I was on spironlactone with long term antibiotics, unfortunately no improvement for me. But fingers crossed helps you
July 24
Yes! One myHSteam member shared that their dermatologist prescribed spironolactone for their HS, though they were a bit nervous to start it. It's a common feeling — starting a new medication can feel daunting. As for whether it works, the research is cautiously promising, especially for women. Here's what studies have Show Full Answer
Yes! One myHSteam member shared that their dermatologist prescribed spironolactone for their HS, though they were a bit nervous to start it. It's a common feeling — starting a new medication can feel daunting. As for whether it works, the research is cautiously promising, especially for women. Here's what studies have found:
- A study of 64 females showed spironolactone outperformed oral antibiotics
- After 7 months on spironolactone, participants had fewer lesions and less pain
- In a smaller study, 17 out of 20 women saw improved symptoms after just 3 months
It's worth noting that spironolactone is generally not recommended for men with HS due to the risk of breast enlargement as a side effect. Like any medication, spironolactone does come with potential side effects to be aware of:
- Digestive issues like nausea, vomiting, or diarrhea
- Electrolyte imbalances (higher potassium levels), which can cause dizziness or fainting
- Skin reactions like rash or hair loss
- Neurological effects such as headaches or fatigue
It's also not recommended during pregnancy or breastfeeding. Always talk to your dermatologist to see if it's the right fit for your situation.
July 23
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