I was on spironolactone for acne as well for two years, and like you, lost about 50% of my hair. It is NOT just you, but you might be able to head this off nutritionally. Maintenance dose: Patients tolerant of initial dose: May increase to 50 mg orally once a day as clinically indicated. Although, in rare cases it triggers telogen effluvium hair loss and it never stops . Despite my normal lab results, my derm thought spiro would be a good fit for me because I have cystic acne localized on my chin/jaw and she suspected my androgen receptors could be overly sensitive to even a normal amount of testosterone. Expert advice is needed in these challenging cases. If i were you i'd be more concerned about growing tits. http://www.iherb.com/Search?kw=biotin+shampoo&x=0&y=0. 2h 30min. Not clumps, but lots of diffuse strands all over my head when I shower or brush my hair. I am 22 and been on Spiro for about 6 months now. In rare cases, shedding does not slow at the 3-4 month mark and hair density does not improve. I will look into the brands you've recommended. People who had success with Spironolactone, did you experience dread shed or more hair shedding initially? I think that my body just needed some time to adjust to shift in hormonal activity. 3) Acne is something most women deal with every now and again.Needless to say, I was frustrated. I'm not taking this with birth control. I was done. Im now 2 months post Spiro and my shedding is finally reducing!! 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. First, I got my period 2 times this month. Bizz, thanks so much. Keflex has active ingredients of cephalexin. Don't use the typical drugstore "strengthening" shampoos--in my experience (and admittedly I have weird hair--coarse, thick, oily at roots, dry at ends), it just weighed hair down and didn't really help because the "strengthening" ingredients were at the bottom of the list. I even started doing a LED red light therapy at home this week for about 20 minutes a day. I also had a blood panel done to check my thyroid & iron levels & now know Im anemic which can also contribute to hair loss..but gauging the TIMELINE from when I began the Rx (Spiro) to when I stopped it is a night & day difference. On the other hand, if your doctor thinks that the thinning itself is caused by excess androgens, the maybe increasing your dose is the way to go. All was well and my skin cleared beautifully. It is also used to treat swelling . 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! I have had handfuls falling out (especially after washing my hair) since October 2nd. 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. 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. Spironolactone pills help many women, especially whose hair loss starts before menopause but takes many months. It's also dry and breaks easily. I am heart broken because its given me beautiful skin, so I feel torn between trying to save my hair or having clear skin. 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. My acne is mild to moderate, but evidently, very persistent. This blood work showed no deficiencies but she suggested I take Viviscal Pro vitamins (expensive) and prescribed a topical prescription that's a combo of Finasteride 0.1% and Minoxidil 7% (it gave me some new baby hairs, but also turned my blonde hair an orange hue). It has dramatically reduced the oil production of my face which I am happy about. I have (had) very thick coarse hair that grows quickly, and the thinning areas were only noticeable to me if I pulled my hair back. When I started, I was instructed to start on 25mg for a week before I upped to 50mg. I know it has only been 2 weeks since fully stopping, but I really need to hear from some women with success stopping and having their hair return to normal. I have tried biotin and iron. a dread shed) than others. Im 23 was prescribed Spiro 12 months ago for my hormonal acne. Book Large Box Braids $140.00. Medically reviewed by Drugs.com. The set unfortunately is discontinued, but one of the major ingredients is biotin. 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. In Dec. 2020 my dermatologist said that it was TE and that it would clear on its own. It is also an anti-androgen, which means it stops male hormones, such as testosterone, from working. A second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has not been achieved after 5 days. Some have suggested that Spironolactone can bond to the hair follicles before DHT can bind to the receptor. In a matter of roughly 2 years my head went from being thin and short with bald spots to 6 inches longer, thicker and the most beautiful it has ever been. Are you using shampoos with harsh detergents (usually sulfates)? Spironolactone can cause high blood potassium. I'm hoping it goes away cause I can't go back to having that terrible cystic acne :/ I read that spironolactone when used for female hair loss does cause initial "dread shed" but that should stop at 3-4 months and then you see regrowth/stabilization. It seems to help with the drying effect of the shampoo. Patients tolerant of initial dose: May increase to 50 mg orally once a day as clinically indicated, Patients intolerant of initial dose: May decrease to 25 mg orally every other day, Long test: 400 mg orally per day for 3 to 4 weeks, Short test: 400 mg orally per day for 4 days. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. The study uses data from the FDA. However, the term equally applies to other therapies. After about 3 months of continued hair loss, I now started finding large clumps in the shower and had overall thinning. Metabolic: Monitor fluids and electrolytes regularly in all patients. 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. We cover a wide range of styles and shed types such as barns, utility sheds, cabins, and playhouses. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. 40. In spring of 2021 I began losing majority shorter hairs(my new growth). Keep checking back and share your story. Posted by 3 days ago. I stopped today and feel fearful as I have never seen so much hair fall out of my head. eHealthMe is studying from 102,034 Spironolactone users for its effectiveness, alternative drugs and more. 30min . Medically, the phenomenon is known to hair specialists by the term "immediate telogen release. Most famously, the term dread shed applies to the increased shedding some people experience with use of minoxidil. Im unsure, however, if this is *new* growth, or hair that I lost during the shed. You can use the study as a second opinion to make health care decisions. The general advice for most patients with androgenetic alopecia who start minoxidil or an antiandrogen or laser therapy and experience increased shedding in the first 1-2 months is to keep going with therapy. 367 people who take Keflex and Spironolactone together, and have interactions are studied. I'm anemic and have other issues. The good news is it does get better, Im nowhere near shedding like I was, but still more than usual. A lot of dermatology is educated guessing. I hope Im finally on the other side of this but I am still shedding more than usual. I hate this drug, and I'm on your dose. I found out I have high male hormones and hair loss should I take spironolactone? I still have my period but it was now coming twice a month (one light, one heavy) and I was getting cramps which I have not had in years. 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 These medicines are sometimes called "water tablets" because they make you pee more. Edit: I should add that i have noticed some regrowth at my temples i'm just shedding from the back of my head. It feels so thin and you can see my scalp through the hairs. see full image. However, I dont notice any additional growth in that area quite just yet. BasicallyIm just like you. Any treatment for androgenetic alopecia that works has the potential to cause a dread shed. Uses: Management of edema and sodium retention when the patient is only partially responsive to, or is intolerant of, other therapeutic measures. Feb 24, 2019. Exercise and get the blood pumping to your face and scalp daily, this is crucial.. Take magnesium and vitamin c,d, a multi but Try not to over do it with supplements. IF YOU DONT WANT TO RISK LOSING YOUR HAIR DO NOT TAKE THIS MEDICATION. I havent noticed any growth on the top part of my head (I always describe it as where sunglasses would hit) but, it also doesnt look as bad as it did. display: block !important; Hydrochlorothiazide 25 to 200 mg-Spironolactone 25 to 200 mg orally daily in 1 to 2 divided doses. She looked at my previous blood work and said it was fine, but increasing my iron may help. Spironolactone is used to treat high blood pressure and heart failure. Spironolactone - Will weight gain with aldactone usage go away once the body adjusts? Doses greater than 100 mg/day generally do not provide additional reductions in blood pressure. Filter by condition Spironolactone rating summary 6.9/10 average rating 59 ratings from 63 user reviews. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Ikarus said: I didn't ask for a judgement or an opinion, I asked about the dread shed and the regrowth after the shed. Hopefully the shedding stops soon. For some hair is simply just another accessory but to me, having it look nice has always been top priority. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. By the way--I use Suave clarifying and dandruff shampoo because I've always had greasy hair. She confined that yes, spironolactone can cause hair loss. JavaScript is disabled. Minoxidil, spironolactone, PRP, laser, finasteride, dutasteride, flutamide, bicalutamide - they all carry with them the potential to cause a dread shed. I'm 25, so maybe it would have happened that way anyway, but I just don't think it was age alone. I figured it was crap, but I like the smell and was suckered in by their dumb gimmicky commercials, lol. The shower, the hairbrush, its blowing around when Im blow drying and this was already my problem. save. Please answer me, I am desperate and depressed because of this. This is particularly true for those who experience a true drug induced prolonged telogen effluvium from use of these treatments. Thankfully, reducing my dose hasn't caused me to break out at all and my skin is still almost completely clear. My question is when my insurance run out how will I be able to get ahold of this medication ? She also said I may have to be on Spirno for life. Anyone who has suffered from anemia will understand. I vaguely remembered taking it in the past a few months before my wedding to make sure I was free from blemishes by the big day. I am finally off Spiro after a few years of beautiful, perfect skin (sigh). It worked SOOO well for my skin, like nothing including accutane ever had. It should not be considered a substitute for professional medical advice. rosasharon, I totally know what you mean. You can also reach the Admin of the site on the Forums at username Admin fairly quickly. In this case the shedding does not stop at month 3 -4. Of course, each of these situations should be reviewed with the hair specialist on a case by case basis. Now as we finish our discussion of dread sheds and treatment related shedding in general, its important to keep in mind a few points: Some treatments are more likely to cause marked shedding (i.e. All Content Copyrighted. I would highly suggest getting off the medication. The former reduces the amount of DHT on our scalp while the latter blocks the remaning DHT at the receptor sites.]. I don't know if it has to do with The medication because I was shedding before. Im early in taking them (about 8 days) but I think they are helping. 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. see full image. We also use a variety of materials to build ours . This tool may not cover all possible drug interactions. Loved it! Cookie Notice The most likely scenario for patients who have shedding is that the shedding will eventfully stop and some amount of stabilization or improvement of the androgenetic alopecia will be seen. Im so upset Definitely wont cant believe he gave me this knowing my condition. Since Spironolactone is also a diuretic you do loose extra electrolytes since you go to the bathroom more frequently. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. She said I was in a TE cycle. Its not that its unexpected. And did the hair grow back as normal pre meds??? After a bit of an initial breakout, my skin is clearing now and it's amazing. Patients in the study may take other drugs besides Keflex and Spironolactone. Duration of therapy: Treatment should be continued for at least 2 weeks to achieve a maximum response. If a patient does not get some little bit of increased shedding its probably a concern. Fast forward about 4 months and I notice thinning spots on my temples. For the short test, increased serum potassium with this drug and a decrease upon discontinuation provide presumptive evidence of primary hyperaldosteronism. .sqs-comment-link{ The dose of this drug should remain unchanged if a second diuretic is added. No portion of this page may be duplicated without consent. It is certainly possible that I'm over-analyzing this shedding because, as you said, I've been on high-alert since starting spiro for any weird side effects. http://www.iherb.com/Search?kw=biotin+shampoo&x=0&y=0. For some patients with strong genes controlling the androgenetic alopecia, the increased shedding only serves to speed up the miniaturization process. I never connected the 2 and to say I am truly devastated is an understatement. If you are female, sixty percent respond to five percent. Your hair has to cycle though a few cycles to get back on track. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. 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. Last updated on Mar 7, 2022. But it hopefully will be shorter for you because Im on minoxidil, which causes a dread shed for a few months. I was put on spironolactone for hair loss and started very slowly - 12.5 mgs. For a better experience, please enable JavaScript in your browser before proceeding. My guess is that the hair that fell out during the Spiro dread shed came back. Hormones are a slow and tricky process. Supplements wont fix this. Hi there, thank you so much for these posts. I initially thought that is was because of stress due to the pandemic. window.dataLayer = window.dataLayer || [];function gtag(){dataLayer.push(arguments);}gtag('js', new Date());gtag('set', 'developer_id.dZjQwMz', true);gtag('config', 'UA-44942717-1'); The term dread shed refers to an increased shedding of hair that individuals notice within 1-3 months of starting a new treatment for androgenetic alopecia. Did your hair stop shedding?! Thats regrowth from the Spironolactone. In this style, we have wider overhangs on the gables and eaves and have provided . Good luck to you &/or whomever this may help:). Below is my experience with spironolactone. more Helpful Nikki D. Hill, MD, FAAD July 28, 2015 Answer: Hair loss It was really disheartening to see everyone saying it took years so hopefully this will help someone. It's not something that is really all that abnormal - it just looks abnormal. Distract yourself from this. Spironolactone is used in combination with other medicines to treat high blood pressure (hypertension) and heart failure. Did your hair grow back? Even if I'm not touching my hair, strands are falling onto my arms and clothing during the day much more often than usual. Please please tell me it will stop??? I have been on Spironolactone and the oral contraceptive Yaz for two and a half months. Black says it's a first-generation cephalosporin that inhibits cell wall synthesis in certain bacteria. Here are my personal brand recommendations: -Burt's Bees (the real Burt's Bees, not the "GUD" spinoff brand). I've seen and heard of Shea mositure and of course burt's bee's. 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. I am sensitive to hormonal changes and it always causes hair loss whether it be child birth or birth control. I was on Spironolactone for over 6 years for acne. . Just be wary of the ingredients in any shampoo, I was lucky enough that the CVS had no sunflower oil or anything, but a lot of these stupid organic shampoos do, even for stuff that's meant to add body. But Im scared about the future. Spiro can cause this even in low dosages like 25mg. Aldactone has not been good for my post-Accutane skin/hair. 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. I second the other poster's recommendation for biotin. I tried taking saw palmetto to help but it made my hair greasy. My naturopathic doctor is having me not drink any alcohol and have a high protein healthy diet with lots of vitamins. Ozone to the scalp has worked for some people. After finding this website and reading multiple comments from ppl complaining of these same side effects, Im absolutely convinced its this medication. Please help!!! Drug class: aldosterone receptor antagonists. The shedding lasted for a little over a month, and I was panic-stricken almost every day. Present day a little over 2 years after having my youngest I had maintained my luscious locks until about 5 months ago. article p{ Spironolactone can cause this phenomenon sometimes and so can minoxidil. J.C., - did the hair you lost while being on the spiro grow back? Scalp pain has diminished at least 90%. Not every single person who has shedding with treatment will find that the hair density improves at a time point 6 to 12 months into the future. It WILL get better. 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