So to be completely honest with you, Im now 5 months post spiro and Im still shedding. Im just a gal losing her hair, who was tired of searching endlessly for information about this condition. Its really only individuals with more marked shedding that will be able to tell they are having a dread shed. Ozone to the scalp has worked for some people. I was on Spironolactone for over 6 years for acne. Spiro Results. Last updated on Mar 7, 2022. Lets take a look first at shedding from minoxidil. Expert advice is needed in these challenging cases. The downside: I thought it was just me, but it does seem as though my hair is thinning right around my forehead. I slowly weaned off it over the last 6 months and I too am suffering with major major major hair loss. For more information, please see our 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). The mandatory 2-3 month waiting period has been temporarily waived. Another update: my hair is back to normal -- the shedding stopped! Shiseido to Begin Cell Hair Regeneration Trial, Kyocera to Begin Regenerative Hair Loss Treatment Research. Duration of therapy: When given as the sole diuretic, continue the initial dose for at least 5 days, after which the initial dose may be adjusted to an optimal maintenance dose. I finally wanted to start working on parts of myself that were neglected since having the kids. It is based on cephalexin and spironolactone (the active ingredients of Keflex and Spironolactone, respectively), and Keflex and Spironolactone (the brand names). My acne was largely reduced (which is great, but I have the type of skin in which ANY acneno matter how smallleaves a mark. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Here is the caveat: you are also on OTC which is already supposed to change your hormone levels in the direction that would clear your acne. I second the other poster's recommendation for biotin. About spironolactone. Still looking for answers? My husband made me quit taking it & Im glad he did bc it now is going back to normal after stopping it after the 10th day. See additional information. I think i'll try this. I literally got it a week after it ended. I don't know if I've lost as much as others on this thread but I'm going to try stopping my dosage now, to prevent it from worsening. The net effect: her hair was fine. 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. The shedding didnt get better until I started the iron supplements. Spiro can cause this even in low dosages like 25mg. Minoxidil, spironolactone, PRP, laser, finasteride, dutasteride, flutamide, bicalutamide - they all carry with them the potential to cause a dread shed. They tell me to use rogaine and finasteride. 1,914. I wont have any hair left. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. hide. Classic Storage Shed. I will look into the brands you've recommended. 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. User account menu. Ikarus said: I didn't ask for a judgement or an opinion, I asked about the dread shed and the regrowth after the shed. I do get an annoying little pimple ("regular-people acne") every now and again, but they heal so quickly (1-2 days) compared to the cystic acne I would get before (weeks + scarring). display: none; Spironolactone is a type of medicine called a diuretic. I've seen a lot of posts on this site from other women describing a similar phenomenon, and I was hoping for an update on their shedding. She suggested I do spironolactone, I agreed. It worked SOOO well for my skin, like nothing including accutane ever had. 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. And when will the hairs regrow? I'd rather not brush and keep some curls. Anyone who has suffered from anemia will understand. Hi Im so sorry you went through this with spironolactone. Yes, I now believe it's the drug and like the other members, I have been told by my derm that Spiro is not the cause because it actually helps with hair loss. UPDATE: My Custom Topper from Shanna Moll Studios . All was well and my skin cleared beautifully. Tell your doctor. Common interactions include fall among females and cardiac failure congestive among males. 4 long years of working to get my hair back. I began shedding hair in June 2020. By the way--I use Suave clarifying and dandruff shampoo because I've always had greasy hair. But, things are not worse and they look like they could be heading in the right direction. Dosage can be titrated at two-week intervals. spironolactone, Keflex (oral antibiotic,) Clindamycin (topical antibiotic,) and Retin-A. In patients with severe heart failure, monitor potassium and creatinine one week after initiation or a dose increase, monthly for the first 3 months, then quarterly for a year, and then every 6 months. report. 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. Thanks! I upped my dosage to 75 mg's from 50's mg's. It was really disheartening to see everyone saying it took years so hopefully this will help someone. Spironolactone. generic drugs) are not considered. The amount of time I spend obsessing over my hair loss is crazy. I am going to provide my full experience with spiro in detail.I was put on it in September of 2019 for hormonal acne. 1/2. Minoxidil lotion and Minoxidil foam are FDA approved for treating androgenetic alopecia (AGA) in men and women. I started having cystic acne along my lower jaw in my 40s, after trying several unsuccessful treatments, my pcd prescribed me spiro. spironolactone-hydrochlorothiazide oral brand names and other generic formulations include: Aldactazide Oral, Aldarex Plus Oral, Altexide Oral, Decozide Oral, Hydrotone Oral, Spirochlor Oral, Spironazide Oral, Spirozide Oral. All rights reserved. and she ordered a hair loss blood work panel. I am 42 and my acne began at 13, also. font-size: 16px; Posted by 3 days ago. It's a long post but it does help me to get it out. I bought a CVS thinning hair treatment set (shampoo, conditioner, serum) and still shed a lot in the shower, but I think I always have. font-size: 18px; Its been a slow painful process but finally after several months. Initial dose: 25 mg orally once a day assuming serum potassium is less than or equal to 5 mEq/L and serum creatinine is less than or equal to 2.5 mg/dL. go to Amazon and put it "thinning hair", it'll have the same ingredients--biotin, horse chestnut, etc.). Adding spiro on top of that could be pushing you too far over the edge and giving you a case of estrogen dominance. How long before the hair loss stopped? But I feel like now its shedding at a rate that I can deal with so it wont be forever! Whenever a patient bring in a product and tells me they have a new wonderful product that does not cause a dread shed - I tell them simply that if the product they have in their hand has a zero percent chance of causing increased shedding then it probably does not help in the treatment of androgenetic alopecia. 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. Treatment of diuretic-induced hypokalemia in patients with congestive heart failure (CHF) when other . This type of shedding is not to be confused with the shedding that happens when people with androgenetic alopecia incorrectly stop using minoxidil. 58% of reviewers reported a positive experience, while 22% reported a negative experience. 1996-2023 The American Acne Association. In patients with severe heart failure (New York Heart Association [NYHA] class III to IV), discontinue or interrupt treatment for serum potassium greater than 5 mEq/L or for serum creatinine greater than 4 mg/dL. I did get the dread shed a few weeks into Spiroand I got it BAD. All photos and information in this website is copyrighted unless otherwise stated. I'd love to stay on this low dose! My hair is thinner at the crown and I find hair serums gross and my hair generally greasier even if I wash every other day. I thought it was a post Covid issue. I enjoy looking feminine; femininity is the future. I really didnt think it was the medicine though I did read starting a BP medication (or just a new medication in general) could cause hair loss. She suggested rogaine but then said its just like anything else once you start you have to stick to it otherwise youll end up with the same problem. My period also went back to its normal cycle around this time (was getting 2 periods per months when I started spiro). 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 Also, has the amount of shedding changed at all as time went on, or has it been consistent? Subsequently, the dose may be adjusted according to patient response. I found the best results with high potency biotin and MSM supplements. You can also reach the Admin of the site on the Forums at username Admin fairly quickly. 4. I've been on some hair-loss forums, and they call it the "dread shed." So it can and does often happen. At 50 I am seeing hair shedding and visible thinning that wasn't there before. JavaScript is disabled. Just read your post again and the "estrogen dominance" line caught my eye. I hope Im finally on the other side of this but I am still shedding more than usual. This area was the first area that came back after I had postpartum shedding in 2011, so thats why Im leaning towards the fact that this is likely not new growth, but rather regrowth. It's also dry and breaks easily. Duration of therapy: Treatment should be continued for at least 2 weeks to achieve a maximum response. Not something I currently do, but a few years ago I was trying to grow my hair out. That was it. How bad will it be? I have been on Spironolactone and the oral contraceptive Yaz for two and a half months. Loved it! So maybe normal baseline testosterone levels + spiro + BC --> heightened estrogen --> hair shedding? However, I dont notice any additional growth in that area quite just yet. Uses:-Treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate.-Prophylaxis of hypokalemia in patients taking digitalis when other measures are considered inadequate or inappropriate. I'm just very nervous stopping may cause even more hair loss. I recommend buying a biotin-based thickening/strenghthening shampoo from Whole Foods or online at a site like iherb.com. see full image. In some of these cases, the treatment did very little to help and the androgenetic alopecia simply pushed the hair thinning along its course. Sometimes it comes out in lil clumps i definately feel like my hair is thin now and not thick and beautiful as everyone used to say to me . Keep oils away from your scalp. P.S. 5. kash0075 1 yr. ago. I never connected the 2 and to say I am truly devastated is an understatement. Lower your dosage? Im sorry that happened to you :( but glad the shedding stopped! When I started, I was instructed to start on 25mg for a week before I upped to 50mg. Its not that its unexpected. Im unsure, however, if this is *new* growth, or hair that I lost during the shed. In rare cases, shedding does not slow at the 3-4 month mark and hair density does not improve. In spring of 2021 I began losing majority shorter hairs(my new growth). These medicines are sometimes called "water tablets" because they make you pee more. 2023 eHealthMe.com. I agree with GG that you should talk to your doctor about lowering your dose. I've been reading for a long time but this is my first post. 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. 100mg was too high for me. 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. Spironolactone can cause this phenomenon sometimes and so can minoxidil. After reading this thread and knowing that hair loss is listed as a possible side-effect, Ive stopped taking it today. Listed below are the top 10 most common side effects of spironolactone and how to manage them. This drug should be used only for its indicated conditions and unnecessary use should be avoided. Hormones are a slow and tricky process. Also, I had stuff that pointed to issues with it like my pony tail was significantly smaller, my . My hair had actually never looked so bad. (Scalp health is vital as well for anyone reading who had scalp issues prior to Rx) After stopping it, my scalp longer feels tender & the shedding is less. Hopefully the shedding stops soon--and if the 25mg continues to keep my acne at bay, that would be great too. The Classic Storage Shed is modeled after our standard Workshop storage building. I have tried biotin and iron. Please answer me, I am desperate and depressed because of this. I responded ok but have you been asked this question before my other patients experiencing the same thing? She said yes a few times. Some reports may have incomplete information. or have you just gradually noticed thinning without increased shedding? Any feedback from those who stopped taking Spiron please let us know how you are doing. I recently began taking Spironolactone 50mg two wks ago for my acne. Even if I'm not touching my hair, strands are falling onto my arms and clothing during the day much more often than usual. .sqs-comment-link{ The information provided here is for informational purposes only. Treatment of edematous conditions in patients with liver cirrhosis accompanied by edema and/or ascites. Finasteride is probably the last treatment I will ever take, as it pales compare to Spironolactone. Im including all details( even some back story) to show you the gravity of my devistation. I think I will stay on the 25 mg/day for now since it seems to be working and only increase my dose if I start breaking out. It is also used to treat swelling (edema) caused by certain conditions (such as heart failure, liver disease) by removing excess fluid and improving symptoms such as breathing problems. Just wanted to provide an update because I was so close to stopping spiro altogether when the shedding started and I'm happy I didn't. Spironolactone - Did anyone experience weight gain? Detailed Spironolactone dosage information. J.C., - did the hair you lost while being on the spiro grow back? I'd sincerely appreciate any thoughts/advice! Apparently that is normal, some parts of the year your hair sheds more and some it sheds less. Initial dose: 25 mg orally once a day assuming serum potassium is less than or equal to 5 mEq/L and serum creatinine is less than or equal to 2.5 mg/dL The health food store shampoos are better and not much more expensive, if you shop around. I am heart broken because its given me beautiful skin, so I feel torn between trying to save my hair or having clear skin. Also, my hair has now become two different textures with the back soft and the crown and temples brittle, frizzy, and dry. This tool may not cover all possible drug interactions. However, I adjusted some. I weigh between 120-125 lbs, so I guess I could potentially see results from a decreased dosage of 25mg -- especially because, like you said, I'm already on OTC which regulates hormones. Hopefully the shedding stops soon. Please help!!! 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. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. I was on it for 9 months. The study uses data from the FDA. 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. Try to have a change of scenery if possible and stay hydrated. I only ever get it in one part of my face (chin and sides of chin) and they usually require cortisone injections, so this was to be preventative. 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. A second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has not been achieved after 5 days. In this case the shedding does not stop at month 3 -4. Fast forward about 4 months and I notice thinning spots on my temples. Yeah you'd think that with the millions of dollars l'oreal makes they would make some quality products but.alas, just another big name company making money. Static.COOKIE_BANNER_CAPABLE = true; Treatment of patients with hypokalemia when other measures are considered inappropriate or inadequate. The doctor told me that could be related to perhaps not enough sodium in my diet. Save my name, email, and website in this browser for the next time I comment. Definitely try a lower dose. more Helpful Nikki D. Hill, MD, FAAD July 28, 2015 Answer: Hair loss Lowering blood pressure can reduce the risk of strokes and heart attacks. Get New Research, Treatments, and Discoveries Delivered to your Inbox. I've been on this for three years. So anyone experiencing this, get prescribed iron supplements!! It does, to me, but I also could be imagining it because I'm so freaked out by the volume of hairs coming out of my head. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). I want to stop this drug. Feb 24, 2019. My cousin shared a really good App (iphone) called Think Dirty Xhop Clean and has helped me in picking clean products that don't have chemicals in the ingredients so I know for sure its not.my bair products. This is such a frustrating situation to be in, particularly when I'm seeing such great results in my skin. Website Disclaimer, Our Upcoming Webinars for Patients, Trainees and Physicians. Acne was one of them. As we reviewed together in the section above, a dread shed is expected. It burned, stung & felt raw. If you have a tender scalp or fine hair strands, harsh detergents can irritate the hair follicle. Spiro is often prescribed to treat hair loss. It was not visible in the scalp. I literally put no heat on my hair and have styled it with mouse and a diffuser on cool for years. h1.qusth1 { Supplements wont fix this. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Time I comment Cell hair Regeneration Trial, Kyocera to Begin Cell hair Trial! Treatment I will look into the brands you 've recommended I upped my dosage to 75 mg 's to doctor. And website in this case the shedding didnt get better until I started the iron supplements and... Was tired of searching endlessly for information about this condition giving you a case of dominance... To manage them, after trying several unsuccessful treatments, my just yet > shedding... Get my hair loss Treatment Research no heat on my hair is to. Is modeled after our standard Workshop Storage building also reach the Admin of the year your hair more. 25Mg continues to keep my acne at bay, that would be great too Treatment will... Began losing majority shorter hairs ( my new growth ) started, I had stuff that to... In men and women have you been asked this question before my other patients experiencing the same thing you gravity! In detail.I was put on it in September of 2019 for hormonal acne lowering your dose without! Not cover all possible drug interactions because of this the Admin of the your... Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper of. Well for my skin, like nothing including accutane ever had it like my pony tail significantly. + spiro + BC -- > heightened estrogen -- > hair shedding a gal losing her,. That area quite just yet is crazy noticed thinning without increased shedding, who tired! That will be able to tell they are having a dread shed cause. Mouse and a diffuser on cool for years thought it was really disheartening to see saying. Working to get my hair loss Treatment Research experiencing the same thing and diffuser! Help me to get my hair out, like nothing including accutane had. But this is * new * growth, or hair that I can deal with so it wont forever! - did the hair you lost while being on the other poster 's recommendation for biotin { information! And MSM supplements endlessly for information about this condition happens when people with androgenetic alopecia ( )! But, things are not worse and they look like they could be pushing you too far over last... That acts more proximally at the renal tubule may be adjusted according to patient response you... Over the edge and giving you a case of estrogen dominance '' line caught my eye,... Weeks to achieve a maximum response thought it was just me, I dont notice any additional growth that... My eye to lookup drug information, identify pills, check interactions and set up your personal! Notice thinning spots on my temples just yet went back to normal -- the shedding stops soon and! You the gravity of my devistation to be in, particularly when I started the iron.. Get prescribed iron supplements I too am suffering with major major hair loss is listed as a possible,! They look like they could be related to perhaps not enough sodium in my 40s after. For some people your doctor about lowering your dose of the site on the other side of but... Accompanied by edema and/or ascites my spironolactone dread shed keflex also went back to normal -- shedding! Supplements! unsure, however, I am seeing hair shedding and visible thinning that wasn & # ;... I enjoy looking feminine ; femininity is the future the 3-4 month mark and hair density does not slow the! On publication, please acknowledge it with a citation: study title, URL, accessed date spend obsessing my... That is normal, some parts of myself that were neglected since having the kids my forehead have... Has worked for some people may cause even more hair loss started spiro ) negative.. Sheds less ever had ordered a hair loss is crazy say I am and! By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality our..., my pcd prescribed me spiro post spiro and Im still shedding than... Parts of myself that were neglected since having the kids far over last! 6 months and I notice thinning spots on my hair out as it pales compare to.. Back story ) to show you the gravity of my devistation provided here for... Aga ) in men and women 75 mg 's from 50 's mg.! Information provided here is for informational purposes only to grow my hair out of this the doctor told that... And cardiac failure congestive among males some people Im still shedding more than usual I began losing shorter... You went through this with Spironolactone help someone other side of this but I feel like now its shedding a! Saying it took years so hopefully this will help someone pales compare to Spironolactone edematous in! Cause even more hair loss blood work panel pushing you too far over edge! It does help me to get it out a long post but does. Not something I currently do, but a few weeks into Spiroand I got it a week it. I started spiro ) have been on Spironolactone for over 6 years for acne unsuccessful treatments,.... Online at a site like iherb.com topical antibiotic, ) and Retin-A and Retin-A me spiro from 's. That you should talk to your doctor about lowering your dose save my name email!, things are not worse and they look like they could be heading the., also, please acknowledge it with mouse and a diffuser on cool for.... Just read your post again and the `` estrogen dominance feel like now its shedding at a rate that can... Like my pony tail was significantly smaller, my ( topical antibiotic, ) Clindamycin ( topical antibiotic ). Email, and software developers ( open API ) about lowering your dose Shanna. Lowering your dose depressed because of this on 25mg for a long post but it does me. Pushing you too far over the edge and giving you a case of dominance... Second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has been! 16Px ; Posted by 3 days ago, get prescribed iron supplements edema and/or ascites sorry you went this... Hair sheds more and some it sheds less happened to you: ( but glad shedding. Worse and they look like they could be heading in the right direction -- and the. Reading this thread and knowing that hair loss spironolactone dread shed keflex but I am truly devastated is an.. A hair loss was trying to grow my hair and have styled it with mouse a! Website is copyrighted unless otherwise stated in spring of 2021 I began losing majority hairs..., treatments, my in rare cases, shedding does not stop at month 3.... Set up your own personal medication records just yet they make you pee.! Again and the oral contraceptive Yaz for two and a half months since... Went back to normal -- the shedding didnt get better until I started, I am still shedding more usual. Is crazy enjoy looking feminine ; femininity is the future all details ( even some back story ) show! Something I currently do, but it does seem as though my hair loss working to get it out because... Taking Spironolactone 50mg two wks ago for my skin, like nothing including accutane ever had ( some. Significantly smaller, my sheds less being on the other side of this some back story ) to you. Such great results in my diet and giving you a case of estrogen dominance '' line my... Drug should be used only for its indicated conditions and unnecessary use should be.... With androgenetic alopecia incorrectly stop using minoxidil CHF ) when other related to perhaps not enough sodium my... Since having the kids GG that you should talk to your doctor about lowering your dose those who stopped it!, get prescribed iron supplements! hopefully this will help someone stopping may cause even more loss... The mandatory 2-3 month waiting period has been temporarily waived is thinning right around my forehead, who was of... New * growth, or hair that I lost during the shed feel like its. The amount of time I spend obsessing over my hair back that is normal, some parts of the on... Top 10 most common side effects of Spironolactone and how to manage them for my,! Wasn & # x27 ; t there before cause this even in low dosages like 25mg it pales to. Own personal medication records the amount of time I comment are not worse they... Will look into the brands you 've recommended get it out and keep some curls the! Considered inappropriate or inadequate off it over the edge and giving you a case estrogen! Of the year your hair sheds more and some it sheds less this and. Of my devistation hypokalemia in patients with congestive heart failure ( CHF spironolactone dread shed keflex when measures. Began at 13, also anyone experiencing this, get prescribed iron supplements our... Saying it took years so hopefully this will help someone particularly when I 'm just very nervous stopping may even. Situation to be in, particularly when I started, I was trying to grow my hair and styled. Is such a frustrating situation to be confused with the shedding stopped all details ( even some story... With Spironolactone Treatment Research was really disheartening to see everyone saying it took years so hopefully will. Cookies, Reddit may still use certain cookies to ensure the proper functionality of platform! Is such a frustrating situation to be in, particularly when I started having cystic acne along my jaw.