A 60-year-old male asked:
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i'm on testosterone cypionate injections to increase free testosterone. i developed cystic acne and getting a lot of body hair. my doc prescribed spironolactone. isn't that counter productive?

2 doctor answers
Dr. Andrew Johnston
34 years experience Internal Medicine
Not necessarily: It's a question of degree. The spironolactone doesn't completely block all the testosterone. But it will block some so you may need a higher dose to get the desired effect. But that will probably give more undesired effects as well. You then start chasing your tail. You may find a lower testosterone dose gives you some benefit but less side effects.
Answered on Oct 12, 2013
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Dr. Weber Chuang
24 years experience Urology
Reduce dose: I suspect your symptoms may be related to your testosterone being too high. I would consider reducing your dose or increasing the interval. Do you know what your levels are?
Answered on Oct 12, 2013

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