Spironolactone, My Personal Story


Spironolactone (Spiro) is a mild diuretic that has been 
used for decades, most commonly prescribed in combination with other drugs to elderly patients that have hypertension/edema due to heart disease.



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Unlike the diuretic Lasik which rids the body of potassium, Spiro forces the body to hold on to it by inhibiting the hormone aldosterone (which is secreted by the adrenal glands).  This in itself can be quite dangerous and lethal if not properly monitored.  Potassium in high levels can cause heart failure; in fact Potassium Chloride is used in chemical executions.

This drug may adversely affect the liver and there are warnings against prescribing it to individuals that have renal dysfunction because there is evidence that Spiro induces renal insufficiency.

In more recent years, doctors are prescribing this drug to younger women who are struggling with acne, hirsutism, PCOS (Polycystic Ovarian Syndrome) and male to female transgendered people resulting in more information about Spiro and it's many side effects.  Younger individuals, in general, take less medications and have less disease than their counterparts therefore it's easier to trace adverse reactions to a specific drug like Spironolactone.

Because Spiro obstructs testosterone (androgen) receptors, it can upset hormonal balance causing women to experience irregular periods and men to develop breast tissue. Interestingly, it was recently discovered that there are even androgen receptors located in the inner ear that this drug may target.

Besides the many body systems this drug affects, there is also a box warning that taking Spiro (which is actually a synthetic steroid hormone) could cause tumors.  Sadly many women don’t realize this drug is added to the hormone concoction known as the birth control pill Yasmin (YAZ) by the pharmaceutical company, Bayer AG.

I’m 40 and have personally used Spiro for at least three years. 100 mg twice daily was prescribed by my doctor to control my excessive acne.  I really never experienced any problem while on this medication until May 1st, 2008 when I suffered the following symptoms in varying degrees over an 11 month period.

  • Right eyesight dimmed/blurred for 30 seconds, 7 different times
  • Vertigo - Severe spinning sensation 
  • Nystagmus - Eyes darting left to right
  • Disconnected and unable to stay focused 
  • Mental confusion and struggle with short term memory recall
  • Dizziness lasting for 11 months in various degrees
  • Muscle spasms/twitches
  • Pain feeling like a hot nerve located deep in the left side of my head
  • Heart palpitations/arrhythmia 
  • Low blood pressure
  • Pain in my left shoulder when I ran.
  • Cholesterol total jumped a 100 points

The second doctor I saw wasn’t familiar with the use of Spiro for acne and recommended that my dose be cut in half (Sept 2008).  Around February, 2009 I started to use a transdermal magnesium spray that alleviated many of my symptoms and spurred me on to re-examine why I was having a mineral imbalance.  Through my research I discovered other women in my age group experiencing similar symptoms that were taking Spironolactone.  I decided to stop taking the magnesium and the Spironolactone to see if my symptoms would vanish.

Within four days, my twitches/spasms, heart arrhythmia and pain in my head stopped. I don’t experience any shoulder pain when I run, in fact I run better and faster now. My blood pressure is back to normal and I’m hoping for even more improvement as my hormones adjust and become balanced.

What happened to me frequently occurs to the elderly.  They are placed on a drug and everything seems fine.  But slowly the drug causes a deficiency or imbalance that the body can’t continue to compensate for and a symptom appears.  The doctor doesn’t think that the culprit for the new symptom is the original prescription but believes it to be the beginning of a new disease or syndrome.  The doctor then gives the patient another prescription and the process starts again.

I’ve seen many doctors over this past year that wanted to give me prescriptions for my symptoms instead of put the time into researching and figuring out what was wrong with me.  Be your own advocate; educate yourself and never give up! 



15 comments:

  1. Good post, very useful because it's from a personal experience!

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  2. Hope to see more posts from you soon!

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  3. It's nice to know your personal experiences with that drug. Now I know how this drug works.

    online pharmacies reviews
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  4. i enjoyed your post as well, ive been wondering about its safety as it is suppose to cause tumors in lab animals... can it really be safe i thought. i think thinning hair and diet changes to reduce swollen ankles should be my way to go not this drug, now to find out how to ween off of it safely
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  5. @Anonymous, If you have any questions pertaining to other "more natural" thing you can do to take the place of this drug, please don't hesitate to contact me.

    I am a certified Nutritional Supplement Advisor and Health Coach. I lost almost 2 years of my life from this drug but brought myself back to "normal" through lifestyle changes.
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  6. Does Spiro is FDA approved drug? You can try to write your drug review here
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  7. This is a nice web site. Good fresh interface and nice informative articles. I will be coming back soon, thanks for the great article.
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  8. I'm sure many of your symptoms were caused by Spiro, but they could also be caused by several other conditions, including Hypothyroid, Fibromyalgia, and general stress. Hypothyroid and stress (which increases your cortisol production) lead to hormonal imbalances, which can cause the increases in cholesterol, dizziness, feelings of disconnect/haze, memory loss, distraction, etc. I'd recommend having an incredibly open discussion with your GP about this. I'd also recommend seeking out a new dermatologist if he/she refuses to change your Spiro medication.
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  9. Thank you Anonymous for your suggestions.

    I had already had testing to for all of those and results were negative.

    I did my own research and found clinical trials summarizing spiros affect on the pituitary and the hypothalmic axis and adrenals. Through that mechanism it affected my hormones and mineral balance.

    I am now well due to using food and natural supplement to heal myself. It took about a year and a half to do so.
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  10. Sonja, Wow... I am 45 and have been on this medication for acne for 7 months. Around six months ago, I developed severe sinus pressure and inflammation, mostly around the INNER EAR! My dermatologist and my allergist both asserted that Spironolactone could not be the cause of it, even though I'd never experienced anything like this before. I even just underwent a totally ineffective and expensive balloon sinuplasty, and I still have the problem. I went off of the Spironolactone for a week before the surgery, but the condition didn't improve... how long did it take you to get back into balance after discontinuing? I've also started to have heart palpitations, but I am under a tremendous amount of stress, so I just attributed it to that. After reading your blog, I'm starting to reconsider that... I am afraid of being horribly broken out again, but I am more afraid of the long-term ill effects this medication may have on my body.
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  11. Oh Juli, my heart goes out to you!!! Please read another story from a reader. She went through terrible symptoms from the same drug! http://www.actionhealthylife.com/2011/02/found-your-spironolactone-blog-today.html

    It had taken months to totally regain my health back. I've been able to use food and supplements to keep my acne under control. I've even been able to get rid of my melasma!!!
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  12. I just stopped taking it two days ago and was searching for an article on how to stop safely. I just realized that I'm not supposed to stop suddenly. I have now skipped three doses. Any thoughts on that?

    What supplements do you take for acne?

    Thanks!
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    Replies
    1. Hi Denise, It is always best to wean off medication, but if you have already missed 3 doses and are feeling fine then I would go with that. Please inform your doctor of your decision.

      Yes, I have been able to get rid of my acne by changing my diet (because I know that certain foods affect our hormones) and through supplementation.

      You can find out more about what I do as a Holistic Health Coach http://actionhealthycoach.com/about-1 I also offer a free consultation http://actionhealthycoach.com/free-consultation

      Along with changes in my food choice, this product has rid me of my acne and melasma http://actionhealthylife.myshaklee.com/us/en/products.php?sku=22911 There are published studies that explain why it works. My dosage did have to be tweaked but I saw improvement within a month.
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  13. I appreciate this article so much, as I have been having some symptoms that I believe are related to taking Spironolactone. I am 36 yrs old and have been taking Spiro since September. I am currently on a 50mg daily dose. I love the effects that it has on my acne, being nearly clear, and after two failed attempts on Accutane. I have battled chronic acne my entire adult life. This is the first/only drug that has ever actually worked. However, a little more than a month ago I started noticing muscle twitching...more than what one might consider normal. And then tingling and sleepiness in my hands. That seems to have lightened up, but I have also now missed two periods. I was concerned because last spring I missed a few periods and it turned out to be caused by an ovarian cyst. I was worried I may need surgery again because that had recurred. Now I am wondering if the missed periods are caused by the Spiro. I have an appointment with my dermatologist in three weeks and an appointment with my gynocologist in a month and I will make sure to discuss it with both of them. I just wish there was something else out there to help with my acne.
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    Replies
    1. Navylime, You sound like your acne is a symptom of PCOS. Which is what I have. I have been able to control my acne with diet and supplements. There are options!

      Yes Spiro is known to cause missed periods.

      If you have further questions please visit my site and contact me through there.
      Cheers,
      Sonja Pauly, HHC
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