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Spironolactone

Prescribed Online

(

Oral Aldactone

)

Treat hormonal acne at the source with Spironolactone, prescribed online. Get dermatologist-guided care with close monitoring, safety oversight, and medication delivered to your door.

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At a glance:

  • Oral prescription (spironolactone)
  • Suited for persistent hormonal acne in females
  • Dermatologist-guided dosing

Why Honeydew:

  • Licensed dermatologist care, 100% online
  • As low as $0 per bottle w/ insurance
  • Free shipping, delivered to your door

What Spironolactone treats

Spironolactone is an oral medication used to treat hormonal acne, especially acne along the jawline, chin, and lower face. It works by blocking excess androgens that trigger oil production and breakouts.

Side effects & what’s normal

Some people experience increased urination, mild dizziness, breast tenderness, or menstrual changes. These side effects are usually mild and improve over time. Your dermatologist monitors dosing and tolerance throughout treatment.

Safety & pregnancy considerations

Spironolactone is not safe during pregnancy and should be avoided if you are pregnant or trying to become pregnant. While iPLEDGE is not required, your provider may recommend birth control as part of your treatment plan.

What Honeydew handles for you

Honeydew manages your prescription, dosing guidance, and follow-ups, 100% online. Your dermatologist and dedicated care team track progress and coordinate refills, with medication delivered directly to your door.

Virtual Care
No insurance required
First consultation free
Licensed experts
DELIVERED TO YOU
How it Works

Dermatology care that's actually convenient

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01

Tell us about your skin

Fill out a quick medical questionnaire and upload photos of your skin. In many cases, treatment can begin right away without a video consult.

02

Meet your provider

If a visit is needed, you can book a quick video consult within 48 hours. Your provider takes the time to understand your skin and your goals.

03

Begin treatment

Your provider creates a personalized plan, then your treatment is delivered to your door or sent to your local pharmacy.

04

Get unlimited care

Track your progress with photos and message your Care Team anytime for questions, refills, and guidance. We'll respond, 7 days a week.

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HOW Spironolactone WORKS

Spironolactone targets the root cause of hormonal acne

Spironolactone works by blocking the hormones that tell your skin to produce excess oil, helping to keep pores clear and breakouts at bay. By calming this hormonal signal, Spironolactone stops new blemishes before they start and supports clearer, more balanced skin.

With the right dermatology guidance, it can dramatically reduce breakouts and support lasting improvement.

Recommended for:

  • Deep, tender, or cystic inflammatory lesions

  • Breakouts that flare cyclically, often before or during menstruation

  • Acne concentrated on the chin, jawline, and neck

  • Oily skin that persists despite a consistent skincare routine

  • Acne resistant to other treatments

Your dermatology provider will review your skin and confirm whether Spironolactone is the right fit before prescribing.

Choosing the right approach for you

Deciding between topical and oral spironolactone is a collaborative process between you and your dermatology provider. Your provider will evaluate your skin, medical history, and treatment goals to recommend the option that best fits your needs.

Considerations include:

  • Type and severity of acne
  • Location of breakouts (e.g., jawline, chin, or widespread acne)
  • Response to previous treatments
  • Preference for topical vs oral medications
  • Sensitivity to potential side effects
  • Overall health and medical history
Starting at $25/month with annual plan

Topical Spironolactone

  • Applied directly to the skin
  • Targets oil production locally
  • Lower risk of systemic side effects
  • Often used for mild to moderate acne
get treatment
Starting at $25/month with annual plan

Oral Spironolactone

  • Taken daily as a pill
  • Works throughout the body
  • Often used for more persistent hormonal acne
  • Requires medical history review and monitoring
get treatment

Up to 70–85% of patients see significant improvement in hormonal acne within 3–6 months.

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70–85%

see a noticeable reduction in hormonal acne breakouts*

60–75%

maintain clear or mostly clear skin while continuing treatment*

80%+

report improved control of jawline, chin, and lower-face acne*

*Based on clinical studies and dermatology practice outcomes. Results depend on dose, consistency, and individual hormone patterns.

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Love your skin

90%+ of patients see real results.*

*Results from a survey of 80 patients subscribed to Honeydew for acne treatments over 4 months.
FAQ

You ask. We answer.

Have more questions? See our full FAQ or Contact us.

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Can males take Spironolactone for acne?

No, Spironolactone is not prescribed for men to treat acne. Its anti-androgen effects can lead to unwanted side effects like breast growth (gynecomastia) and other hormonal disruptions.

Can I take Spironolactone if I'm pregnant or trying to conceive?

No. This is a critical safety point. Spironolactone is contraindicated in pregnancy because of its potential to interfere with the normal sexual development of a male fetus. You must use a reliable form of contraception while taking this medication and should stop taking it if you are planning to become pregnant.

Does Spironolactone help with acne scars?

Indirectly, yes. By preventing new, deep, inflammatory acne lesions from forming, Spironolactone is one of the best ways to prevent future acne scarring. However, it does not treat existing scars. For atrophic (indented) scars or significant textural changes, other treatments like topical retinoids, chemical peels, or in-office procedures would be necessary.

Do I need to change my diet while on Spironolactone?

For the most part, you can continue with your normal diet. However, because Spironolactone can raise potassium levels, your provider will likely advise you to avoid using potassium supplements and high-potassium salt substitutes. It's generally not necessary to avoid potassium-rich foods like bananas or avocados unless you have other medical conditions (like kidney disease) or your provider specifically advises you to.

What if I’m under 18?

If you or your child is under the age of 18, a parent or guardian should be part of the initial consultation. In circumstances where this is not possible, please contact info@honeydewcare.com and we will assist you with alternate ways to establish parental consent.

Do you accept insurance?

We will run the prescriptions through your insurance and help you find the lowest costs out there. The membership fee and any products are also eligible for HSA or FSA reimbursement.

What support can I expect from Honeydew?

We offer comprehensive support for our patients, including access to experienced providers, assistance with lab orders and the iPledge program (when needed), unlimited support, and progress tracking.

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Honeydew memberships

Everything your skin needs in one easy membership.

Zero waiting rooms, zero co-pays. Get expert care, personalized treatments, and ongoing support, all online for one transparent price.

  • Simple, transparent pricing
  • Free first consultation
  • Exclusive cash savings for medications and lab work
  • No insurance required
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Pricing

save 36%
Annual
save XX%
Four-Month
Annual
save 33%
Four-Month
save XX%
Monthly
Basic Membership
save $169
$25
/month
(billed: $299/year)
Most acne concerns are treated through our basic membership.
Accutane Membership
save $169
$25
/month
(billed: $299/year)
Patients prescribed Accutane require added monitoring and support.
Medications are not included in the price of membership. They are prescribed to outside pharmacies and may be covered by insurance.
  • Expert dermatology care

    Licensed dermatology providers who understand acne beyond the surface and guide your treatment from day one.

  • Medication coordination

    We handle prior authorizations, pharmacy communication, and refills so you don't have to.

  • Progress tracking

    Upload photos directly to your patient dashboard so you and your provider can monitor how your skin is responding to treatment over time.

  • Unlimited follow-ups

    Message your provider anytime your skin changes, your prescription needs adjusting, or for anything else.

  • HSA/FSA friendly

    Honeydew membership is eligible for HSA/FSA spending.

  • Nationwide access

    Get expert dermatology care from anywhere in the U.S., with no in-person visits required.

  • Have unanswered questions?

    Find more answers in our FAQ or Contact us.

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Dermatology care has never been more accessible.
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Licensed
dermatology providers

Prescribed online
& delivered to you

Licensed
dermatology providers

No insurance
required

Prescribed online
& delivered to you

100% Virtual
Care

No insurance
required

100%
Virtual Care