What are the side effects of spironolactone for acne?

Common side effects of long-term use of spironolactone during treatment for acne include irregular menstruation, urinary frequency, dizziness, headaches, nausea, vomiting, breast tenderness, and breast enlargement (Shaw and White, 2002).

Is taking spironolactone for acne safe?

Spironolactone is not prescribed to treat acne in men due to side effects. Men have developed breasts while taking this medication to treat acne. Spironolactone is generally considered safe for healthy women.

How long does spironolactone take to get rid of acne?

Spironolactone is started at doses of 25-100mg per day and increased every 6 to 8 weeks until a dose that improves the acne is reached. There are many variations to this regime. Improvement in acne can take 3 to 6 months to be seen.

Can spironolactone make acne worse?

Along with weight gain, many people worry that spironolactone will make their skin look worse when they first start taking it. While this is true for some acne treatments, it is generally not an issue with spironolactone.

Why is spironolactone bad for you?

May cause low sodium levels (hyponatremia), low magnesium levels (hypomagnesia), lowered testosterone levels and high potassium levels (hyperkalemia). Low calcium levels and high blood sugar levels may also occur.

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Should I drink a lot of water with spironolactone?

In some cases, people who take spironolactone can become dehydrated. Be sure to drink adequate water while taking spironolactone. Watch for signs of dehydration, including: excessive thirst.

How do I know if my acne is hormonal?

Hormonal adult acne typically forms on the lower part of your face. This includes the bottom of your cheeks and around your jawline. For some people, hormonal acne takes the form of blackheads, whiteheads, and small pimples that come to a head, or cysts.

What hormones does spironolactone affect?

It is a steroid that blocks the effects of the hormones aldosterone and testosterone and has some estrogen-like effects. Spironolactone belongs to a class of medications known as potassium-sparing diuretics.

What are the long term effects of taking spironolactone?

Diuretic effect and menstrual irregularities were the most common adverse effects. Conclusions: After 200 person-years of exposure to spironolactone and 506 person-years of followup over 8 years, no serious illnesses thought to be attributed to spironolactone were reported.

Does spironolactone make your breasts bigger?

Enlarged breasts: This drug may cause you to have enlarged breasts (gynecomastia). This can happen in both men and women. If this happens, your doctor may stop your treatment with this drug. This symptom usually goes away once you stop taking this drug.