Los Angeles, CA
A 19-year-old female asked:

50 mg spironolactone (for hormonal acne) caused diffuse hair loss for me for last 5 months. thyroid/iron/autoimmune/etc. labs all normal. will this resolve without stopping the med? how long could it take? would a change in dosage maybe help?

2 doctor answers3 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
Hair loss: Spironolactone, being antiandrogenic, actually is used to treat female pattern hair loss. Your hair loss may be genetically determined. Any other female relatives with hair thinning pattern? For further evaluation a dermatologist may be able to pinpoint the type of hair loss you have and determine whether hair regrowth may be likely.
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Dr. Ed Friedlander
Pathology 46 years experience
Is that so?: I suspect telogen effluvium, cannot rule out medication effect. I am very surprised that you are still in this medicine when there are alternatives.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 28, 2017
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