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Spironolactone for acne at SkinProvement dermatology - Dr. Comite



Spironolactone is a medication that is used primarily for the treatment of high blood pressure. However, for many years it has been used to treat acne and excess hair growth in women because of its ability to block the effects of certain hormones (testosterone). By blocking the effect of these hormones, spironolactone reduces oil gland secretion, which helps prevent acne, and reduces hair growth on the face. This medication can only be used in women and is recommended for women whose acne is largely hormonally controlled.

The optimal dose of spironolactone varies in different individuals and may require some adjustment. The beneficial effects can usually be seen within two or three months, but frequently within one month. With over 25 years of use, this drug has been quite safe. Serious side effects are extremely rare, but there are some nuisance side effects that you should be aware of: the most common side effect is irregularity of menstrual cycles, which, if you are taking birth control pills, should be minimal. Mid-cycle spotting, early periods, or longer periods can be seen.

Since spironolactone has diuretic properties, there may be a “water-pill” effect during the first week. This is what causes a slight lowering of the blood pressure. It is important to prevent dehydration if you are active in sports and exercises. Adequate fluid intake should prevent light-headedness.

Some people have experienced fatigue, breast tenderness, nausea, and decreased sex drive, but these occur infrequently. Hormonal treatment of acne can be associated with darker pigmentation on the face, which is accentuated by sun exposure.

You must not get pregnant while on spironolactone. If you accidentally do, you must stop your medication immediately and notify our office and your gynecologist.

Spironolactone causes your potassium level to increase; it is important to avoid excessive eating of bananas and citrus fruits, orange juice, etc. However, these foods do not have to be eliminated. It is recommended to check your blood potassium level after one or two months of therapy, depending on your dose.

CONCLUSION:  Spironolactone can be quite effective in the treatment of acne in women and is generally well tolerated. If side effects develop, the dose can be adjusted to a more tolerable dose. Whether spironolactone is helpful or not can usually be determined within two or three months of therapy.

SKINPROVEMENT DERMATOLOGY In New York is committed to providing patients world-class treatments for skin, hair, and nails. They understand and acknowledge the diversity among all patients to treat them more efficiently using state of the art technology and decades of professional expertise.

DR. STEPHEN COMITE Is a board-certified Dermatologist with an impeccable academic background and he is valued as one of the best Dermatologists in NY due to his expert skills and his compassionate nature towards all of his patients.
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Dr. Comite and his staff are absolutely amazing! I was recommended to him from family and when I first went to see Dr. Comite my skin was in bad shape-I had very active acne, worse than I ever experienced before in my life. After having graduated from college I didn’t expect this skin change and I didn’t know how to improve it or if it would even improve. Dr. Comite however, was extremely knowledgeable, optimistic, and truly cared about helping me get my clear skin back. My visits were always friendly and comfortable which was important to me during a time when I was feeling less than myself. After only a few sessions, Dr. Comite and his team found the correct treatment to clear up my skin. Within a month my skin showed improvement and in only two months my skin drastically improved. After being a patient of Dr. Comite’s for over four years I couldn’t be happier! My skin has continued to be clear and I know if I have any questions or concerns an answer is just a phone call to the office. I’m so thankful to have found such a dedicated doctor in the field of dermatology. Dr. Comite and his staff helped me get, and keep, the skin I knew I could have. I highly recommend him to anyone with any dermatology needs.

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