Skip to Content

User Reviews for Spironolactone to treat Alopecia

Also known as: Aldactone, CaroSpir

Spironolactone has an average rating of 7.3 out of 10 from a total of 45 ratings for the treatment of Alopecia. 60% of users who reviewed this medication reported a positive effect, while 16% reported a negative effect.

Spironolactone Rating Summary

7.3/10 average rating

45 ratings from 44 user reviews.

Compare all 18 medications used in the treatment of Alopecia.

10
33%
9
13%
8
13%
7
7%
6
9%
5
7%
4
2%
3
7%
2
0%
1
9%

Reviews for Spironolactone

Zubaida ali · Taken for 1 to 6 months June 3, 2021

“I have been on Spirolactone for 3 months and I still continue taking it, my hair loss has become much less, but there is still fall in some days, but I don't see a result by filling in the blanks. Is there hope after 6 months? When dose spirolactone start working for hair loss? Please give me hope, is there anyone who used it for 6 months and it got results?”

5 / 10
Was this helpful?YesNo
ozflygirl April 21, 2021

“Started Spironolactone for acne 3 years ago. Helped my acne and although I always had thick hair never really noticed a big difference except my hair was drier over the years. THEN I STOPPED SPIRONOLACTONE!!!!! My once beautiful thick hair is almost completely gone. Exactly 3 months after stopping (and yes I tapered down), my hair came out in clumps. Now 8 months later and still shedding handfuls I wish I never ever started. Please please only take it if you understand you will be taking it for life or you will end up practically bald after it. Please post if you are experiencing similar issues.”

1 / 10
Was this helpful?YesNo
Lili · Taken for 1 to 6 months March 1, 2021

“I've been on spiro for about 6 months. The reason I got on was because of my genetic alopicia & so far, I’ve had a lot of new hairs grow, but not many where I need them to grow (a specific spot), but my acne (I’m 15) has almost completely gone away. I used to have bad back acne and a little on my cheeks, but now I get a pimple every once in a while. The only thing that scares me would be that I don’t know if my teen acne will come back if I get off of spiro in a couple years.. Nonetheless, I definitely recommend spironolactone, but you need to have patience.”

9 / 10
Was this helpful?YesNo
Hair obsessed March 8, 2020

“I actually can’t believe it’s taken me I don’t know how many years to find this medication! Long story short .... 5 years of non stop hair loss and thinning .... 4 years on minoxidil ..... 10k spent on PRP and mesotherpy and nothing was working for longer than a week or two .... I would call it a good hair week. Currently I am 28 years old and single because of how low I felt about myself and how the hair loss affected my mental health. After going to see my maybe 5th private dermo she recommended trying spirolactone as a last resort as I had actually tried everything!!! I held 0 hope BUT 5 months in my parting has got 1.5mm thicker, thicker hair strands and the last 4 weeks I have had minimal hair shedding. I don’t want to get to excited as it might just be a ‘good hair month’ but if this continues I can honestly say this drug has changed my life and my mental health :)”

8 / 10
Was this helpful?YesNo
Riggs · Taken for 6 months to 1 year June 18, 2015

“As a female and years of taking an anti migraine pill caused massive hair loss, over time it started coming out by the handfuls, went to the dermatologist & he prescribed Spironolactone, I have low BP so 25mg at first, then 50mg. Not only after a few weeks my hairbrush didn't need a daily cleaning, my hair loss stopped completely & my re-growth is tremendous! I had lost about 1/3 of my hair, my parts were wide. Now I have my luscious locks back, and without breakage. No more tears!!!”

10 / 10
Was this helpful?YesNo
Amber · Taken for 6 months to 1 year December 26, 2019

“spironolactone has been an Absolute miracle drug for my PCOS symptoms. My dose is that I take one 100mg tablet per dayCramps in my ovary area stopped overnight, acne on face and chest cleared up in a week, and I gained a heap of energy after about a month which has remained with me ever since. My alopecia stopped after about 3 months, and my hair started to grow back. Added bonus: decreased appetite and weight loss - I've lost 10kg this year, of which I would easily attribute 5kg to this medication alone. Only side effect was I fainted once when I first went on it (blood pressure adjustment at the start). I never want to come off this drug, it was completely improved my life for the better. ”

10 / 10
Was this helpful?YesNo
Laurel · Taken for less than 1 month June 13, 2020

“I read all these reviews before taking spironolactone & I was nervous about side effects, but I'm so glad I started. 50mg/day taken before bed, 23 yrs old. I'm two weeks in, and the first couple days I had really bad dehydration, lightheadedness, fatigue, little nausea. Once I started drinking water I felt better, & back to normal in 48 hours. Peeing every half hour, but that got better as well. Now, my appetite has slightly decreased & I can't eat a lot at once without feeling nauseous. Occasional diarrhea--balance your fiber and drink a lot of water! But it's worth it because I have inch-long hairs growing on on my scalp!!! After two days, my hair felt thicker & didn't shed as much. My face is slightly less oily & my breasts are slightly bigger, which is a good thing for me.”

9 / 10
Was this helpful?YesNo

Frequently asked questions

feel'in happy April 7, 2016

“I'm a 56 year old female. I started experiencing hair loss about 2 years ago, due to Alopecia. When it go to the point that I was wearing either a wig or a hat every day to hide my hair loss I decided to go to the doctor. So 3 months ago the doctor, she put me on Spironolactone, 100mg once daily and also Rogaine 5%. I've done them both faithfully every day. To make a long story short, today I have a full head of hair. Just returned from the doctor and she was amazed at how fast it worked on me. I'm sold on it now!”

10 / 10
Was this helpful?YesNo
Anonymous November 1, 2019

“I hit pre-menopause and my formerly thick head of hair literally started falling out in clumps. Spiro arrested the loss and my hair regrew over a year+ time and then I tried to go off of Spiro a couple of years later as I am on BHRT and stable now. Big mistake, after I tapered off exactly 3 months later my hair started coming out at a shocking rate. It is awful, I am sick to my stomach every time I wash my hair I pick up a massive fist sized hair ball. I can just touch my head and hair comes out, it is everywhere, all over the house, my clothes... I am back on Spiro (200mg) and praying every day for the loss to slow. I have lost nearly half my hair volume in 4 weeks :-( I wanted to post as a warning for anyone who stops Spiro...try slowly reducing over a year and in increments, give it a good 3 months before assuming you are ok. I should have done this more gradually to avoid now losing so much hair.”

10 / 10
Was this helpful?YesNo
Cindy67147 February 16, 2015

“Dermatologist prescribed this for hair loss. I've been on it for 3 months and I have dramatic hair regrowth! I am so thrilled with what's growing right now. Only side effect is I get dizzy if I stand up too quick. Other than that, I'm thrilled.”

Was this helpful?YesNo
Mudpie-Pearl August 20, 2015

“I have been using spironolactone for the past 6 month. I take a total of 75mg per day (1-25mg in the morning and 2-25mg in the evening). The first month or so, I did not see any changes. By the second / third month, my hair was shedding; however, I also started to see hair growing in areas that I had none. At the six month mark, the sprouts of hair I saw in the third/fourth month are approximately 1/2 inch long. Now, I do not see my scalp or that shiny scalp that you see on balding men. Periodically, I have experienced scalp soreness. Overall, I am very please with my hair growth.”

10 / 10
Was this helpful?YesNo
Pcoslady · Taken for 6 months to 1 year January 30, 2016

“I've been taking spironolactone for 6 months due to hair loss from PCOS. The first 4 months my hair continued to shed. There were many times I panicked and wanted to stop taking it, thinking it would just get worse (dose of 100 morning and night). I'm so happy I pushed through, I now have a lot of new hair growth and the shedding has stopped.”

10 / 10
Was this helpful?YesNo
Bee9273 · Taken for 1 to 2 years July 7, 2019

“Girls I know everyone is different but BEWARE!!! I started this for acne and hair loss and been on it for 2 years.. went from 25mg,50,75 to 100mg. At first all was good I was loving my skin but no notice in my hair I actually noticed it was getting drier.. 2 years on my hair has never been so dry, breaking and falling more u can see my scalp. Plus acne is coming back. Its caused extreme weight loss, purple veins all over the back of my legs, and muscle and bone pain so bad it hurts to walk I had to quit my job.. Mind u I was a healthy 27 yr old female. Be careful!!! Oh and ur hair falls sooooo bad when u stop it.”

3 / 10
Was this helpful?YesNo
Blue Ulysess · Taken for 1 to 6 months July 30, 2019

“After many yrs of intermittant worrying bouts with hairloss , I noticed it getting worse on wards from 45 yrs to that point where I was lossing 300- 500 hairs at every hair wash!! Very scary and disheartening. Blood work did not explain what was happening with any particular deficiencies, Dr suggested Spiro and I've been on it now for approx 4 mths and so happy with progress so far. Didn't notice much in way of side effects, perhaps slighty unsettled stomach for couple months. I will keep a watch on my kidney function as I know it can be impacted, try to drink extra water. Can now wash hair with only approx 50 strand loss and very little loss in between washing. Not much regrowth as yet, very much hoping it will restart very soon! Hope this helps :)”

Was this helpful?YesNo
Rondy October 23, 2018

“As a young woman I noticed my hair thinning. I was losing up to a hundred strands of hair just in the shower. Then I had my three children and my hair stabilized for awhile. At about 36 I started to lose hair again and my dermatologist prescribed spirolactone. It was only about 50 milligrams daily, but it worked. My hair was still fine, but soft and full. I weaned myself to 25 milligrams and then off, all in about five years. Now I’m 55. A year ago I noticed loss again, but worse. My dermatologist put me on 100 mgs daily. At first I was dehydrated and had terrible night cramps. I increased my water consumption and don’t drink as much in the evening. Now I sleep through the night and I am cramp free. I have noticed a dramatic change and have no concerns about my hair. Right now I take a break every three days, but will soon start to reduce my daily intake. For me this medication is amazing and I hope that everyone has the success I’ve had.”

10 / 10
Was this helpful?YesNo
Sarah2200 August 29, 2017

“As far as I'm concerned, Spironolactone is a miracle drug for female hair loss. It ABSOLUTELY regrows hair in addition to preventing further hair loss. I had a lot of hair loss around my crown from PCOS and after 6 months on spiro, my hair was growing back very thickly.”

10 / 10
Was this helpful?YesNo
Jen · Taken for less than 1 month June 21, 2018

“I had suffered from hair loss for 3 years. I now have been taking spirolactone 50mg per day for 2 weeks and my hair stopped shedding! I tried everything but nothing works like spironolatone. I feel free. I can wash my hair more than twice a month without feeling depressed at all the hair falling out. Also, zero side effects so far.”

9 / 10
Was this helpful?YesNo
Faye48 March 5, 2015

“My hair started thinning and falling out. The dermatologist prescribed 100 mg of Spironolactone daily. I had problems with high potassium levels so my dosage was decreased to 50 mg daily for a month and now I am back on the 100 mg. I do not see any increased hair growth but it seems to have slowed down my hair loss. I have been on the medicine for 3 months.”

8 / 10
Was this helpful?YesNo
Spiro-Fan · Taken for 6 months to 1 year July 26, 2019

“So I wasn't actually diagnosed with alopecia but there were miniature size hairs on scalp. My crown area was definitely balding and I’d have to part my hair a certain way so that it’d be less visible! Anyways, I got it checked out last March 2018 and took a few hormones test and turns out my DHEA Sulfate was on the higher side. So my doc prescribed me 50mg daily of spironolactone. After a few weeks I asked if I could do 100mg and I did. So I have been taking 100mg for a year now and see the incredible difference! My crown area isn't so bald- its been filling up with more hair! Couple days ago, I asked my doc to upgrade dosage to max 200mg! I’ve heard 200mg/daily is the magical number to see more results! So far, I have not had any side effects. Just make sure you take it with food! Goodluck!”

10 / 10
Was this helpful?YesNo
Liza · Taken for 6 months to 1 year March 30, 2018

“My specialist has yet to diagnose me because I'm right on the line of TE and androgenic alopecia. Either way my hair started falling out rapidly and I was horrified. I was put on 25mg of spirolactone and then increased to 100mg. This has helped me DRAMATICALLY. I've been on spiro for 8 months and just began 100mg 2 months ago and I think its safe to say 90% of my hair is back! I felt the dizziness mentioned in reviews only for the first month or so when I was taking 25mg then I was fine. However, it has significantly lowered my sex drive but give a little take a little. I was becoming so upset and self conscious and now I feel like myself again. After chopping off 4 inches of dry brittle hair that ai started with I'm left with a thicker, healthier, bob. Very very happy.”

9 / 10
Was this helpful?YesNo
SidQid · Taken for less than 1 month November 26, 2013

“I am 19 years old and have female androgenetic alopecia, at an alarmingly high stage at that. This had a HORRIBLE initial shed but it has stopped shedding and now I have less hair falling out. I don't see any regrowth though and am using minoxidil every other day so maybe if I used it regularly I'd be fine. Minoxidil is causing me to grow lots of facial hair though (5% concentration) and the spironolactone is supposed to fix hirsutism but the minoxidil is more dominating in the facial hair aspect... not giving up though because keeping hair on my head is more important than having a hairy face. I can just wax/thread facial hair.”

6 / 10
Was this helpful?YesNo
Teegan567 · Taken for 6 months to 1 year December 2, 2020

Aldactone (spironolactone): “Worst decision taking Aldactone for alopecia. Took for 10x months and it left my hair worse, it is brittle, dehydrated I have severe mood swings. Thought it worked initially but then stopped. I would really make sure you are willing to take risks with this before starting. Dread shed occurs in beginning and when you stop. Exhaust other measures like vit c iron l lysine b12 selenium. Get your ferritin checked.”

1 / 10
Was this helpful?YesNo
samiha February 3, 2012

“I've been on this medication for 4 months no. I started noticing a dramatical change in my facial hair, it's all gone by 90%, for my hair loss I can say that I did see a big change but at least I'm not losing hair like I used to. It makes me urinate alot but its a normal thing. It all also helped me to lose weight. No side effect until now.”

8 / 10
Was this helpful?YesNo
happybeauty · Taken for 1 to 6 months August 6, 2017

“I have hair loss because of high DHEAs and testosterone Girls out there spiro is the best! I was all about natural stuff and and using herbs to lower my testosterone and DHEAs but as soon as they were working a lil bit I'd have some stressful episodes happening during my days and cortisol would push from the other side to higher my dhea again.I tried for 1 whole year and realized that nope this doesn't work. I need to be relaxed with this issue, get my life together and not be distracted with this. So I started using Spiro (50mg/day) and damn girl it worked like crazy fast like from the first week of using it! My average hair lose is about 20 hairs a day now. Its better than ever! having plan to take it for a year. Also NO side effects at all. I wish this helps if u have doubts trying it! good luck ladies.”

10 / 10
Was this helpful?YesNo
Cat · Taken for 6 months to 1 year June 12, 2020

“I'm quite ambivalent about Spironolactone. I started taking it in October 2019 for alopecia and at 100mg it does it's job. My hair loss stopped and a lot of what I lost grew back. However, since I went up to 100mg I started having panic attacks and general anxiety, which I didn't experience before. When I lowered the dose to 50mg the anxiety disappeared, but so did my hair, so I stayed on 100mg. I also have to watch my potassium intake, if I eat too much of it I get arrhythmia. I still recommend to try it if you suffer under hair loss and if nothing else worked for you. It is a life long commitment though.”

7 / 10
Was this helpful?YesNo
jubatron · Taken for 1 to 6 months November 22, 2013

“I've been taking spironolactone 50mg for 6 months, my skin cleared up dramatically almost perfectly. It's not greasy anymore. My hair feels softer but is still coming out a little, although it does feel much healthier I don't see any amazing regrowth. I've decided to up the dose to 100mg because it doesn't hurt anymore. It was a real curve coming from 25 to 50. It hurt whenever I jumped right into 100mg when I first started. I don't pee that much either even now on 100mg, I think my body has a tolerance for it. Nothing hurts really but my stomach (not belly, but stomach right below the heart) that went away in time, the pain was more of a depleted feeling than a painful feeling. I had a little brain fog in the beginning, not anymore.”

5 / 10
Was this helpful?YesNo
Everyone needs a dog July 23, 2015

“Due to medication, lost hair every time I brushed, every time I washed, seemingly every time I touched my head!! now due to spirolactone I no longer lose hair!! My plumbing is happy, too. My doctor suggested I take Biotin as well. I know it will take many months for me to see new growth, but that's okay. My skin looks great, too!!”

10 / 10
Was this helpful?YesNo
chula03 March 24, 2011

“I had been experiencing hair loss for about 2 years. I finally decided to do some research and found out about spironolactone. Spironolactone slows down the hair loss but does not help hair regrowth. I decided to try it out and went to a dermatologist to have this medicine prescribed to me. The doctors started me off with a 50mg once a day. But during my research I found out that the effective dosage would be 200 mg a day (divided). So, I decided to do 200 mg a day. I am happy to say that my hair loss has completely stopped after two weeks of taking this medicine at 200 mg a day. I am also using Rogaine 5% twice a day. My problem is that I can not find a dermatologist that will prescribe me a stronger dosage. ”

10 / 10
Was this helpful?YesNo

This information is NOT intended to endorse any particular medication. While these reviews might be helpful, they are not a substitute for the expertise, knowledge and judgement of healthcare practitioners.

Learn more about Alopecia

IBM Watson Micromedex

Symptoms and treatments

Drugs.com Health Center

Mayo Clinic Reference