SPIRONOLACTONE (Aldactone) 

Spironolactone is a hormone blocking pill that can be used to treat acne, hair loss, and other conditions. 

Dosage Instructions: 

Spironolactone is usually started at 25mg- 100mg once a day and can be safely increased up to 100mg twice a day. It takes 3-6 months for onset and full effect may not be realized for a year.   

Potential side effects: 

• Not to be used if pregnant. It can affect the development of the male fetus. Birth control is required. Spironolactone also cannot be used by nursing mothers because the drug’s major metabolite, canrenone, has been detected in breast milk. 
• Increased breast tenderness, swelling, and irregular menstrual bleeding can occur, but these are typically not problematic when used with birth control pills. Menstrual problems may often resolve after 2-3 months of therapy. 
• Although Spironolactone is a diuretic, (water pill), it is a very weak one, and most patients do not notice a significant increase in urination. Dizziness and postural hypotension is rare side effect. 
• Avoid spironolactone if you have significant kidney disease. 
• Let your doctor know if you on any blood pressure medications 

Call if get new onset of muscle cramps. Stop any salt substitutes or potassium supplements.