Spironolactone in dermatology: uses in acne and beyond
Tamara Searle, Firas Al‐Niaimi, Faisal R. Ali
Abstract
Spironolactone is a synthetic aldosterone receptor antagonist, with a role off-label in various dermatological conditions. Its antiandrogenic properties make it suitable for diseases in which excess androgen production results in unwanted and psychologically distressing manifestations in susceptible females. Treatment with spironolactone aims to attenuate androgen-mediated conditions including acne, hidradenitis suppurativa, female pattern hair loss and hirsutism. We discuss the emerging utility of spironolactone in dermatology, its potential adverse effects and considerations for monitoring.
Topics & Concepts
SpironolactoneAcnehirsutismDermatologyMedicineHidradenitis suppurativaAdverse effectHair lossAndrogen ExcessTopical steroidAntagonistPharmacologyInternal medicineAldosteroneReceptorObesityDiseasePolycystic ovaryInsulin resistanceAcne and Rosacea Treatments and EffectsUrticaria and Related ConditionsDermatology and Skin Diseases