Spironolactone

Hormonal acne (particularly along the jawline and chin) and female-pattern hair loss in women.

Spironolactone blocks androgen receptors, reducing the effect of hormones like testosterone on your skin and hair follicles. This means less sebum production (fewer breakouts) and less hormone-driven hair thinning.

Women with hormonal acne or hair thinning that hasn’t responded to other treatments. Not suitable during pregnancy. Effective contraception is required while taking it.

Order online and we review your request. A prescriber checks your consultation form for clinical appropriateness and contacts you if anything else is needed. Once approved, your medication is dispensed and delivered to your door.

Tracked: Tracked delivery, arrives in two working days - Free

When it arrives: Every order is sent tracked. Where this page says in post today, it goes out today. Where it says in post tomorrow, it goes out the next working day. On the rare occasions a medicine is unavailable, we will contact you to talk about timing and alternatives.

We dispense clinically equivalent generic medications where available. Prices shown are for the generic version. If you prefer the branded version, let us know in your order form and we will confirm any price difference.

Spironolactone from £20.99 per pack.

Common: increased urination, dizziness, electrolyte disturbances (low sodium, potassium), muscle cramps, thirst. Uncommon: gout, raised blood glucose, rash. Spironolactone specifically: breast tenderness/gynaecomastia, menstrual irregularities.

Do not use in severe renal failure (except furosemide in some cases), Addison's disease (spironolactone), severe hyponatraemia or hypokalaemia, hepatic coma/precoma.

NSAIDs can reduce diuretic effect and increase renal risk. Risk of dangerously low potassium with other potassium-depleting drugs (except spironolactone which is potassium-sparing). Lithium levels may increase. ACE inhibitors: risk of first-dose hypotension.

Diuretics should generally be avoided in pregnancy - they reduce placental perfusion. Spironolactone is specifically contraindicated (anti-androgenic effects). Use only under specialist supervision if essential.

Takes 2-3 months to see results for acne, longer for hair. Your doctor may arrange blood tests to check potassium levels. Side effects can include dizziness, breast tenderness and irregular periods. Topical Minoxidil for Women (Minoxidil 2%) For Female Hair Loss Thicker. Fuller. Yours again.