Spironolactone for Hair Loss: Does it Work?

Hair loss is a common concern for many people, with various factors such as genetics, aging, and medical conditions contributing to thinning hair or hair loss. While there are several treatments available to address hair loss, some people have turned to the use of spironolactone as a potential solution. But what is spironolactone and does it really work for hair loss? In this blog post, we’ll take a closer look at the effectiveness of spironolactone for hair thinning and how it is used.

What is Spironolactone?

Spironolactone is a medication that is primarily used to treat high blood pressure, edema, and heart failure. It is classified as a potassium-sparing diuretic, meaning that it helps the body get rid of excess fluid while retaining potassium. Spironolactone works by blocking the effects of aldosterone, a hormone that regulates the balance of electrolytes and fluid in the body.

 

In addition to its primary uses, spironolactone has also been used off-label for various other purposes, including the treatment of hirsutism (excessive hair growth) and acne in women, and as a potential treatment for women suffering from hair loss.

How is Spironolactone Used for Hair Loss?

If you are considering using spironolactone for hair loss, it is important to speak with a healthcare provider. Spironolactone is a prescription medication and should only be used under the supervision of a healthcare professional.

 

The typical dosage of spironolactone for hair loss is 50-100 mg per day, taken orally – although some published studies used higher doses of up to 200mg daily. The duration of treatment can vary, but it is typically recommended to use spironolactone for at least three months to see if it is effective.

Spironolactone for Female Pattern Hair Loss

woman with long brown hair looking upset at her hair brush full of hair

Female pattern hair loss, also known as androgenic alopecia, is a common type of hair loss that affects women. It is caused by genetics and certain hormones, and is characterized by thinning hair on the top of the scalp.

 

Some people with female pattern hair loss may turn to the use of spironolactone as a treatment option. As mentioned previously, spironolactone is a medication that is primarily used to treat high blood pressure, edema, and heart failure, but it has also been used off-label for various other purposes, including the treatment of hirsutism and acne in women.

 

The effectiveness of spironolactone for treating female pattern hair loss is not fully understood and research is limited. A small study published in the British Journal of Dermatology in 2020 found that spironolactone was effective in promoting hair growth in women with female pattern hair loss. The researchers concluded that 88% of the women receiving oral spironolactone or a similar oral antiandrogens could expect to see no progression of their female pattern hair loss or even notable hair regrowth.

 

It is important to note that spironolactone may not be suitable for everyone, and it is important to speak with a healthcare provider to determine if it is the right treatment option for you. As with any medication, there are potential risks and side effects to be aware of, including changes in menstrual cycle and breast tenderness. It is also important to consider other potential treatment options for female pattern hair loss, such as minoxidil and finasteride.

Does Spironolactone Work as a PCOS Hair Loss Treatment

Polycystic ovary syndrome (PCOS) is a common hormonal disorder that affects women. It is characterized by the presence of multiple cysts on the ovaries, irregular periods, and high levels of androgens (male hormones). One of the symptoms of PCOS is excess hair growth on the face, chest, and back, a condition known as hirsutism. Some women with PCOS may also experience hair loss.

 

Spironolactone is a medication that is sometimes used to treat hirsutism in women with Polycystic ovary syndrome. As a potassium-sparing diuretic, spironolactone blocks the effects of aldosterone and can help to reduce the levels of androgens in the body. The antiandrogenic effects of spironolactone may help to reduce excess hair growth in unwanted places like on the face and chest while possibly simultaneously stimulating increased hair growth on the scalps of women with PCOS.

 

It is important to note that the effectiveness of spironolactone for treating female pattern hair loss in women with PCOS has not been extensively studied, and more research is needed to determine the potential benefits and risks of using spironolactone for this purpose.

 

If you are considering using spironolactone for PCOS-related hair loss, it is important to speak with a healthcare provider to determine if it is the right treatment option for you. It is also important to consider other potential treatment options, such as birth control pills or other medications that can help to regulate hormones and improve hair growth.

Is Spironolactone Effective for Hair Loss?

The use of spironolactone to prevent hair loss is not well studied, and the results of the available research are mixed. However, recent clinical studies have shown promising results for the use of this medication for treating androgenic alopecia conditions. In 2022, the Journal of the American Academy of Dermatology published a review study that attempts to draw conclusions from all available peer-reviewed data surrounding patients taking spironolactone to treat androgenic alopecia.

 

The researchers in this study note that many of the available research involves studies where patients were taking spironolactone along with other hair loss treatments as part of a combination therapy. In many of the studies, patients were taking spironolactone pills while also receiving topical minoxidil or other treatments that are FDA approved for the treatment of female pattern alopecia.

 

Although many of the peer-reviewed studies examined in this systematic review study use spironolactone therapy in combination with other therapies, the researchers are still able to draw some meaningful conclusions. The researchers conclude that Spironolactone should be considered as a safe and effective therapy for the treatment of female pattern alopecia. However, it’s important to trust the guidance of your healthcare professional over the opinion of clinical researchers. Ultimately, a skilled healthcare provider will only be willing to prescribe spironolactone off label for female androgenic alopecia after determining that is the the safest and most effective treatment option available for their patient.

Other Medications Used to Treat Hair Loss

In addition to spironolactone, there are several other medications that are used to treat hair loss.

Minoxidil

Minoxidil is a topical medication that is applied to the scalp. It is available over the counter and by prescription. Minoxidil is thought to work by increasing blood flow to the hair follicles and promoting hair growth. It is most effective for people with androgenetic alopecia and can be used by both men and women. Oral minoxidil is also used less commonly to treat hair loss. Common side effects of minoxidil include itching and redness at the application site.

Finasteride

a doctor on a white background holding a prescription pill bottle towards the camera

Finasteride is a medication that is taken orally. It is a type of 5-alpha reductase inhibitor, which means that it blocks the action of an enzyme that converts testosterone to dihydrotestosterone (DHT). DHT is a hormone that is linked to hair loss, and blocking its action can help to slow or stop hair loss. Finasteride is most effective for people with androgenetic alopecia and is only approved for use by men. It is not recommended for women who are pregnant or may become pregnant due to the potential risks to a developing male fetus. Common side effects of finasteride include decreased libido and erectile dysfunction.

Other Treatment Options

Other methods for treating hair loss include microneedling, PRP injections, and low-level laser therapy. It is important to speak with a healthcare provider to determine the best treatment option for your specific situation.

Spironolactone for High Blood Pressure

Spironolactone is a medication that is primarily used to treat high blood pressure, also known as hypertension. High blood pressure is a common condition that occurs when the force of the blood flowing through the blood vessels is too high. This can cause damage to the blood vessels and increase the risk of serious health problems such as heart attack, stroke, and kidney disease.

 

It works by blocking the effects of aldosterone, a hormone that regulates the balance of electrolytes and fluid in the body. By blocking aldosterone, spironolactone helps to reduce the amount of fluid in the body and lower blood pressure.

Side Effects of Spironolactone

As with any medication, there are potential side effects of spironolactone. Common side effects include dizziness, headache, and gastrointestinal issues such as nausea and diarrhea. More serious but rare side effects include changes in menstrual cycle and breast tenderness in women, and changes in sexual function in men. It is important to discuss any potential side effects with your healthcare provider before starting treatment with spironolactone.

 

It is also worth noting that spironolactone may interact with other medications, so it is important to disclose all current medications to your healthcare provider before taking spironolactone.

Learn More About Treating Hair Loss

bottle of essential oil sitting on a table next to rosemary leaves on a blue background

Rosemary Oil for Hair Growth: Does it Work?

Rosemary Oil for Hair Growth: Does it Work? Rosemary oil is a popular choice for those looking to support hair growth. This essential oil has been used for centuries in various traditional medicines and is known for its stimulating, soothing,

Read More »
small bottle of essential oil on a white table next to peppermint leaves and a comb

Peppermint Oil for Hair Growth

Peppermint Oil for Hair Growth Peppermint oil has long been used as a natural remedy for various health issues. But did you know that it may also promote hair growth? Recent studies have demonstrated that there may be a way

Read More »