Typically, spironolactone treatment for hirsutism begins with a low dose of 25-50 mg daily. This allows your body to adjust to the medication and minimizes the risk of side effects.
Adjusting the Dosage
Your doctor will monitor your progress closely. Dosage adjustments are made gradually, usually in increments of 25 mg, based on your response and tolerance. Higher doses, up to 200 mg daily, may be necessary for some individuals, but this is determined on a case-by-case basis. Remember, reaching the optimal dose can take several months.
Regular blood pressure monitoring is crucial, as spironolactone can affect blood pressure. Potassium levels will also be checked, as elevated levels can be dangerous. These tests help ensure safe and effective treatment.
Open communication with your doctor is key. Report any side effects, such as irregular menstrual periods or breast tenderness, so they can adjust the treatment plan accordingly. Patient compliance and regular check-ups are vital for successful management of hirsutism with spironolactone.