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Spironolactone untuk Alopecia Androgenetik

A

Berdasarkan 25 studi (4 meta-analyses, 2 RCTs) dengan 6,273 peserta secara total. 19/25 studi menunjukkan efek positif.

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A

Kesimpulan

Spironolactone is well-supported by research as an anti-androgen medication that may help reduce hair loss in androgenetic alopecia, particularly in women, though it requires medical supervision.

  • 76% of studies show positive effects, backed by 4 meta-analyses
  • Works by blocking androgen hormones that contribute to hair miniaturization
  • Particularly studied in women with PCOS-related and female pattern hair loss
  • Requires prescription and medical monitoring due to hormonal effects

Key Study Findings

Review
Androgenetic Alopecia in Women: A Narrative Review of Pathophysiology, Clinical Evaluation, and Treatments.
Dose: None vs: None Outcome: None Efek: None None

Populasi: women with androgenetic alopecia (female pattern hair loss)

Review
Male and female pattern hair loss.
Dose: None vs: Placebo Efek: None None
RCT n=48 24 weeks Double-blind
Efficacy and safety of oral spironolactone for female pattern hair loss in premenopausal women: a …
Dose: Spironolactone 100 mg once daily vs: Placebo Efek: Terminal hair counts: 9.48 vs 5.32 hairs/cm2; hair diameter: 4.23 vs 2.96 μm; moderate-to-marked imp p=0.063 (terminal hair counts)
Randomized Controlled Trial n=125 4 weeks Double-blind
Effects of a cannabidiol/terpene formulation on sleep in individuals with insomnia: a double-blind, placebo-controlled, randomized, …
Dose: CBD 300 mg + 1 mg each of 8 terpenes vs: Placebo Outcome: Percentage of time in SWS + REM sleep Efek: 1.3% increase [0.1-2.5%]; up to 48 min/night in su 0.03

Populasi: Individuals with insomnia

Cohort Study n=203
An international multicenter, retrospective cohort study of 203 patients with pediatric androgenetic alopecia.
Dose: None vs: None Outcome: Clinical presentation and treatment outcomes in pediatric AGA Efek: None None

Populasi: Pediatric patients with androgenetic alopecia (multicenter)

Randomized Controlled Trial n=30
A Prospective and Comparative Study to Explore the Effects of Platelet-Rich Plasma in Hair Transplantation …
Dose: None vs: Drug therapy (minoxidil + finasteride/spironolactone) only Outcome: Follicle survival rate, growth rate, hair strength Efek: None None

Populasi: Patients with androgenetic alopecia

Key Statistics

45

Studi

6472

Peserta

Positive

A

Peringkat

Referenced Papers

Australian prescriber 2025 2 sitasi
Journal of cosmetic … 2024 11 sitasi
JAAD international 2023 80 sitasi
Clinical, cosmetic and … 2023 58 sitasi
Alternative therapies in … 2020 11 sitasi
BMJ case reports 2017 6 sitasi
The Cochrane database … 2016 18 sitasi
Current problems in … 2015 8 sitasi
International journal of … 2013
Seminars in cutaneous … 2009 4 sitasi
Revue medicale de … 2004
Current pharmaceutical design 1999
Journal of the … 1999
Dermatologic clinics 1998 121 sitasi

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Dosis yang Umum Digunakan

hairloss:
100-200 mg/day (prescription)

Batas atas: 200 mg/day (hair loss indication)

Dosis yang Diteliti dalam Penelitian

Dosis Durasi Efek N
None -- Neutral --
None -- Positive --
Spironolactone 100 mg once daily 24 weeks Positive 48
CBD 300 mg + 1 mg each of 8 terpenes 4 weeks Positive 125
None -- Positive 203
None -- Positive 30
various across included studies (2015-2024) -- Positive --
None -- Mixed --

Waktu terbaik diminum: Once or twice daily with food; prescription required

Safety & Side Effects

Efek Samping yang Dilaporkan

  • Menstrual irregularities
  • Breast tenderness
  • Hyperkalemia (elevated potassium levels)
  • Dizziness and orthostatic hypotension
  • Frequent urination

Interaksi yang Diketahui

  • ACE inhibitors and ARBs (increased hyperkalemia risk)
  • Potassium supplements and potassium-sparing diuretics (dangerous hyperkalemia)
  • NSAIDs (may reduce diuretic effectiveness and increase kidney risk)
  • Digoxin (spironolactone may increase digoxin levels)

Asupan atas yang dapat ditoleransi: 200 mg/day (hair loss indication)

Selalu konsultasikan dengan tenaga kesehatan Anda sebelum memulai suplemen apa pun.Selalu konsultasikan dengan penyedia layanan kesehatan Anda sebelum memulai suplemen apa pun.

Frequently Asked Questions

Does Spironolactone help with Alopecia Androgenetik?
Based on 45 studies with 6,472 participants, there is strong evidence from multiple clinical trials that Spironolactone may support Alopecia Androgenetik management. Our evidence grade is A (Strong Evidence).
How much Spironolactone should I take for Alopecia Androgenetik?
Studies have used various dosages. A commonly studied range is 100-200 mg/day (prescription). Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Spironolactone?
Reported side effects may include Menstrual irregularities, Breast tenderness, Hyperkalemia (elevated potassium levels), Dizziness and orthostatic hypotension. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Spironolactone and Alopecia Androgenetik?
We rate the evidence as Grade A (Strong Evidence). This rating is based on 45 peer-reviewed studies with 6,472 total participants. The overall direction of effect is positive.

Related Evidence

Penafian FDA: Pernyataan-pernyataan ini belum dievaluasi oleh Food and Drug Administration. Produk dan informasi di situs web ini tidak dimaksudkan untuk mendiagnosis, mengobati, menyembuhkan, atau mencegah penyakit apa pun. Peringkat bukti yang disajikan didasarkan pada analisis kami terhadap penelitian yang ditinjau sejawat dan tidak merupakan saran medis. Selalu konsultasikan dengan penyedia layanan kesehatan Anda sebelum memulai regimen suplemen apa pun.