← Skin & Hair
Not a controlled substanceFDA-approved product
Spironolactone
Hormonal acne and female pattern hair loss
An anti-androgen used off-label for hormonal acne along the jawline and for female pattern hair loss. It is the counterpart to finasteride, which we do not prescribe to women of childbearing potential.
Regulatory status
FDA-approved finished drug product. Use for acne and hair loss is off-label but long established.
Frequency
Once daily, oral
Route
Oral
Supply
30-day supply
Minimum age
18+
What it does
What patients get from this
- Targets the hormonal driver of jawline acne
- Slows androgenic hair loss in women
- Decades of dermatology use behind it
- Inexpensive generic
We will not prescribe this if
- Current pregnancy or planning pregnancy
- Hyperkalemia or potassium supplementation
- Significant renal impairment
- Addison disease
The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.
Labs your NP may order
- BMP
- Potassium
- Pregnancy test
Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.
Please read
- Can cause fetal harm. Reliable contraception is required, and your NP will confirm this before prescribing.
- Potassium is checked before starting and again after the first month.
- Prescribed off-label for these indications. Your NP will explain what that means.