FDA-approved genericAbout 10 minutes, online.
A US-licensed physician decides.
Ships discreetly from a US-licensed pharmacy.
Spironolactone
Prescribed by a US physician · Dispensed by a licensed US pharmacy
Spironolactone is an oral medication prescribed off-label for hormonal acne and female pattern hair thinning. It blocks the effect of androgens (hormones like testosterone and DHT) on the skin and scalp, which is why it’s often used for jawline and chin breakouts that flare around your period, and for thinning alon...
Spironolactone is an oral medication prescribed off-label for hormonal acne and female pattern hair thinning.
It blocks the effect of androgens (hormones like testosterone and DHT) on the skin and scalp, which is why it’s often used for jawline and chin breakouts that flare around your period, and for thinning along the part.
Your physician chooses 50 mg or 100 mg.
Ships as 90 tablets (a 90-day supply), billed every 3 months. Not for use during pregnancy, so reliable contraception matters, and your physician may check your potassium.
Prescription required. A licensed physician decides if spironolactone is right for you.
Prescription only. A licensed physician decides eligibility from your medical intake. Individual results vary.
HOW IT WORKS
What happens after you start?
You won't be charged unless a licensed physician approves you.
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Today
Start your protocol
Pick your strength and check out. Your medical intake opens right after.
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About 10 minutes
Complete your intake
Answer the medical questions online. No appointment, no waiting room.
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Typically within a few days
Physician review
A US-licensed physician reviews your intake and decides whether this protocol is appropriate for you. If it isn't, the hold on your card is released and you're not charged.
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Ongoing
Fulfilled & delivered
If approved, a US-licensed pharmacy fulfills your prescription and ships it to your door on your plan's schedule.
Read: Is getting a prescription online safe?
One price
Everything in the price.
- US-licensed physician review. Visits elsewhere run $49–79.
- Your medication. From a US-licensed pharmacy.
- Free discreet shipping.
- Unlimited physician messaging during treatment.
- Price lock. Your price never goes up.
Plus
- A routine card in the box
- A 90-day physician check-in
THE SCIENCE
How does Spironolactone work, and what does it cost?
Spironolactone blocks androgen activity in the skin, lowering the hormonal signal that drives oil production and hormonal acne. Used off-label for acne and hair, it may cause increased urination, breast tenderness, or irregular periods, and calls for potassium awareness. Not for use in pregnancy.
FACT SHEET
WHAT TO EXPECT
What should you expect, month by month?
- Week 1
Your protocol arrives. Start as directed and note how you feel.
- Month 1
Your body adjusts. Early changes, if any, are usually subtle; mild side effects often ease in this window.
- Month 3
Many patients begin to notice change. Your physician checks in and adjusts the dose if needed.
- Month 6+
Progress is reassessed with your physician, who decides whether to continue, adjust or taper.
Timelines vary by person, dose and condition. Your physician sets the pace and adjusts as you go.
FAQ
Common questions about Spironolactone
Still deciding between strengths, or between this and another protocol?
Take the 60-second quiz
Am I eligible?
Eligibility is a clinical decision. After you check out, you'll complete a medical intake; a US-licensed physician reviews it and determines whether this protocol is appropriate for you. If it isn't, the hold on your card is released and you're not charged.
Is spironolactone FDA-approved for acne?
Spironolactone is an FDA-approved generic medication, originally for blood pressure and fluid balance. Prescribing it for hormonal acne is off-label and common in dermatology. It is not compounded.
Who is it usually for?
Most often adult women with hormonal acne, typically along the jaw and chin, that flares with the menstrual cycle. It is not prescribed during pregnancy.
What side effects should I expect?
More frequent urination, breast tenderness, irregular periods and lightheadedness are the most common. It can raise potassium, so avoid potassium supplements and salt substitutes unless your physician approves, and your physician may check your levels.
How long until I see results?
Many people need about three months to judge how well it is working. Your physician reviews your progress and adjusts the dose if needed.
How is it shipped?
Discreetly, in plain, unbranded packaging, straight from a US-licensed pharmacy. No special handling needed; store it as your pharmacy label directs.
What if I'm not approved?
You're not charged. Checkout places a temporary hold on your card, and it's released if a physician doesn't approve your protocol. Where possible, your physician may suggest an alternative that fits your case.
What's included, and what's billed separately?
Your price covers your physician review, your prescription, messaging with your care team and, for most protocols, your medication and shipping from a US-licensed pharmacy. Brand-name GLP-1 care is the exception: you buy the medication from the manufacturer's own pharmacy. For isotretinoin, the required lab work (blood tests, and monthly pregnancy tests if you can become pregnant) is billed separately by the lab.
How quickly will it arrive?
Once a physician approves your protocol, the pharmacy prepares your prescription and ships it to you. Your dashboard shows the status and tracking at every step.
Can I cancel or pause?
Yes, there's no lock-in. You can pause or cancel your protocol anytime from your dashboard before your next fulfilment.
Read: More acne answers
SPIRONOLACTONE · $99 / 3 MONTHS
Ready when you are.
Start your protocolCharged only if a physician approves you.