Spironolactone
Provider review requiredFemale pattern hair loss and hormonal acne — dosed off your labs
Spironolactone for hair loss and hormonal acne
This blocks androgens — the hormones that, in women, can thin hair at the crown and part line and drive the deep jawline acne that shows up with your cycle.
It needs a blood test before you start and again after a dose increase, because it can raise potassium. That's a real check, not a formality. It also means telling us about blood pressure medications, potassium supplements, or regular ibuprofen.
You need reliable birth control while taking it. And the labs do something useful beyond safety: hair shedding in women is often thyroid or low iron rather than hormones, and the same blood draw catches that — so you don't spend a year on the wrong treatment.
Acne usually improves within 8–12 weeks. Hair takes longer — 6 months before you can fairly judge it. Some women get lighter or irregular periods, which is common and not a problem.
What it hits — and when to take it
- SpironolactoneBlocks androgen receptors — female pattern hair loss and hormonal acne⏱ With food; potassium checked at baseline and after dose changes
Your protocol calendar schedules this automatically once a provider approves — bedtime compounds land at night, morning compounds in the morning.