Common interactions include fall among females and cardiac failure congestive among males. High potassium levels. Here is the caveat: you are also on OTC which is already supposed to change your hormone levels in the direction that would clear your acne. I finally panicked and made a hair app specifically for the hair loss with my dermatologist. Filter by condition Spironolactone rating summary 6.9/10 average rating 59 ratings from 63 user reviews. This area was the first area that came back after I had postpartum shedding in 2011, so thats why Im leaning towards the fact that this is likely not new growth, but rather regrowth. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Rather any hair that is waiting in line to be shed is welcome to shed now. For about a week, I've been shedding a lot of hair on my head. However, many variations are possible. Bottom line: Right now, Im unsure if Spironolactone for hair loss is the only answerperhaps the Spiro combined with other things will help my hair even more. I am 42 and my acne began at 13, also. In Dec. 2020 my dermatologist said that it was TE and that it would clear on its own. All dry and unhealthy. I agree with GG that you should talk to your doctor about lowering your dose. I'm not taking this with birth control. I'm 25, so maybe it would have happened that way anyway, but I just don't think it was age alone. BUT i don't want to keep losing hair, I feel like i'm going bald though. In rare cases, shedding does not slow at the 3-4 month mark and hair density does not improve. I suppose that's only half of the daily 100, but I'm assuming I'm also losing a lot during the day with my hair down. Scalp pain has diminished at least 90%. After a bit of an initial breakout, my skin is clearing now and it's amazing. I do have other signs of . The increased shedding that accompanies starting minoxidil needs to occur for most people. Hope it stops soon for you x, Hi, Im going through major hair loss after 6 years of Spironolactone. All was well and my skin cleared beautifully. I was at a loss and beginning to think I was going crazy. My guess is that the hair that fell out during the Spiro dread shed came back. The shedding lasted for a little over a month, and I was panic-stricken almost every day. The most notable functions of Spironolactone as a hair loss treatment is that it works as an antiandrogen by decreasing the production of testosterone by the adrenal glands and by preventing DHT from binding to its androgenic receptor. I will be starting Spironolactone soon, and I'm quite weary about the dread shed. Just to be safe, though, she recommended lowering my dose to 25 mg/day for awhile to see how that goes. Suspension: Oral: Initial: 20 to 75 mg/day in 1 or 2 divided doses; may titrate at 2-week intervals as needed based on response and tolerability. If you can get off sulfates, that's great, but sulfates and my usual shampoos never gave me trouble till this drug. I've recently started taking a dose of 100mg/day - up from my original 50 mg -and I've noticed that my hair is coming out like crazy! Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. This is not common but always needs to be considered. I recommend buying a biotin-based thickening/strenghthening shampoo from Whole Foods or online at a site like iherb.com. Try to have a change of scenery if possible and stay hydrated. If you've noticed this too, do you have any suggestions for me? Any feedback from those who stopped taking Spiron please let us know how you are doing. Its like a slow torture. She confined that yes, spironolactone can cause hair loss. (Im not saying to wash the hair weekly - Im just say these are the individuals who can appreciate differences the easiest). All down the drain:(((. If a patient does not get some little bit of increased shedding its probably a concern. See additional information. Definitely try a lower dose. I'm starting to become obsessed with it. It worked wonders I absolutely LOVED it, cleared my acne, reduced my body hair, I no longer had oily skin. share. I am 42 and have had acne on and off since the age of 13. eHealthMe is studying from 102,034 Spironolactone users for its effectiveness, alternative drugs and more. While its easily covered with makeup, its annoying that my face never looks as good as it should. Other drugs that have the same active ingredients (e.g. When minoxidil is applied to the scalp, a signal is sent to all hairs that are waiting in line to be shed. Then I ran out and wasnt able to get on for an apt for a few weeks. I initially thought it was stress but now, after reading everyone's experiences, I'm thinking it's definitely linked to the Spiro. As we reviewed together in the section above, a dread shed is expected. That's just the rule of the nature. Clinical Drug Interactions Source: Medscape from WebMD. Initial dose: 25 mg orally once a day assuming serum potassium is less than or equal to 5 mEq/L and serum creatinine is less than or equal to 2.5 mg/dL. What is the strength of CaroSpir (spironolactone) oral suspension? The downside: I thought it was just me, but it does seem as though my hair is thinning right around my forehead. I was on Accutane for two and a half years and this for three. Within just a few weeks I was noticing less dark hairs on my face and jawline; the fine, white-ish hair under my jaw all but disappeared (so, I guess from that standpoint, Spironolactone for hair loss DOES work, ha!). With the higher dose, I also noticed body hair decreased and was needing to shave less often. 1996-2023 The American Acne Association. It is NOT just you, but you might be able to head this off nutritionally. Our phase IV clinical studies alone cannot establish cause-effect relationship. who could relate. I really didnt think it was the medicine though I did read starting a BP medication (or just a new medication in general) could cause hair loss. I do think I have some degree of TE (telegium effluvium) so I am taking Nutrafol hair supps (which are pricy/may switch to a less expensive hair growth supp after I see how these go for a month). Available for Android and iOS devices. It was prescribed for my persistent cystic hormal acne -- something I've dealt with since my teens but mostly in my adult life. But I have been experiencing a lot of shedding since shortly after starting it, and I'm finally convinced that I need to stop before I lose most of my hair (I was willing to just deal with it for that long because my normal hair is crazy thick, like I used to have my hairdresser thin it it was so thick, so it didn't seem like the end of the world for a while). Read More, *To cover all legal schmegal bases: I may receive a commission from purchases made using links found in this article and around this site. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. article p{ At this point, I am still taking Spiron 50mg/2 day and diligent about taking the all the vitamins, iron, adding collagen protein to my coffee, eating protein at almost every meal, washing my hair only a few times a week. UPDATE: My Custom Topper from Shanna Moll Studios . Its crazy. Treatment of edematous conditions in patients with nephrotic syndrome when treatment of the underlying disease, restriction of fluid and sodium intake, and the use of other diuretics do not provide an adequate response. You are absolutely not the only person to deal with this. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. } For others, the therapy accelerated the shedding process which further pushed the hair thinning along its course - ahead of where it would otherwise have been. At 50 I am seeing hair shedding and visible thinning that wasn't there before. Adding spiro on top of that could be pushing you too far over the edge and giving you a case of estrogen dominance. No one can answer this question as its different for everyone with a new treatment. Personally I wouldn't recommend grabbing the first sulfate-free shampoo you see on the shelf, thoughbig companies are jumping onto the sulfate-free bandwagon but are usually just putting in other non-sulfate detergents that are just as harsh. Finasteride is probably the last treatment I will ever take, as it pales compare to Spironolactone. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Anyone who has suffered from anemia will understand. Get New Research, Treatments, and Discoveries Delivered to your Inbox. (I'm also on Ortho-tricyclen and Tazorac, both of which I've used years.) i think the fact that I constantly wear my hair in a bun and rarely brush it is making it worse. However, the term equally applies to other therapies. The change in hormones can abruptly switch your hair from the static phase to the new hair phase. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. For the short test, increased serum potassium with this drug and a decrease upon discontinuation provide presumptive evidence of primary hyperaldosteronism. I want to stop this drug. the so called telogen phase). Spironolactone is used to treat high blood pressure and heart failure. BasicallyIm just like you. Its not that its unexpected. My hair is thinner at the crown and I find hair serums gross and my hair generally greasier even if I wash every other day. Minoxidil and spironolactone carry with them a greater risk than low level laser therapy. My naturopathic doctor is having me not drink any alcohol and have a high protein healthy diet with lots of vitamins. Initial diagnostic measure to provide presumptive evidence of primary hyperaldosteronism while patients are on normal diets. I figured it would be no big deal I might just have to fight off a few zits but little did I know I had many more issues to come. After about 3 months of continued hair loss, I now started finding large clumps in the shower and had overall thinning. http://www.iherb.com/Search?kw=biotin+shampoo&x=0&y=0. I looked at the ingredients for Fall Fight, and it's just another Laureth Sulfate based shampoo. Since that my hair has shed a lot. It is often used in infection. My hair had actually never looked so bad. I'm well aware of what Spironolactone does to my body, and I am aware of the feminisation. Check for more interactions with the Drug Interaction Checker, Never use this combination of drugs because of high risk for dangerous interaction, Potential for serious interaction; regular monitoring by your doctor required or alternate medication may be needed, Potential for significant interaction (monitoring by your doctor is likely required), Interaction is unlikely, minor, or nonsignificant, Pill Identifier Tool Quick, Easy, Pill Identification, Drug Interaction Tool Check Potential Drug Interactions, Pharmacy Locator Tool Including 24 Hour, Pharmacies. I normally have really thick hair that grows quickly but I've noticed in the past month that it's gotten very thin, I'm shedding more frequently and I can tell that my scalp is more obvious. for a few months, then 25 mgs and now 50. Oil production on my face and scalp also diminished. My shedding is normal, and Ive got tons of new growth. In patients with severe heart failure (New York Heart Association [NYHA] class III to IV), discontinue or interrupt treatment for serum potassium greater than 5 mEq/L or for serum creatinine greater than 4 mg/dL. The set unfortunately is discontinued, but one of the major ingredients is biotin. Will update after a few months. I've exhausted everything else at this point. The information provided here is for informational purposes only. Did your hair stop shedding?! Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. I don't know if it has to do with The medication because I was shedding before. Youll get through this, it feels like the worst thing in the world right now but genuinely it gets easier and you find ways to cope / cover your hair loss. In this case the shedding does not stop at month 3 -4. All rights reserved. Hi Im so sorry you went through this with spironolactone. But, things are not worse and they look like they could be heading in the right direction. Green Gables, I'm happy you've seen such good results!! Im mixed and have curly hair and a lot of it so its hard for people to notice. I thought it was a post Covid issue. So because Im having my period again my whole body is off. Hairs generally need to wait in line 2-3 months before they are shed. About spironolactone. She basically told me that it was nothing I was doing and I just had to be patient and deal with it till it clears. I showed him the almost-white, fine hairs that were now actually getting long enough to tug on (ew!) The 'dread shed' can be frightening when it occurs but is generally mild for most. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. As well, people who wash their hair once per week are going to be able to appreciated subtle differences much easier than people who wash their hair daily. It is created by eHealthMe based on reports of 367 people who take Keflex and Spironolactone from the FDA, and is updated regularly. I counted around 20 hairs come out when I washed my hair today and then another 30 when I combed my hair (really gently) immediately afterward. I hope Im finally on the other side of this but I am still shedding more than usual. Press question mark to learn the rest of the keyboard shortcuts. Im scared Im going through the same thing. I think i'll try this. Im 23 was prescribed Spiro 12 months ago for my hormonal acne. Of course, each of these situations should be reviewed with the hair specialist on a case by case basis. Applies to the following strengths: 25 mg; 100 mg; 50 mg; 25 mg/5 mL. It is crazy making. I think that my body just needed some time to adjust to shift in hormonal activity. You can use the study as a second opinion to make health care decisions. I haven't had any cystic acne in weeks, which is atypical and awesome. I have tons of new very short growth all of my hair but I am rapidly losing short new growth as well, so I find little comfort in the new growth. I think the Spiro must deplete iron levels and thats how it causes hair loss. I've been on 150mg for the past three months and I believe that's what made it worse (before then I hadn't really noticed any hair thinning). My acne was largely reduced (which is great, but I have the type of skin in which ANY acneno matter how smallleaves a mark. To be quite honest I don't pay attention to ingredients when it comes to shampoos. Its expected. Its going to take a while to get my pre-Med hair back but I am on the mend. It doesnt look that bad.. Our website services, content, and products are for informational purposes only. I am heart broken because its given me beautiful skin, so I feel torn between trying to save my hair or having clear skin. I was panicking & researched hair loss over & over. Medically reviewed by Drugs.com. The study uses data from the FDA. J.C., - did the hair you lost while being on the spiro grow back? I'm so happy I stuck it out and didn't stop taking spiro. Stay as calm as possible. Just wanted to share my experience! known to cause hair loss so I have been so confused about what could be causing it, but from the beginning I have strongly suspected the Spiro. And how do I keep my BP levels normals while taking this pill if I were to go into the military ? I am 22 and been on Spiro for about 6 months now. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. This time I made an appt with the dermatologist (not her PA) because the hair loss was so drastic at this point and I wanted a second opinion. For some patients with strong genes controlling the androgenetic alopecia, the increased shedding only serves to speed up the miniaturization process. For some hair is simply just another accessory but to me, having it look nice has always been top priority. 30min . (Scalp health is vital as well for anyone reading who had scalp issues prior to Rx) After stopping it, my scalp longer feels tender & the shedding is less. After 3 months and no change, the PA increased me to 50mg/2 a day and said "this drug is safe, you can't take too much." I suffered continuous thinning from Spiro. This is called a drug induced telogen effluvium and can look similar to a dread shed and is challenging to differentiate from a simple dread shed phenomenon. Your healthcare provider will likely check your potassium regularly while taking spironolactone to make sure it's not too high. Keep checking back and share your story. I don't think the spiro itself is hurting you, but the combination with your birth control might. Hi everyone, Im posting because this thread was the only thing that made me feel sane when I was losing my hair, and I was DESPERATE for someone to update so heres my story - I hope it helps someone! You can also look on ebay. 1. IDK if its's the PCOS either. It continued with highs and lows. Also, I began FLO vitamins for my acne. I will update in a few months, good luck to you all and Im so sorry this happened to us all! This tool may not cover all possible drug interactions. This is called a drug induced telogen effluvium and can look similar to a dread shed and is challenging to differentiate from a simple dread shed phenomenon. A second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has not been achieved after 5 days. Loved it! I weigh between 120-125 lbs, so I guess I could potentially see results from a decreased dosage of 25mg -- especially because, like you said, I'm already on OTC which regulates hormones. I tried the CVS brand only because I got it on clearance and am finishing it off, but makeupalley should have reviews on stuff like the Avalon shampoo. Did you have your hormone levels checked before you started taking spiro? Some have suggested that Spironolactone can bond to the hair follicles before DHT can bind to the receptor. Treatment of edematous conditions in patients with congestive heart failure who are only partially responsive to or intolerant of other therapeutic measures or who are taking digitalis when other therapies are considered inappropriate. 2023 eHealthMe.com. Sending you strength. I didnt notice this area thinning before, so Im hoping its new. Below is my experience with spironolactone. Treatment of edematous conditions in patients with liver cirrhosis accompanied by edema and/or ascites. If your shedding increased it is having an effect. Treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate. I have never suffered with any type of hair loss and Im not taking any other medication that could be causing this. So relieved. Thats regrowth from the Spironolactone. Long-term maintenance therapy for patients deemed unsuitable for surgery or those with idiopathic hyperaldosteronism. She also said I may have to be on Spirno for life. Since it doesn't seem to be working on the other issues any longer this may be the time to taper my dose and get off this stuff for good. 2 So, how does it work? And as far as the acne, I have remained on topical tretinoin and yes my skin is not perfect now but its not near as bad as it was before. Listed below are the top 10 most common side effects of spironolactone and how to manage them. I enjoy looking feminine; femininity is the future. Lowering blood pressure can reduce the risk of strokes and heart attacks. Ive been to so many doctors and they have not been helpful so far. Rosuvastatin (Crestor) 5 to 40 mg daily. My questions about the weight gain were dismissed with comments about none of us are getting any younger. The amount of time I spend obsessing over my hair loss is crazy. Spironolactone Keflex and Spironolactone drug interactions - a phase IV clinical study of FDA data Summary: Drug interactions are reported among people who take Keflex and Spironolactone. But Im scared about the future. So long story short, I've been off it for 2 full weeks after tapering down for a few months, and my hair is coming out in clumps. I started the medication 50 mg once daily. .blog-title { In patients with severe heart failure, monitor potassium and creatinine one week after initiation or a dose increase, monthly for the first 3 months, then quarterly for a year, and then every 6 months. Short-term preoperative treatment of patients with primary hyperaldosteronism. Aldactone) about four months ago. Then I started experiencing excessive hair shedding about 5 weeks ago (about 5 months into treatment). 1,914. 6. display: block !important; I think I will stay on the 25 mg/day for now since it seems to be working and only increase my dose if I start breaking out. If you are female, sixty percent respond to five percent. The shedding didnt get better until I started the iron supplements. cephalexin oral will increase the level or effect of spironolactone-hydrochlorothiazide oral by acidic drugs competing for the same pathway through the kidney. Ive been off it for two months now and my hair is still falling. I think thats worth repeating: Any treatment for androgenetic alopecia that works has the potential to cause a dread shed. We have designed this storage shed to be eye-catching yet not overly dramatic in its appearance so it can comfortably fit into any neighborhood in Austin, Texas. .fak-back { display: none;} Detailed Spironolactone dosage information. Thankfully, reducing my dose hasn't caused me to break out at all and my skin is still almost completely clear. TUMORIGENICITY: This drug has been shown to be a tumorigen in chronic toxicity studies of rats. Im unsure, however, if this is *new* growth, or hair that I lost during the shed. 25 to 100 mg orally per day. Sulfonamide medications that may be OK. Certain diabetes medications glyburide (Glynase, Diabeta) and glimepiride (Amaryl), for example. I would highly suggest getting off the medication. under my jaw, but he dismissed those. I read the above post and read it and was thinking if this is the right drug for me bc my symptoms are not getting any better. I have experienced some smaller, regular-looking zits, but they are the kind that clears in 2 days with some benzoyl peroxide, so I'm still thrilled. After about 3-4 weeks it cleared it up my skin completely and I was completely clear for 4 months, then my skin started to break out again but not as bad as before. I haven't had any cystic acne since the initial breakout I had during my first week of starting spiro. IF YOU DONT WANT TO RISK LOSING YOUR HAIR DO NOT TAKE THIS MEDICATION. Dosage can be titrated at two-week intervals. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. display: none !important; According to Black, cephalexin (also known as Keflex) is an oral antibiotic typically used to treat a variety of bacterial infections, including bacterial skin infections. I began shedding hair in June 2020. People who had success with Spironolactone, did you experience dread shed or more hair shedding initially? I am also taking some other drugs (levothyroxoid since teens, Yasmin bcp, Wellbutrin, Retin-A which I just heard can cause hair loss??? ) I will look into the brands you've recommended. But I feel like now its shedding at a rate that I can deal with so it wont be forever! Acne was one of them. Supplements wont fix this. Before I was using Neutrogena (can't think of the name but they come in light orange tube ''bottles'') that made my hair really soft. It did a lot of damage to my natural hair to say the least. I figured it was crap, but I like the smell and was suckered in by their dumb gimmicky commercials, lol. Its hard to see when youre in it but we are so much more than our hair and you WILL recover. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Do you see the little hairs (about 3/4 of an inch) on my temple? Hopefully the shedding stops soon. I have been on Spironolactone and the oral contraceptive Yaz for two and a half months. Keep oils away from your scalp. i heard some girls say Biotin helped with the growth . It feels so thin and you can see my scalp through the hairs. I literally got it a week after it ended. How bad will it be? It WILL get better. Lucky us - I am also one who sheds excessively. Minoxidil lotion and Minoxidil foam are FDA approved for treating androgenetic alopecia (AGA) in men and women. It should not be considered a substitute for professional medical advice. If your hair is naturally curly, you really should look into changing your shampootons of curly girls have shed issuesThe Curly Girl Handbook is a great resource. A small proportion of patients do have shedding when starting treatment and find one year later that the androgenetic alopecia has progressed and the hair density is worse. And so what the patient then experiences is an increased amount of hairs coming out on a daily basis once they start minoxidil. I started Spironolactone three weeks ago and I already see progress in my skin. Please answer me, I am desperate and depressed because of this. I started Spironolactone two years ago due to my acne, and noticed in october that I had lost a lot of hair. Edit: I should add that i have noticed some regrowth at my temples i'm just shedding from the back of my head. Although, in rare cases it triggers telogen effluvium hair loss and it never stops . Book 5.0 10 reviews Locdnwitdee 9.2 mi 2022 E Slaughter Lane, Austin, 78747 Loc Retwist (Med - Large) This service comes with a wash. $40.00. Now, keep in mind that patients who wash their hair daily may not be able tell they are having increased shedding if the dread shed is mild. My husband made me quit taking it & Im glad he did bc it now is going back to normal after stopping it after the 10th day. var vnsslphrilkdc6wp,vnsslphrilkdc6wp_poll=function(){var r=0;return function(n,l){clearInterval(r),r=setInterval(n,l)}}();!function(e,t,n){if(e.getElementById(n)){vnsslphrilkdc6wp_poll(function(){if(window['om_loaded']){if(!vnsslphrilkdc6wp){vnsslphrilkdc6wp=new OptinMonsterApp();return vnsslphrilkdc6wp.init({"u":"20554.368288","staging":0,"dev":0,"beta":0});}}},25);return;}var d=false,o=e.createElement(t);o.id=n,o.src="//a.optnmnstr.com/app/js/api.min.js",o.onload=o.onreadystatechange=function(){if(!d){if(!this.readyState||this.readyState==="loaded"||this.readyState==="complete"){try{d=om_loaded=true;vnsslphrilkdc6wp=new OptinMonsterApp();vnsslphrilkdc6wp.init({"u":"20554.368288","staging":0,"dev":0,"beta":0});o.onload=o.onreadystatechange=null;}catch(t){}}}};(document.getElementsByTagName("head")[0]||document.documentElement).appendChild(o)}(document,"script","omapi-script"); So I just found out my alopecia is hormonal and my doctor has decided to try Spiro to fix the testosterone and dht problem that effects my hair . By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. But, he did decide to put me on 50 mg. of Spiro 2x/day to see if it would at least improve the hirsutism (excess hair). Just wanted to provide an update because I was so close to stopping spiro altogether when the shedding started and I'm happy I didn't. It was really disheartening to see everyone saying it took years so hopefully this will help someone. Posted by 3 days ago. Ive been on spironolactone for six months. Im early in taking them (about 8 days) but I think they are helping. This is why I'm not ready to give up on spiro. Ozone to the scalp has worked for some people. I switched primary care doctors and my new primary care doctor is an internist. P.S. Last updated on Mar 7, 2022. The most notable functions of Spironolactone as a hair loss treatment is that it works as an antiandrogen by decreasing the production of testosterone by the adrenal glands and by preventing DHT from binding to its androgenic receptor. So, does Spironolactone for hair loss work in women? All generic drug interactions for spironolactone-hydrochlorothiazide oral (lists will include brand and generic names): 17 serious drug interactions 280 significant drug interactions 315 minor drug interactions Patients and Caregivers Clinician Explanation Minor Interaction is unlikely, minor, or nonsignificant HOME RESEARCH BIO - DR. DONOVAN DAILY BLOG CONTACT US, 4370 Lorimer Road, Suite 334B Whistler, BC, Canada (604) 283-1887, COPYRIGHT 2008-2023, DR. JEFFREY DONOVAN, INC. My question is when my insurance run out how will I be able to get ahold of this medication ?
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