Doctor insights on: Is spironolactone safe or pcos

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Is spironolactone safe or pcos?

Is spironolactone safe or pcos?

Spironolactone: Spironolactone blocks testosterone action. It treats the pcos symptom of excess hair growth, not the underlying Insulin resistance. Effective treatment requires twice daily dosing with 50 or 75 mg. Six months before you see benefits. ...Read more

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Dr. Dennis Higginbotham
1,241 Doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


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Would you recommend royal jelly and Spironolactone for PCOS?

Spironolactone: Spironolactone may help some if you suffer from unwanted hair growth. Honey bee larvae secretions (royal jelly) are not likely to be beneficial for PCOS. ...Read more

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I was prescribed spironolactone for PCOS I was wondering how long it would take for the cyst to go away?

I was prescribed spironolactone for PCOS I was wondering how long it would take for the cyst to go away?

Not what it is for: Spironolacton is an anti-androgen. It is used in PCOS to counteract some of the androgenic (male hormonal) effects of PCOS like hirsuitism (facial hair). It does not get rid of the cysts in the ovaries in patients with PCOS. We do not have a treatment that can do that at this time ...Read more

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Gyno prescribed Metta SR Metformin 500mg for life. Also, Aldactone (spironolactone) 50mg for 1 month. Metformin is to increase to 100mg in 2 weeks. Is she right? PCOS

Gyno prescribed Metta SR Metformin 500mg for life. Also, Aldactone (spironolactone) 50mg for 1 month. Metformin is to increase to 100mg in 2 weeks. Is she right? PCOS

Metformin: No one should need metformin for life. Please set up an appointment with a diabetes educator. If you don't have diabetes metformin won't be of much help and almost certainly not "lifelong". ...Read more

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How spironolactone decreases testosterone production in a pcos woman?

How spironolactone decreases testosterone production in a pcos woman?

It doesn't: Spironolactone is a diuretic that also happens to block testosterone receptors in hair follicles. Since many women with P COS experience some degree of hirsutism as a result of the elevated testosterone common with PCOS the Spironolactone is prescribed to block the receptors to prevent those hair changes. The testosterone production can be decreased by suppressing the ovaries with OCP's. ...Read more

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Is 25mg of spironolactone enough to treat hirsutism in lean (5'9, 130lb) pcos woman?

Usually: Every patient is different. Spironolactone at 25 mg is a nice starting dose. The dose can always be increases as needed. ...Read more

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Are metformin 500 mg and spironolactone helpful for pcos and adrenal hyperplasia?

Are metformin 500 mg and spironolactone helpful for pcos and adrenal hyperplasia?

Likely not both: Two different problems, two answers. Spironolactone can be helpful for treating (symptomatically only) unwanted body hair growth with either disease. Metformin is often helpful for women with pcos but has no well established role for treating cah. ...Read more

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I have pcos and I want to use saw palmetto instead of spironolactone, is it a good replacement?

I have pcos and I want to use saw palmetto instead of spironolactone, is it a good replacement?

No evidence: Saw palmetto standardized extract, 160 mg two times daily may lower levels of male hormones in the body. But there is no reliable research on whether it decreases hair growth or is otherwise effective in pcos. ...Read more

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I have pcos. Aldactone (spironolactone) not working bled too much. Tried 3 brands of the pill didn't tolerate. Are there any other treatment options?

I have pcos. Aldactone (spironolactone) not working bled too much. Tried 3 brands of the pill didn't tolerate. Are there any other treatment options?

Yes, there are: Consideration of other treatment options needs to be based on your individual case and is much too complicated for superficial online recommendations. You should follow up with your doctor to explore them. If you are overweight, you can go a long way toward reversing the underlying cause by getting down to a normal weight. Incidentally there is a high risk you could have sleep apnea. ...Read more

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Period 16 days earlier. Is it bcoz of the meds I'm taking & it's getting regularized? PCOS, and I'm on Metformin, Aldactone (spironolactone) &duphaston. Stop the meds?

Period 16 days earlier. Is it bcoz of the meds I'm taking & it's getting regularized? PCOS, and I'm on Metformin, Aldactone (spironolactone) &duphaston. Stop the meds?

Don't stop: You are taking medications for PCOS that are likely helping you regain regular ovulatory cycles, so your cycles and pattern of bleeding may change when you start. Hopefully the metformin will continue to work and help you regularize your ovulation and your cycles. For good care, you should discuss any changes to your medication regimen with your doctor who prescribed them for you. ...Read more

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Pcos woman takes Spironolactone that make spotting, what should be taken to prevent such spotting? Can progesterone pessaries help example cyclogest?

Birth control pills: A popular for PCOS patients who need menstrual cycle control is to take birth control pills. Cyclic Progesterone is another option but is often not as effective. Weight loss is key is the PCOS patient is overweight. ...Read more

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I had a stroke 5 months ago. Is there other options for treating my pcos besides aldactone (spironolactone) which I am on? I got mood swings on provera.

I had a stroke 5 months ago. Is there other options for treating my pcos besides aldactone (spironolactone) which I am on? I got mood swings on provera.

Mood stabilizers: Hello,
a lot of people who have pcos experience mood swings, you are not alone. It souns like you have several medical conditions. I recommend that you consult with ob/gyn for alternative treatments for pcos. Consider mood stabilizer for mental health too. ...Read more

Dr. Anita Deswal
421 Doctors shared insights

Spironolactone (Definition)

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Also treats high blood pressure, heart failure, and low blood potassium (hypokalemia). This medicine is ...Read more


Dr. Qamar Khan
238 Doctors shared insights

Aldactone (Definition)

Aldactone is a potassium-sparing agent which is a kind of water pill or diuretic (heart ...Read more