Typically, spironolactone treatment for hirsutism begins with a low dose of 25-50mg daily. This dose is gradually increased, usually by 25mg increments every 2-4 weeks, based on individual response and tolerance.
Effective doses generally range from 50mg to 200mg daily. Higher doses aren’t always more effective and can increase side effects. Your doctor will monitor your progress closely.
Treatment response varies considerably. Expect to see noticeable improvement in 3-6 months, but continued treatment for 6-12 months, or longer, may be necessary for optimal results. Regular follow-up appointments are vital for dosage adjustments and monitoring of potential side effects.
Side effects are possible and should be reported to your doctor immediately. Common ones include menstrual irregularities, breast tenderness, and nausea. Less frequent but serious side effects include hyperkalemia (high potassium levels) and electrolyte imbalances. Regular blood tests are used to monitor potassium levels and overall electrolyte balance.
| 25-50 | Initial Assessment | Blood pressure, potassium levels |
| 50-100 | 3-6 months for noticeable improvement | Blood pressure, potassium levels, menstrual cycle regularity |
| 100-200 | 6-12 months or longer for optimal results | Blood pressure, potassium levels, liver function tests (occasionally) |
Remember, this is a guide. Your doctor will personalize your treatment plan considering your medical history, other medications, and individual response. Always consult your physician before starting, stopping, or changing any medication.
