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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Hair Loss, Tiredness And Loss Of Energy Be Considered Side Effects Of Spironolactone?

Hi there, I am a 37 year old female. Here is some background: I have been taking 200mg of Spironolactone for the last seven years to stop or at least slow hair loss. I still lose hair and I have been losing a considerable amount over the last two months. The side effects of the spirolactone for me are tiredness and low energy. Also, I have had my period(or whatever you call it - breakthrough bleeding) every two weeks for the last 5 months. I had an intravaginal ultrasound which came out fine except for a tiny fibroid. My doctor said that the fibroid would not be the cause of the bleeding. Because of hair loss and bleeding, my doctor just gave me a prescription for Yasmin to help with both of my concerns. I'm very reluctant to take it because of the side-effects and because I've never been on the birth control pill before. Is there any advice you can give me about anything I've written above? Any ideas? What do you think of Yasmine? I would very much appreciate your input.
Mon, 5 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Tiredness, feeling of weakness, irregular menstural bleeding, breast tenderness are all well known side effects of spironolactone. Probably you were asked to take spironolactone for Androgenetic Alopecia.
The birth control pill that you have been asked to take is a good choice for both your irregular menstural cycles as well as would work against androgen induced hair loss.
Side effects of birth control pills are mostly mild and tolerable and most disappear after a few days or a month of use. Headache dizziness and breast tenderness, nausea etc
Besides I would suggest you to start using Minoxidil for you hair loss. It is a recommended therapy for androgenetic hair loss.
An Oral biotin supplement can also be added and would reduce hair fall and support hair regrowth as well.
Regards
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Could Hair Loss, Tiredness And Loss Of Energy Be Considered Side Effects Of Spironolactone?

Hello. Thank you for writing to us at healthcaremagic Tiredness, feeling of weakness, irregular menstural bleeding, breast tenderness are all well known side effects of spironolactone. Probably you were asked to take spironolactone for Androgenetic Alopecia. The birth control pill that you have been asked to take is a good choice for both your irregular menstural cycles as well as would work against androgen induced hair loss. Side effects of birth control pills are mostly mild and tolerable and most disappear after a few days or a month of use. Headache dizziness and breast tenderness, nausea etc Besides I would suggest you to start using Minoxidil for you hair loss. It is a recommended therapy for androgenetic hair loss. An Oral biotin supplement can also be added and would reduce hair fall and support hair regrowth as well. Regards