What should I expect with Spironolactone?

Spironolactone is a potassium sparing diuretic used to treat hormonal acne in women. This medication cannot be prescribed to male patients via Apostrophe. Spironolactone is a medication that acts on androgens, or male hormones, in the female body. By blocking the effect of acne-causing androgens, female patients typically see fewer blemishes after 2-3 months of consistent use. Topical medications are often prescribed with spironolactone. In some cases, they will be more important than spironolactone itself. If you’ve been prescribed a topical cream and spironolactone but you’re not sure you can afford both, you can message your dermatologist and ask their opinion on which you should purchase. 

Since spironolactone is a diuretic, you should make sure to increase your water intake. Spironolactone can cause dizziness or lightheadedness if you become dehydrated. Drinking several glasses of water throughout the day will help you avoid dehydration.  You should also make sure to get up slowly if you have been seated or have been lying down for a long time. 

Spironolactone can cause spotting or menstrual irregularities. While not dangerous, it can be bothersome. If you experience bothersome menstrual spotting, please message your dermatologist. They may recommend you lower your dose, or recommend birth control pills to help regulate your period. 

If you have underlying heart, kidney or liver conditions, you should not start Spironolactone prior to speaking with your primary care physician. If you are taking potassium supplements either prescribed or over the counter, make sure you discuss with your primary care physician whether Spironolactone is safe for you.