Question: How many mg of spironolactone should I take for acne?

When using Aldactone as an acne treatment, the most common dosage is between 50 to 100 mg daily1. Many dermatologists start off prescribing 25 mg and work up to the target dosage over the course of several weeks.

How much spironolactone should I take for acne?

The dosage of spironolactone for acne is 25-200 mg/day in one to two divided doses. A study that used 50 mg spironolactone twice a day on Days 5 through 21 of women’s menstrual cycle had a high rate of success with low incidence of side effects (Harper, 2006).

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.

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.

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How long before Spironolactone works for acne?

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.

Can you lose weight on spironolactone?

There is no evidence that spironolactone works specifically for weight loss. But spironolactone might help reduce weight that’s related to fluid retention, especially in women with bloating and swelling due to PMS. If you experience weight gain due to PMS, you may want to talk to your doctor about spironolactone.

Will my acne come back if I stop taking spironolactone?

Your Acne Can Come Back If You Stop Taking Spironolactone

The reality is that spironolactone only works when you’re on it. If you do stop taking it, it’s possible that your hormonal acne will come back. “The effect of the body’s hormones will go back to what it was before you started,” says Dr. Zeichner.

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 spironolactone make you gain weight?

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.

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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. If you haven’t gone through menopause, your doctor might also prescribe birth control pills to take with spironolactone.

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.

Does spironolactone make your breasts bigger?

Breast changes

Breast enlargement may occur in 26% of women at high doses and is described as mild. Some women regard spironolactone-induced breast enlargement as a positive effect. Spironolactone also commonly and dose-dependently produces gynecomastia (breast development) as a side effect in men.

Is there an alternative to spironolactone?

Amiloride and triamterene may be used instead of spironolactone.

Does acne get worse before it gets better on spironolactone?

At first, my side effects included dizziness and lack of appetite, but it was manageable. Your skin will get worse before it gets better, but it’s worth it!”

Does acne get worse before better on spironolactone?

While Spironolactone can cause drastic improvements in your skin, you won’t get miraculous results overnight. “Most women should expect it to take around 3 months for the benefits to start showing. In my experience of prescribing the drug, it is not uncommon for spots to flare up initially before starting to settle.

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How can I stop hormonal acne?

What else can I do to clear hormonal acne?

  1. Wash your face in the morning and again in the evening.
  2. Apply no more than a pea-size amount of any acne product. Applying too much can dry out your skin and increase irritation.
  3. Wear sunscreen every day.
  4. Use only noncomedogenic products to reduce your risk of clogged pores.
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