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Related Experiment Videos

Tolerance of spironolactone.

B R Hughes1, W J Cunliffe

  • 1Department of Dermatology, General Infirmary, Leeds, U.K.

The British Journal of Dermatology
|May 1, 1988
PubMed
Summary

Spironolactone effectively treats hirsutism and acne, but most patients experience side effects, often manageable with dose adjustments or combined oral contraceptives. Regular monitoring is advised, especially early in treatment.

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Area of Science:

  • Dermatology
  • Endocrinology

Background:

  • Spironolactone is prescribed for hirsutism and acne.
  • Its anti-androgenic mechanism can cause side effects.

Purpose of the Study:

  • To survey side effects of spironolactone in patients with hirsutism or acne.
  • To assess management strategies for spironolactone-induced side effects.

Main Methods:

  • Survey of 54 patients undergoing spironolactone treatment.
  • Analysis of reported side effects and their management.

Main Results:

  • 91% of patients experienced side effects, primarily anti-androgenic (80%).
  • Concomitant contraceptive pill use reduced menstrual abnormalities.
  • Dose reduction (125-175 mg daily) managed side effects in 8 patients.
Keywords:
AcneAndrogensBiologyContraceptionContraceptive MethodsDemographic FactorsDermatitisDermatological EffectsDiseasesEndocrine SystemEnzyme Inhibitors--side effectsEnzymes And Enzyme InhibitorsFamily PlanningHirsutismHormone AntagonistsHormonesMelanosisMelasmaMenstruation DisordersOral ContraceptivesPhysiologyPopulationPopulation CharacteristicsSex FactorsSigns And SymptomsTreatment--side effects

Related Experiment Videos

  • Two patients developed 'chloasma', a late-onset, unreported side effect.
  • Conclusions:

    • Spironolactone is generally well-tolerated, with most side effects manageable.
    • Early monitoring is crucial for identifying and managing side effects.
    • Chloasma is a potential late-onset complication.