螺内酯是一种口服药物，由医生开出处方用于治疗女性的激素性痤疮。除此之外，它还用于治疗脱发、水肿、高血压和心力衰竭。
研究表明，服用螺内酯的患者痤疮减少率可超过 50%。
在了解螺内酯的治疗原理之前，我们需要先认识女性激素性痤疮的成因。
男女体内都会产生一种称为雄激素的性激素，它们在生殖健康和青春期的发育中起着重要作用。男性体内的雄激素水平高于女性，因此雄激素也被称为“男性激素”。
当女性体内雄激素水平过高时，会导致皮脂腺分泌过多的油脂（皮脂）。过量的皮脂会堵塞毛孔，并成为细菌滋生的温床，引发炎症，从而形成痤疮。
螺内酯的作用是抑制体内雄激素的过量分泌，从而减少皮脂的产生，进而改善痤疮问题。
螺内酯适用于健康的女性，尤其是患有激素性痤疮或接受过其他治疗但效果不佳的人群。
以下人群不适合使用螺内酯：
此外，螺内酯不推荐用于男性，因为可能导致以下副作用：
与任何药物一样，螺内酯也可能带来一些副作用，包括：
⚠ 如果出现以下严重副作用，请立即就医：
此外，育龄女性在服用螺内酯期间应采取避孕措施（如口服避孕药），因为螺内酯可能导致胎儿出生缺陷。
想要达到最佳的治疗效果，关键在于：
服药期间遵循以下建议：
在我们诊所，口服螺内酯的起价为 $25，需经医生处方。请提前预约医生咨询，以获取更多信息。
FAQ
The treatment duration using Spironolactone depends on your doctor’s assessment of your condition. How well your body responds to the oral medication will also influence how long you should use Spironolactone
Spironolactone is best for stubborn acne in women, particularly those that are caused by excess androgen hormones. It can also be used for cystic acne.
One tablet of Spironolactone is recommended per day and it is best taken in the morning. Higher dosage of Spironolactone may be split to twice a day, but it is not recommended to take the second dose too close to bedtime. Remember that Spironolactone is a diuretic and taking it prior to your bed time can disrupt your sleep when you have to wake up to pee.
Spironolactone can have an adverse effect when taken together with certain food, drinks and medication. It can increase the levels of potassium in the body that can lead to serious side effects. Avoid dietary items that contain a lot of potassium, salt substitutes and alcohol. For medications, it is important that you inform your doctor of everything that you are taking, so they can help identify which ones are safe to use with Spironolactone.
While oral spironolactone and isotretinoin achieve similar results, these acne treatments work in different ways. Spironolactone blocks androgen hormones in the body to prevent them from producing excess sebum that could clog pores and lead to acne. On the other hand, isotretinoin decreases the production of sebum by directly shutting down the oil gland, leaving the pores clog-free. Spironolactone is effective for hormonal acne and only works when it is actively used, while isotretinoin provides long lasting results and can treat various types of severe acne.
Yes, Spironolactone can be combined with other acne treatments like Ethosome Gold PTT and laser therapy.
It will take some time for the results of Spironolactone to show. When taking Spironolactone alone, you may notice your skin to be less oily and have fewer acne breakouts a few weeks after you have started to take this oral medication.
Spironolactone is given in tablet form that is taken orally once a day. The dosage prescribed by doctors for Spironolactone to treat acne ranges from 25-200 mg. Your doctor will base your dosage on your condition and usually start with a low dosage. Increasing the dosage is possible depending on how your body responds to Spironolactone, but this must be done with the proper guidance of your doctor.
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