---
title: "Spironolactone for Hair Loss | 50Mg - 100Mg Rx - $33 per mo."
description: "Alloy Health offers a prescription for oral spironolactone in the form of a daily pill tested to prevent further hair loss in 100% of women. It's safest and most effective for women with signs of excess androgens."
url: "https://www.myalloy.com/solutions/oral-spironolactone"
---

# Spironolactone for Hair Loss | 50Mg - 100Mg Rx - $33 per mo.

> Alloy Health offers a prescription for oral spironolactone in the form of a daily pill tested to prevent further hair loss in 100% of women.  It's safest and most effective for women with signs of excess androgens.

##  Oral Spironolactone

Type: Prescription (Rx)

Price: $33.00

__Per month__ 

Each bottle is a 3-month supply, billed at $99.00.

Noticing thinner hair? There’s a hormonal explanation and a prescription solution. Oral Spironolactone is a daily pill that can prevent further hair thinning in up to 100% of women with female-pattern hair loss.* It's safest and most effective for women with signs of excess androgens.


- Includes $0 unlimited doctor access
- Delivered to your door for free
- HSA/FSA Eligible
- FDA Approved

[Start Now](https://secure.myalloy.com/experience?categories%5B%5D=hair-health&sku-ids%5B%5D=d09eab48-6364-4b6a-a79b-98317881465b&skip-category-select=true&type=intake)

##  Hair loss is common in menopause. But you don’t have to accept it.

### Targets hormonal hair loss

Combats excess androgens, a key hormonal driver of thinning hair in some women.


### Prevents thinning hair

Can help reduce further hair thinning in up to 100% of women.* Volumizing shampoo could never.


### Fits your needs

Personalized dosing allows your menopause-expert doctor to tailor your care to you.


### Doctor-prescribed

Managed by your board-certified physician, with $0 unlimited doctor messaging.


## Learn more about Oral Spironolactone

### Details

__What is it:__ Spironolactone is a daily prescription tablet that can help reduce hair loss during menopause. It’s an anti-androgen that works to combat a key hormonal signal behind hair thinning: excess androgens. 

__Who is it for:__ Women who have thinning hair related to hormones, particularly when it occurs alongside signs of higher androgen levels — such as unwanted hair growth on the face or body, persistent hormonal acne, or a diagnosis of polycystic ovary syndrome (PCOS). It can be appropriate as well if you've developed unwanted hair growth after starting minoxidil, or if minoxidil alone hasn't given you the results you were hoping for and you're looking for an additional option.

__What am I getting:__ 90 tablets (3-month supply) of oral spironolactone.

__How to get it:__ Prescription required. A menopause-specialized doctor will review your medical history to determine if this is the right treatment for you.


### Suggested Use

Take one tablet daily, ideally in the morning. Take with food.


### Safety Information

Common, dose-dependent side effects can include menstrual irregularity, more frequent urination (especially in the first weeks of treatment), breast tenderness or enlargement, and fatigue or headaches.

Less common side effects can include decreased libido, sexual dysfunction and vestibulodynia, as well as postural hypotension/dizziness and hyperkalemia in women with already-low androgens (rare in healthy young women; significantly higher in women ≥65).

Seek medical attention for:
- Muscle weakness or palpitations (possible hyperkalemia)
- Severe dizziness, fainting
- Allergic reaction

Pregnancy: Spironolactone is teratogenic. It is contraindicated in pregnancy, in patients trying to conceive, and in breastfeeding patients. Reliable contraception is required in women of reproductive potential.

Consult your doctor before starting if you are pregnant, have any medical concerns, or are taking a drospirenone-containing oral contraceptive (such as Yaz, Yasmin, Nikki, Loryna).


*THE TRUTH ABOUT MENOPAUSE*

### Almost 40% of women will experience hair loss during and after menopause

![Woman with red hair smiling](https://images.ctfassets.net/md0kv0ejg0xf/5GACY2RYBPUAAQIs0wpeHE/7bbf84b319f361124a6a712980edc37b/Hair-clp.jpg)

### How Alloy Works

We make it easy to connect directly with a menopause-specialized physician.

[Find Your Plan](https://secure.myalloy.com/experience)

**Tell Us About Yourself (5-10 minutes)**


Fill out an intake form to share your symptoms, health history, and goals

**Get a Treatment Plan (less than 12 hours)**


Your expert doctor will create a personalized plan based on your needs.

**Free Delivery to Your Door**


Get your prescriptions sent right to your home with free shipping

**24/7 Care + Ongoing Support**


Get unlimited access to your doctor, support groups, and more

![Hair Growth Better Together](https://images.ctfassets.net/md0kv0ejg0xf/3qkCWntHpUDZRnUT60LWQS/7b44540b29d080117b2666372727f5da/Latisse-PDP_720x560__1_.jpg)

###  The complete head-to-lash solution

Spironolactone + minoxidil is the most evidence-backed combination in female hair loss, while Lash & Brow Serum Rx can deliver visible results in as little as 8 weeks.* 

### __Stack two hair solutions and save $30, or get all three and save $60.__

[Get Started](https://secure.myalloy.com/experience?categories%5B%5D=hair-health&skip-category-select=true&type=intake)

## Frequently asked questions

### When will my oral spironolactone start working?

Spironolactone works gradually. Most women start to see less shedding first, then regrowth and thicker hair over time. Give it 3–6 months before you judge it, and know that the fullest results can take up to a year. Hair is patient. So are we.

### What side effects should I look out for?

Spironolactone is generally well tolerated at the doses we use for hair. The most common effects come from its mild diuretic action: you may pee more often (especially in the first few weeks), feel a little lightheaded, or notice your blood pressure runs lower. Some women experience breast tenderness, menstrual changes if they're still cycling, headaches, or fatigue. Because spironolactone affects potassium, your doctor may check your levels and will ask about any potassium supplements or medications you take. Most of these effects are mild and settle as your body adjusts. If anything feels off or doesn't ease up, tell your care team.

### Can I take oral spironolactone and oral minoxidil together?

Yes, a lot of women do. The two work on different parts of the problem: spironolactone calms the hormonal drivers of thinning, while minoxidil nudges your follicles to grow. Used together, they're often used together, which is why providers often pair them. The main thing to keep an eye on is that both can nudge your blood pressure down a little, so you might feel lightheaded, especially at first. Your doctor will look at your full picture and confirm the combination is right for you.

### Is it safe to take oral spironolactone with my HRT?

In most cases, yes — spironolactone and HRT are often used together, and many women take both. The one difference from a medication like minoxidil: spironolactone does have hormonal activity (it blocks androgens), so this is a conversation to have with your doctor, who'll look at your full picture and confirm the combination is right for you.

### How will I know if I'm on the right dose?

Spironolactone is dosed in tiers, and your doctor will start you at the level that fits your needs and health history. If you haven't seen results after about three months, that's the moment to check in, your provider can talk through adjusting your dose. The goal is the lowest dose that works well for you.

### How long will results last from taking oral spironolactone?

As long as you keep taking it. Spironolactone manages the hormonal drivers of thinning; it doesn't cure them. If you stop, the effect fades and hair loss can pick back up where it left off. Think of it as ongoing care, not a one-time fix.

### Is oral spironolactone eligible for HSA or FSA reimbursement?

Yes! Medications prescribed by a licensed provider are eligible to be paid for or reimbursed by your HSA or FSA. Your invoice is available to download and include when you submit to your plan for reimbursement. If you require more information, please contact us at support@myalloy.com and we will assist you. Note: The IRS defines which medical expenses are eligible under an HSA or FSA, and the products carried on Alloy are in compliance with these requirements. However, these plans can vary and some may not allow all eligible HSA or FSA expenses. It's important to always check with your benefits administrator to determine which expenses are eligible before you shop.

### Where is Alloy available?

All 50 U.S. states and D.C. (Global users can still access our content & resources.)

[Learn More](https://myalloy.zendesk.com/hc/en-us)

## The Alloy Promise 

At Alloy Health, we believe every woman deserves thoughtful, evidence-based care, and the information she needs to make confident decisions about her health based on facts, not fear. 

Our board-certified physicians follow guidelines from leading medical organizations including ACOG and The Menopause Society and recommend treatments tailored to each patient. 

##### [Learn more](https://www.myalloy.com/who-we-are)

![The Alloy Promise - Small](https://images.ctfassets.net/md0kv0ejg0xf/1OxkVrKzucAIz3XjYr4dC7/a4d065b4ff812e2c000fbcd7568b4df0/Alloy_Promise.png)

### Disclosure
*Rathnayake & Sinclair, Dermatol Clin, 2010.

**Famenini et al., JAAD, 2015


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*This is a markdown version of [https://www.myalloy.com/solutions/oral-spironolactone](https://www.myalloy.com/solutions/oral-spironolactone) for AI/LLM consumption.*
