Spironolactone for Women’s Hair Loss

Spironolactone is a prescription pill that has been shown in clinical studies to treat hair loss by blocking the effects of hormones that are responsible for hair loss. When taken consistently, this medicine can reduce hair shedding and promote hair regrowth for those with androgenetic alopecia, the most common form of hair loss.

This is an oral tablet taken by mouth once or twice a day. Patients first starting spironolactone may start with a smaller dose and may be increased to a higher dose based on a patient’s individual needs. Do not increase dosage unless specifically instructed by your provider. Those prescribed spironolactone should try to take their doses around the same time everyday to stay on track. Continued use is necessary to increase and maintain your hair regrowth, or hair loss will begin again. You can take oral spironolactone with or without food and should not take this medication more than directed.

Clinical studies have shown that most patients experienced improvements in hair loss, including thicker hair and less shedding, by 6 months and even earlier for some patients. Results may vary, and you may not see results right away, but it is important to continue taking the medication as prescribed by your provider even if you don't see immediate results.

Yes, you can use spironolactone with other medications that may improve scalp health, such as topical medications. In fact, spironolactone is commonly prescribed in combination with minoxidil 5% foam, as this can increase its effectiveness.

Spironolactone is available by prescription only. Request a prescription for spironolactone by completing an online health consultation to share important information about your symptoms, health history, and any medications you take. If you are an existing Nurx patient, you will log into your account to submit your request. A licensed medical provider will review your health information and prescribe spironolactone for you, if medically appropriate. We'll then deliver your medication in a 3-month supply straight to your door.

Spironolactone should not be taken by people who are pregnant, planning a pregnancy or breastfeeding. It’s important to let your doctor know of any changes so they can advise on alternative treatment options.

Spironolactone for women’s hair loss starts at $15 per month out-of-pocket. Insurance is not currently accepted.

Side effects may include drowsiness, lightheadedness, headache, low blood pressure, stomach upset, diarrhea, nausea, or vomiting. It is rarely associated with electrolyte abnormalities (increased potassium levels), and may interact with some prescription medications. To reduce instances of lightheadedness, rise slowly from a lying or sitting position to allow your blood pressure time to adjust. Notify your doctor if symptoms persist or worsen. Serious side effects are rare but can occur. Alert us if you experience serious side effects such as increased thirst, changes in urine production, mood changes, unexplained fatigue, muscle spasm, period changes, or changes in the breast.

Nurx is a telehealth platform offering easy online access to healthcare providers and seamless delivery of medications. No more time-consuming trips to the clinic and no more frantic pharmacy runs. We put you in control of your own health, empowering you to get the care you need, when you need it. From diagnosis to delivery of prescriptions, we make every part of getting healthy and staying healthy better. For more information and to sign up, visit www-test.nurx.com and follow us @nurxapp on Twitter and Instagram.