Spironolactone Q&A with Dermatologist Dr. Jenny Liu

[@totallyyahware6840]

Watched this video about 5 months ago while on Spiro and I’m coming back to thank you!! You stated this drug needs to be taken with food and let me tell you that was the game changer for me!!! I went through the purging on 25 mg and then upped to 50mg and then 75mg. I was taking it on an empty stomach right before bed and my acne wasn’t clearing completely. Once I started taking with dinner I kid you not my skin cleared completely in about 3 weeks. It was one of those unexpected mirror glances where you realize heeeey my face is totally clear!! I now have the clear skin I had in high school. To anyone not seeing results try taking with food first before increasing your dosage. I’m now going to taper down to 50mg and eventually back to 25mg for maintenance.

[@jackieortiz316]

Do you eat dinner first and then take the pill after?

[@Hello-Stoiko]

This was one of the best videos on spironolactone. My teen was on 25 mg for 2 months and increased to 50 mg just a couple of weeks ago. You answered questions I didn’t even think of asking. Thanks so much!

[@shirleyblevins79]

Spironolactone especially if taken for long period of time 2 weeks or more can cause Neuropathy. Which causes nerve pain/damage. It is said it was FDA approved in 1960. But it was origianlly given as a BP med so others things said to be treatable with it are side effects.

[@minnesotacodingacademy]

I found out this the hardest way.😭😭😭

[@tubbsthebigcat]

@@minnesotacodingacademywhat happened? :(

[@courtnaymariegac1939]

Thank you for clarifying dosing amount and best way to take it daily. I’ve asked that question multiple times elsewhere and gotten either no answer or conflicting answers. Very helpful, thank you!

[@minnesotacodingacademy]

Hello, so this is what happened to me after taking this medicine for acne for 3 days.. Today I was going to my aunt's house which is 5th floor. the elevator wasn't working so I went down the stairs. when I reached there.. I literally went blackout. my eyes stopped seeing, my heart was beating fast, I was sweating, I couldn't talk or even call for emergency, I couldn't stand.. I was like am gonna die today right here.. Spironolactone is used to reduce blood pressure, so obviously my bp dropped from normal 80/70. so you can feel that is even risking my heart in the name of curing acne. at this point am mad at myself.. its better I use external creams than internal tablets. I love my kidneys and my heart. cuz they are my vitals and I know there are many people in the hospital wishing to have health. I hope this information helps you before you start these crazy medicines.

[@khadijaashraf3731]

Same thing happened with me😔...literally have no idea how my acne will be cured...

[@karamc116]

Thank you for this information in a clear and concise way, your channel is invaluable!

[@Jewellianna]

Such an informative video!! Thank you!!

[@MichelleF215]

I have PCOS and had higher than normal testosterone levels so my gynecologist prescribed spironolactone to help with that. I really want to have a baby and it’s a little disheartening to know that this isn’t something that someone who wants to conceive to take.

[@b-having9803]

They purposely prescribe this as a treatment. Ultimately, many doctors are against us reproducing believe it or not. They work with the world agenda. Start asking your doctors questions concerning their beliefs. Ask about their religion. Do they believe in the one true God? Then ask questions. We as spoke meed to understand how the hospital works. Most of the medical industry have medical degrees, but not a heart.

[@adellefaulkner42]

Literally same

[@tubbsthebigcat]

Why can’t people who want to conceive take it?

[@mirrorcats]

​@@tubbsthebigcatit can cause severe birth defects 😢

[@jenniferconly7559]

How long should you stop spirolactone before trying for kids

[@rebecapereira3235]

she answers that question in minute 8:46 of the video

[@KJ-lk5zr]

Thanks for your wonderful videos! I have a quick question. I have hormonal acne, and I currently use the Cerave benzol peroxide cleanser, followed by Vichy hyaluronic acid, adápalene, and the La Roche Lipkar moisturizer. This usually keeps my acne at bay, but still get some acne flare up on my neck 😢. Is there anything I can help reduce this? Thanks in advance ❤️❤️

[@dr.jennyliu]

Sounds like you have A pretty good topical regimen sometimes you may need to add on an oral prescription agent

[@realitydoinz9656]

All thanks to dr iyaremoses on KZbin for curing me permanently from hypothyroidism/pcos doctor link#driyaremoses.

[@dklc28]

Why is no doc talking about dehydration associated with spironolactone? I had to go off the medicine bcos it caused me severe dehydration :(

[@darlastarbuck]

Last time I tried it, I was constantly swollen/retaining water. I could drink enough water to make it stop.

[@isabelramos7754]

Wow, what a great and informative video! To the point without rambling ❤

[@ridhimaagarwal6142]

Maam what is your opinion on bicalutamide for acne and hair loss? Is it stronger than spirnolactone?

[@hebam.badawy3786]

Hello Dr Liu, Thank you for your informative video. I have PCOS and my biggest issue is hairloss femal pattern baldness and hirsutism due to PCOS. My gynecologist in Egypt prescribed to my both spironolactone and Diane 35 a while ago but when I moved to Germany here my gynecologist told me that they do not prescribe it here anymore and that isn't safe drug. Is that true? I am not comfortable with her either way and I told her that my biggest concern is hairloss and she tells me it is what it is and I have to accept it. So the other question is does it really help with hairloss and makes it better or not? and when I want to conceive how long should I stop using it?

[@jadevassell4792]

Hi I’m also in Germany and have the same issue I’m now trying to conceive

[@holz1453]

Can try spriolactone and then transfer onto Isotretinoin? Please this question answered would be so helpful to me.

[@VanessaSimon26]

@holz1453 great question I have both. I got Isotretinoin from Colombia for my son he has severe acne and won’t take it. I have acne I would like to transition to ISO

[@SwitchITHAIR]

Can i still eat my plum, banana, and my fruits while on spironolactone. I get scared of eating fruits because i am scared my potassium level might go up. Please, if you can still see this msg, your response will help.

[@Ash-2006T]

Thanks Dr.Liu!!! This medication I think for me has worked wonders. Along with other recommendations from my dermatologists. Just wondering now that I’m using a prescription retinoid, how often would you recommend using a physical exfoliant?

[@dr.jennyliu]

I refer chemical exfoliants more but in general exfoliation should be done on a weekly or monthly basis not daily

[@realitydoinz9656]

All thanks to dr iyaremoses on KZbin for curing me permanently from hypothyroidism/pcos doctor link#driyaremoses.

[@dianarose9504]

@@dr.jennyliu which chemical exfoliants do you recommend to use at home? Can you please do a informative video about this if possible. Thank you 😊

[@stephaniesteed7653]

@@dr.jennyliuI use retinol every day for three months and my skin is still purging. I am on hrt pellets and my doctor prescribed the spironolactone but I don’t want it to cause any muscle loss due to its potential to block testosterone.

[@emilymonte8651]

I’ve been taking spironolactone at 50mg for almost my full 180 days if im still seeing acne would you recommend I increase my dosage? I’m also using topical treatments and have a good skin care routine.

[@minnesotacodingacademy]

please STOP!! for God's sake! that's just my advice for someone who don't have hypertension.😢

[@jojomed8589]

Can you tell pe plz wht happend to you ? Im on spironolactone over a year now ​@@minnesotacodingacademy

[@mammadijacopo3347]

100 mg

[@krystalgalaz2168]

@@minnesotacodingacademy why???

[@shenell1185]

Does Spiro reduce both DHT & testosterone? Genova salivary test show high DHT levels. But a bit concern that Spiro will lower my libido

[@JennaSeaman-g7u]

What about low potassium foods? If I am on 100 mg? Should I not eat any potassium rich foods?

[@Tina-l7f]

This is the video I needed to ease my fear of starting this medication.

[@scorpiosbite11]

Hi Dr. Liu! Thank you for the video. I was wondering if Spironolactone (like birth control) can cause melasma. Thank you!

[@dr.jennyliu]

Does not

[@ItsClarasLife]

Hi! I started spironolactone about 2 months ago and my acne has gotten WAY worse, what do I do?

[@tubbsthebigcat]

Did your gyno come up with an explanation to this??

[@chinnusekar8675]

Hi dr liu Im taking aldactone 50 mg twice i have pcos and hirsutism so my doctor recommended it. But when i start taking the medication within 2days i got periods. Its continuous with 18 days and blood will come as a clot slightly heavy bleeding.. if i stop the medication bleeding will stop again i start i will cause bleeding again. My question was whats the reason for bleeding and its good or bad?

[@totallyyahware6840]

It sounds like that dose is too high. Try going to 50mg a day

[@natashadarko7847]

Thank you Dr. Liu! Such a thorough overview! Does Spironolacone worsen melasma? I’m coming off birth control because of my melasma and hoping spironolactone will be a better alternative

[@dr.jennyliu]

Usually not

[@cannedsalsa2]

I’m pretty sure spironolactone caused my melasma- I dont think there Is enough research on it yet to assert a cause/effect, but anecdotally there seems to be a fair amount of women who get melasma from use.

[@BWH571]

So this can help for excess hair as well?

[@simplyroyalty7458]

Does this cause your boobs to grow? I started this for hirirtisum and my boobs grew and my period was extremely late. I dont want any of these. I am trying to decide hair on my face or big boobs and late periods. I dont like thus options here 😭😭😭😭

[@Kitkatnelly]

Hi I’ve been taking this for almost 3 months it’s working my acne is gone but I’m concerned about how it effect potassium levels ? Can I still eat foods high in potassium or should I just avoid them I love eating avocado and salmon but I’ve been avoiding them because of this

[@stephaniec4363]

I have the same question!

[@Kitkatnelly]

@@stephaniec4363 I talk to my derm he told me that I was fine as long as I don’t already have high potassium levels I just ate normal I wasn’t scared to eat a banana anymore haha

[@tubbsthebigcat]

Is it safe to take with metformin? Or should only one be taken?

[@missalyssa9069]

My doctor put me on 25mg daily. I’m not seeing a difference yet but it’s only been 1.5 months. Do you think after 3 months of treatment I will see a difference with 25mg or should I increase the dose now?

[@SaraAshley116]

My best friend said she started at 25 mg and it didn’t work. She was annoyed because usually 100 mg is effective for acne. Once she got to 100 mg her acne is gone. I just started yesterday, at 100 mg.

[@ropsidropsipepsi]

If I take a 25 mg a day and I get pregnant, is is still a good chance a potentially male baby gets the issues you are mentioning?

[@nadia86id]

I got prescription for helping my alopecy now im afraid to use this as i m always 10.9 max 11.5 level blood pressure so quite low😮

[@efiaasa824]

Hello I had a hysterectomy done and now suffering from hormonal acne. Can I take spirolactone?

[@valariemadueno4333]

I'm trying to see how long it will take hair to come back after pregnancy is over and you can start taking it again. Hm.

[@RSR551]

Can I take calcium while on Spirololactone

[@thebudgetranch782]

WHERE are your earrings from?! I'm getting married soon and have been searching everywhere. Please spill the tea 😭

[@sukritirai3101]

How was the wedding!!!!

[@happinesssomewhere18]

Congrats !

[@EveF2014]

Is it common to retain water after discontinuing spironolactone, and if so how long should it last?

[@dr.jennyliu]

Everything responds differently, it’s not so much water retain but more so spironolactone Increases urinary when you’re on it so once you stop you revert back to your normal state

[@huiyuanli4856]

Thanks for the information (beautiful lipstick!)

[@nandiniofficialid]

Dose details please how much mg best for new one ?

[@bellakin5075]

Thanks for the useful video! My cystic hormonal acne cleared up for a few years on spironolactone, then it suddenly came back while I was still on the medication. Any ideas why that might have happened?

[@dr.jennyliu]

Our body is dynamic and so is the environment this is uncommon sometimes the dose may need to be adjusted, sometimes it’s just a temporarily phase best to speak with your derm

[@emmarose9466]

This might sound cliché but it's true, change your diet to only whole foods and you will thank God for his creations.

[@asiimwetasha9]

If not severe can I take 50mg

[@BrendaMelendez29]

Hello. Thank you very much. Very informative!

[@yanaaliev9706]

is there an alternative to spironolactone in pregnancy?

[@GoodvibesGoodlife11]

No acne but hirsutism, will spironolactone help??

[@EmilynnHartkopf-fn3jb]

Does this cause issues with fertility later in life?

[@АдияТолеуова-г3и]

Could we combine COCP AND spironolacton ?

[@dr.jennyliu]

Yes it can be more helpful for some

[@kareenakhan2286]

Hello ma'am! I want to discontinue this medicine..I have been taking aldactone 50 for straight 8 days..how to discontinue?

[@tinkofficial6740]

Why what happened? Asking cause I want to start taking it

[@stephaniesteed7653]

@@tinkofficial6740did you start the medication? What affects are you having? I am afraid it will affect my muscle growth? Read it can block testosterone.

[@bhatzara4948]

How long to take for hirsutism due to pcos ?

[@philo_sofia4373]

Hello, Dr. Jenny! I am glad I found your channel and this video! Can you have acne scar treatment like CO2 laser while on spironolactone? Hope you can answer my question! Thank you! 🙂

[@dr.jennyliu]

Yes always make sure to find an experience provider for laser

[@philo_sofia4373]

@@dr.jennyliu Thank you, Dr. Jenny for replying! I appreciate it! 💕💕 Looking forward to more of your videos! 😊

[@mob2181]

I started this meditation a year ago during month five my breakouts stopped after that 6 months later I started getting cystic breakouts again

[@gargibhati6492]

Can it cause purging?

[@yearofthedragonjane]

Yes ppl say it made them purge

[@girlsandchaos]

Can we take it during periods?

[@dianarose9504]

Dr.Liu thank you for the helpful video. My doctor prescribed 100mg but for some reason I didn’t read good and took only 50mg once a day. My breast was very tender and felt swollen. Will these side effect go away if I continue taking it.

[@dr.jennyliu]

Sometimes it will resolve sometimes I may not best to speak with your doc

[@realitydoinz9656]

All thanks to dr iyaremoses on KZbin for curing me permanently from hypothyroidism/pcos doctor link#driyaremoses.

[@dianarose9504]

@@dr.jennyliu thank you so much for answering. My doctor wants for me to try taking 50mg every other day to see how my body reacts 🤞🏼

[@LuCa-us6zf]

I feel like my breasts have increased a lot and I hate it! Will my breasts Go back to normal if i stop it?:(

[@Shortgirllove]

How many mg are you taking? And when did you start? 😮

[@LuCa-us6zf]

@@ShortgirlloveI started 3 month ago, the First month 50 mg and After that 100 mg. I stopped it a week ago and Nothing has changed until now:(

[@Shortgirllove]

@@LuCa-us6zf why did you stop? 😭 did you notice any hair changes

[@LuCa-us6zf]

@@Shortgirllove Because of that… and no I only Took it for 3 month so I don’t think Its enaugh Time

[@poojadhanure2399]

Hello dr pooja here i m from india Facing acne from last 8 years dr suggested me to take aldactone 100 mg i m taking it from last 2 months but it is making me extremely tired fatigue feeling dizzy fainting etc my weight has been reduced by 4 kg .. but acne has been reduced so well this is the only tablet that have worked for me . I really want to continue the medicine but sideeffects are bothering me so much what should i do now plz help me out?

[@Myraisins1]

Try reducing your dosage. Maybe 50 mg to see how it works. Also maybe take it at night closer to bedtime.

[@poojadhanure2399]

@@Myraisins1 thnku you❤️

[@noname-dw9te]

Have you been on accutane

[@poojadhanure2399]

@@noname-dw9te yes

[@kaykay7271]

Hi I’m breastfeeding my 11 month old, can I take spironolactone?

[@dr.jennyliu]

Yes it’s safe

[@campin_sasquatch7740]

All I know is I can't take it at night. I end up with the craziest leg cramps and similar symptoms to RSL. I drink a lot of water and a multivitamin💧 so I couldn't really figure out why I had these side effects 😅

[@realitydoinz9656]

All thanks to dr iyaremoses on KZbin for curing me permanently from hypothyroidism/pcos doctor link#driyaremoses.

[@kimikoifish7]

Oh nooo! I’m about to start and I’ve had rsl during pregnancy and it suckssss

[@realitydoinz9656]

@@kimikoifish7 Dr iyaremoses on KZbin cure mine completely with herbs medications

[@rileyclark6091]

You can take it while breastfeeding?

[@jamiea7521]

Did u watch the video? It’s the 3rd question she answers

[@Healthy.travel]

Will i gain weight if i take it ?

[@ТедиГеоргиева-т1н]

Can spironolactone cause breast cancer?

[@adrianagalarza6315]

Excellent question

[@maribelcevallos9374]

No. She mentioned it doesn’t increase risk por breast cancer.

[@asiimwetasha9]

Between accutane and Spiro which is first option

[@dr.jennyliu]

Depends on type of acne for hormonal spironolactone

[@paigeruderman]

Will this help with hair loss?

[@dr.jennyliu]

For androgentic it may

[@vee7747]

Have you noticed any help with your hair loss? I just started it today

[@komaldaryani3885]

​@@vee7747hello.did this helped u

[@dahlia6555]

I accidentally take sprinolactone for my acne not knowing while pregnant

[@tracyking7539]

Do this drug make your hair grow.

[@ArleneTorbeso]

Same question

[@jeangrunhannes2208]

spironolactone is antiandrogenic,can it be taken rectally as a suppository or as a cream,to avoid the side effects (high potassium), purpose to suppress ISB (inappropriate sexual behaviour in older male)

[@beatrizvolante416]

Can it cause deepening of the voice? I’m a singer and it’s a great concern of mine…

[@SaraAshley116]

I’m not a doctor but I bet it doesn’t.

[@beatrizvolante416]

@@SaraAshley116 I was wondering because it appeared as a side effect on the package when I got it.

[@simplyroyalty7458]

​​@@beatrizvolante416maybe. Because I read it causes a woman to be more feminine, perhaps you will get a more soprano voice idk . I think it grew my boobs and I don't like boobs.I miss my small chest.

[@anithavuttaradi5628]

My daughter is 25 year's and has irregular periods thick hair on chin hair loss and chest very less and even has more hair on body also Can i give spirinolastone Even i have hormonal imbalance same chin and upper lip has thick hair growth please suggest

[@bubblebass9182]

I felt like being on Spiro was beneficial, but I could not standddd waking up to pee 2-3 times per night

[@Juliarosegio]

Is spotting normal ?

[@dr.jennyliu]

Yes one of the most common side effects

[@JJ-so7ir]

Will spotting stop over time or it will continue as long as i take the drug?

[@jenniferconly7559]

Will you gain weight when you stop

[@dr.jennyliu]

Not usually

[@minnesotacodingacademy]

I dare you to take this medicine for 2 days run off the stairs or go for gym. you will appreciate your health.

[@nadia86id]

Whyy

[@monytontana5184]

If I'm transgender, and suffering from a large amount of body hair... Will Spiro reduce that at all? Because full body laser is WAYYYY too expensive for my ass 😂