Spironolactone
on-label Rx · comparatorFDA-approvedAndrogen receptor + aldosterone antagonism
Overview
Aldosterone antagonist with anti-androgen activity; standard for PCOS hirsutism.
How it works
- Androgen receptor antagonism
- Aldosterone antagonism
Dosing
50–200 mg/day for hirsutism.
Oral100 mg standardrange ·–200 mg· daily
Cycling
- Continuous
Side effects
- Common
- Menstrual irregularity
- Breast tenderness
- Warnings
- Hyperkalemia — monitor K+
Verified citations
2 · PubMed-checked- The spironolactone renaissance.reviewPMID 11322868
- Spironolactone for Acne: Practical Strategies for Optimal Clinical Outcomes.reviewPMID 40875941
Reconstitution
Not applicable · this compound is oral. No vial reconstitution needed.
Legal / compounding
FDA-approved
FDAApproved
Legal status is a hard gate: non-compoundable or delisted agents cannot be filled and are blocked from protocol export. Keep 503A status current.