Spironolactone

Spironolactone is a prescription only oral or topical medication in the UK traditionally used as a diuretic and to treat high blood pressure. However, it is also a common treatment for some forms of acne and hair loss. Spironolactone works by blocking androgen receptors, thereby reducing the effect of hormones that can lead to acne and hair loss.

Benefits in Skincare

Topical Spironolactone, like oral, inhibits androgen hormones which play a significant role in the development of acne and hair loss. Through this action it reduces oil production in the skin, which helps to prevent clogged pores and breakouts. In the case of hair loss, reducing androgen levels helps to decrease hair thinning and promote hair regrowth. As such, the androgen blocking effects of topical Spironolactone can provide several benefits:

• Clears Hormonal Acne & Associated Inflammatory
• Balances Oil Production
• Reduces Hair Loss

Treatments with Spironolactone

No two patients are the same so we personalise each and every one of our treatments. For this reason, when designing your treatment, your doctor take into account your concerns, goals and wishes. We use topical Spironolactone in combination with other ingredients if we feel it will be beneficial and appropriate for the patient. Below are the personalised prescription treatments we may use Spironolactone in:

• Acne
• Hair Loss

Topical Spironolactone Prescription Treatments in the UK

For obvious reasons all forms of Spironolactone including topical treatments are available by prescription only. Generally, oral Spironolactone is the most common form for treating hormonal acne and hair loss. It is particularly effective for widespread acne and more severe cases of hair thinning but carries greater risks and side effects. On the other hand, you apply topical Spironolactone directly to the skin or scalp. It can target specific areas of concern and if used appropriately should lead to fewer side effects than systemic treatment.

We sometimes add spironolactone to our personalised acne and hair loss treatments if we think it is appropriate and safe for the patient. Regardless, our personalised treatments are available only after an online consultation form or virtual video consultation with one of our doctors. Following this, they will create a bespoke treatment based on what they think will best serve your needs and goals. They’ll also take into account any wishes or preferences you’ve expressed as much as possible. Your doctor will also provide you with a personalised program and follow-up. You will have direct access to your doctor by email at any time throughout your treatment journey.

Important Information

Topical Spironolactone is a prescription medicine sometimes used to treat hormonal acne, androgen-related skin issues and hair loss in the UK. Whilst safe in appropriate patients, you must only use this treatment under the care and guidance of a healthcare professional.

Safety and Side Effects

Topical Spironolactone is generally well-tolerated, but it can cause side effects in some individuals. Common side effects include dizziness, breast tenderness and increased urination. In rare cases, it can cause more serious side effects like high potassium levels and changes in menstrual cycles. If you experience severe side effects or allergic reactions, discontinue use and seek medical help.

Combining Spironolactone with Other Ingredients

Spironolactone can be combined with other topical skincare and hair ingredients to enhance its effects. These include Tretinoin, azelaic acid, antibiotics and minoxidil. However, it’s important to avoid combining spironolactone with potassium-sparing diuretics or other medications that can increase potassium levels unless directed by a doctor.

Contraindications

While spironolactone is safe for many individuals, certain conditions may need more caution or avoidance:

• Hyperkalemia: Individuals with high potassium levels should avoid using spironolactone.
• Kidney or Liver Disease: Spironolactone can affect kidney and liver function, so it should be used with caution in patients with these conditions.
• Pregnancy and Breastfeeding: Spironolactone is not recommended during pregnancy or breastfeeding due to potential risks to the baby.

Storage and Shelf Life

Store spironolactone in a cool, dry place, away from direct sunlight and heat. Always check the expiration date on the product packaging and discard any medication that has changed in appearance or smell.