Spironolactone for hormonal acne: dosing, monitoring, expectations

Starting at 25-50mg, titrating to 100-200mg. Effect timeline (3-6 months), potassium monitoring frequency, and managing common side effects.

1 min readReviewed May 2026

By Sarah Editor, MA Journalism, Certified Menopause Coach · Medically reviewed by Jane Smith, MD, MD, NAMS-certified · menopause nams

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Last medically reviewed: 5/15/2026 · Last updated: 5/15/2026 · Next review due: May 2027

Disclosure: Jane Smith, MD declares no financial relationship with the telehealth providers featured in this content.

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Starting at 25-50mg, titrating to 100-200mg. Effect timeline (3-6 months), potassium monitoring frequency, and managing common side effects.

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