolactone to treat hair loss, talk with your doctor or pharmacist.

About the Reviewer

When exploring alternative female pattern hair loss treatments, finasteride is another option many women consider. Like spironolactone, finasteride is available in oral and topical form, and the topical variation tends to produce fewer side effects in both women and men. Topical finasteride is becoming increasingly popular, but this remains an off-label, prescription-only use of this medication.

Always disclose other medications you are on to your healthcare provider. Two recent trials4,10 using topical spironolactone as AGA treatment were attractive. Talk to your doctor right away if you become sick while taking spironolactone, especially if you have severe or persistent nausea or vomiting, or diarrhea. These can all cause dangerously low blood pressure when taking spironolactone. If you haven’t gone through menopause, your doctor might also prescribe birth control pills to take with spironolactone. They might also prescribe minoxidil to take with spironolactone, regardless of your age.

Treatments for hair loss in women

In this paper, we will conduct a systematic review of the current literature on the use of oral spironolactone in female pattern hair loss, including its efficacy and potential side effects. We hope that this review will provide a comprehensive analysis of the existing evidence on the use of spironolactone in female pattern hair loss and help guide future studies in this area. Female pattern hair loss is the most common cause of hair loss in women and one of the most common problems seen by dermatologists.

All analyses were done using R software version 4.2.3 (R Foundation for Statistical Computing, Vienna, Austria). All five studies11–15 of oral spironolactone as one of the interventions included only female patients. Two studies4,10 treated with topical spironolactone gels or solutions included a total of 65 men and 115 women, and there was no significant difference in gender between the groups reported. I was on spironolactone for acne as well for two years, and like you, lost about 50% of my hair.

Spironolactone: How It Helps Treat Hair Loss in Women

Estrogen is made when androstenedione or testosterone are modified by the enzyme aromatase. It is synthesized in the ovary and other peripheral tissues and then travels to its receptors, some of which are located in scalp hair follicles (Thornton et al., 2003a, Thornton et al., 2003b). At the scalp follicle, estradiol has been reported to induce aromatase activity (Hoffmann et al., 2002).

Aldosterone is a chemical made by the body that can cause water retention. This makes certain heart, kidney, and liver conditions worse. This process also stops your body from ridding itself of potassium. Other reported side effects of finasteride include decreased libido, gynecomastia, testicular pain, and depression. Originally introduced in the late 1950s, Spironolactone has a storied history.

Spiro affects the hair follicles/hormones so I am almost sure this is the cause! Below are answers to some of the top questions about hair loss medications. Older research showed that in a group of over 2,500 Japanese men, 87% saw an increase in hair growth. 11% of men saw a significant increase in hair, with 36% experiencing a moderate improvement.

If you’re interested in trying spironolactone for hair loss, talk to your doctor. Make sure to tell them about any medical conditions you have and the kinds of hair loss treatments you’ve tried in the past. In women, spironolactone is often used to treat androgenetic alopecia (female pattern hair loss) as well as hormonal hair loss caused as a symptom of polycystic ovary syndrome (PCOS). The results of this study are consistent with previous literature. A previous systematic review reported that spironolactone was effective in reducing hair loss in women with androgenetic alopecia [16]. In previous research conducted by Burns [14] and Sinclair [13], the efficacy of spironolactone in treating androgenetic alopecia was found to be significantly better with a 12-month treatment compared to a 6-month treatment.

A larger 2019 meta-analysis compared dutasteride with finasteride as a treatment for MPHL. The authors found that dutasteride significantly increased hair counts, had increased efficacy compared to finasteride, and produced similar side effects. They also wrote that participants tolerated both treatments well. Examples of alternatives for the conditions spironolactone treats are listed below. 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.

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