Spironolactone for Acne and FPHL
Antiandrogen option for hormonal acne and female pattern hair loss
이 치료에 대해
Spironolactone is an antiandrogenic diuretic used off-label for female hormonal acne, sebum excess and female pattern hair loss, often to reduce prolonged antibiotic use or support minoxidil therapy.
Pregnancy, potassium, renal function, blood pressure and menstrual side effects must be managed.
작용 기전
Androgen receptor antagonism and related antiandrogen effects reduce sebum signaling and may support hair follicles in FPHL.
적응증
기대 효과
Acne is assessed after 8-12 weeks and hair after 6-12 months. Combination with retinoids, BPO, minoxidil or hormonal contraception may be considered.
임상 근거
위험 및 부작용
Menstrual irregularity, breast tenderness, dizziness, hypotension, hyperkalemia and renal issues may occur. Avoid in pregnancy/planning.