Best answer: How much spironolactone should I take for acne?

The typical dose of spironolactone for acne is 25 to 200 milligrams per day; according to a 2012 study published in the Journal of Clinical and Aesthetic Dermatology, patients should start with the lowest dose possible and increase slowly over time if needed.

Is 50 mg of spironolactone enough for acne?

Spironolactone will help with acne on the face, back, and chest. The majority of sides effects associated with spironolactone are dose dependent; low-dose therapy (25–50 mg daily) generally is well tolerated, and even 100 mg daily is not problematic in most cases.

How many mg of spironolactone should I take for acne?

The dosage of spironolactone for acne is 25-200 mg/day in one to two divided doses.

How long does it take for spironolactone to work for acne?

How long will I need to take spironolactone before I see an effect? Most women find that their acne starts to improve after about 3 months of treatment. Hair complaints take longer, and treatment usually needs to be continued for up to six months before the benefit can be seen.

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Is 200 mg of spironolactone too much?

The maximum dose that has been reported for acne in the literature is also 200 mg/day, “which is considered a high dose,” says Dr. Marchbein, who is currently testing even higher doses because the drug is used at higher doses for other conditions.

Can you lose weight on spironolactone?

Spironolactone works as a diuretic, which means that it causes the body to remove extra fluid. Reducing fluid in the body can result in body weight loss.

Why am I still breaking out on spironolactone?

The reason spironolactone is still fairly unheard of by acne sufferers is likely due to its main use: treating high blood pressure and heart failure. While I’d taken the birth control pill since I was a teenager in an effort to combat period-induced breakouts, spironolactone works a bit more aggressively.

What happens if you take 2 spironolactone?

If you take too much: If you take too much of this drug, you may have the following symptoms: drowsiness. confusion. skin rash.

Can you gain weight on spironolactone?

There are concerns that spironolactone can cause weight gain, but there isn’t much evidence it does. For example, the package insert for the drug doesn’t list weight gain as a side effect. Along with weight gain, many people worry that spironolactone will make their skin look worse when they first start taking it.

Is it OK to take spironolactone at night?

Spironolactone sometimes causes drowsiness, so it’s best to take at night. You can take it with or without food.

Will my acne come back if I stop taking spironolactone?

Your acne can come back after taking spironolactone

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Spironolactone is not a cure-all pill and won’t rid you of acne forever. It is prescribed to be taken daily but according to Dr Mahto, acne can return when it is discontinued. “Spironolactone can be safely taken for many years if necessary,” she adds.

Does skin get worse before it gets better on spironolactone?

While most derms say your skin usually won’t get worse before it gets better on Spironolactone (you know, in the dreaded purging period), that definitely wasn’t the case for me. My skin freaked out at first, with breakouts bubbling up all over, and then it cleared.

Does acne come back after stopping spironolactone?

It is important to note that it can take about three months for the drug to have a noticeable effect on acne, and it’s not a one-time treatment, says Dr. Zeichner. “If you discontinue spironolactone, the skin slowly will return back to what it’s genetically programmed to do,” he explains.

What happens when you take too much spironolactone?

If too much spironolactone is taken, the symptoms are similar to spironolactone’s side effects: sleepiness, dizziness, mental confusion, drug rash, nausea, vomiting, or diarrhea. If a spironolactone overdose is suspected, go to an emergency room.

How long does it take to adjust to spironolactone?

“It takes about three months at the right dose to get the full effect,” says Dr. Zeichner.

Can you drink alcohol while taking spironolactone?

Notes for Consumers: It is best to limit your intake of alcohol while taking this drug. Alcohol can increase the risk for low blood pressure and dizziness. If the blood pressure drops too low, you may feel dizzy or faint, in some cases falls or fainting may occur.

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