Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Spironolactone
Prescription only
Spironolactone prescribed online
Spironolactone is an oral anti-androgen that clinicians use for hormonal acne, unwanted facial or body hair and female pattern hair loss. A Canadian-licensed medical professional decides if it suits you.
Start my assessmentAt a glance
- Oral tablet (spironolactone)
- For hormonal acne, hirsutism and hair loss
- Contraception plan needed
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Do not take spironolactone if you are pregnant or breastfeeding. Use reliable contraception. Get urgent care for muscle weakness, a slow or irregular heartbeat, or fainting.
Choosing the right plan for you
Your clinician decides the dose and how long you take spironolactone. Many people start low and adjust over time. The plan depends on your condition, your blood pressure, your age and your other medicines.
Considerations include
- Your condition: acne, extra hair or hair loss
- Severity and how long it has lasted
- Blood pressure and kidney health
- Other medicines, such as blood pressure medicines
- Pregnancy plans and contraception
How spironolactone works
Spironolactone calms the effect of androgens on skin and hair
Androgens can make skin oilier and hair follicles shrink or grow in new places. Spironolactone blocks androgens from acting on the skin and follicles. It also lowers some androgen production.
This takes time. Acne often improves over a few months. Hair changes take longer, often many months.
Modern Dermatology
Spironolactone
Prescription only
Recommended for
- Hormonal acne in adult women
- Acne along the jawline and chin
- Unwanted facial or body hair
- Female pattern hair loss
- People who need an option other than an antibiotic
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Blocks androgen receptors
Less hormone effect on skin
Lowers skin oil
Fewer clogged pores
Slows unwanted hair growth
Finer, slower hair
Protects scalp follicles
Less thinning over time
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, when it is appropriate for you. You complete an assessment, and a Canadian-licensed medical professional reviews it and decides if spironolactone suits you.
Spironolactone blocks androgen hormones from acting on skin and hair follicles. This lowers oil and can slow unwanted hair growth. In female pattern hair loss, it can help protect follicles.
Acne often improves over a few months. Hair changes take longer, often many months. Your clinician sets a follow-up schedule to review your progress. Do not stop early without asking.
Many people have fewer breakouts, and some see slower hair growth in unwanted areas. In hair loss, many mainly keep what they have. Results vary from person to person. Your clinician reviews your results regularly.
More frequent urination, breast tenderness, irregular periods, headache, tiredness and dizziness are common. High potassium is rare. Call your Care Team about muscle weakness or a slow heartbeat.
People who are pregnant, planning pregnancy or breastfeeding should not take it. It is also not for people with certain kidney conditions or high potassium. Your clinician decides if it is safe for you.
For acne, your clinician may discuss minocycline, doxycycline or topical clindamycin. Diane-35 is a hormonal option for acne and extra hair. For hair loss, minoxidil is another option. Your clinician picks what fits your health.
Often yes. Clinicians commonly pair it with a skin product for acne or with minoxidil for hair loss. Do not take potassium supplements or add other medicines without asking your Care Team.
No. It can affect a developing baby, and it is not advised while breastfeeding. Use reliable contraception while you take it. Tell your clinician right away if you could be pregnant.
In Canada, spironolactone is approved for other conditions, such as fluid retention and high blood pressure. Its use for acne, extra hair and hair loss is off-label. Clinicians use it widely for these concerns.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
Aldactone is the original brand name. In Canada, spironolactone is sold mainly as generic products. Your pharmacist fills the product that your plan prefers.
Your clinician decides how long you use spironolactone and when to renew it. Your Care Team follows up with you, and you can message them with questions. Renewals depend on your results, your side effects and your clinician's review.
Checked with care
Pregnancy and contraception
Your clinician asks about pregnancy plans and contraception before you start and at follow-ups.
Blood pressure
Your clinician may check your blood pressure, because spironolactone can lower it.
Potassium and kidney tests
Your clinician may order blood tests if you have risk factors or take other medicines.
Periods and side effects
Tell your Care Team about irregular periods, dizziness or breast tenderness. Your clinician can adjust the plan.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
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