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When might spironolactone be used for female hair thinning?

Short answer

Spironolactone may be prescribed off-label for female pattern hair thinning, especially when hormone effects are suspected. It blocks some effects of androgen hormones and may help slow thinning. Results vary. A licensed physician in your state reviews pregnancy plans, kidney health, blood pressure, and other medicines before prescribing.

Spironolactone is a prescription medicine that blocks some effects of androgen hormones. A physician may consider it for female pattern hair thinning, including in some women with PCOS. It may help reduce ongoing thinning. Results vary. Its use for hair loss is off-label, meaning it is not FDA-approved for that purpose.

This medicine is not suitable for everyone. It can raise potassium levels and lower blood pressure. Your physician needs to know about kidney disease, problems with potassium levels, and all medicines or supplements you take. Potassium supplements, potassium-based salt substitutes, and some blood pressure medicines can increase safety concerns.

Possible side effects include more frequent urination, dizziness, breast tenderness, and changes in periods. Your physician may order blood tests before or during treatment based on your risks. Spironolactone should not be used during pregnancy. Discuss pregnancy prevention and plans before starting it. A licensed physician in your state decides whether it is appropriate and whether it should be used alone or with another treatment.

Sources

Written by the Verra clinical team · Medical review pending

General information, not medical advice. If you're in crisis, call or text 988.

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