
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.
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.
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.
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.
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.
Fill out a quick medical questionnaire and upload photos of your skin. In many cases, treatment can begin right away without a video consult.
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.
Your provider creates a personalized plan, then your treatment is delivered to your door or sent to your local pharmacy.
Track your progress with photos and message your Care Team anytime for questions, refills, and guidance. We'll respond, 7 days a week.
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.



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



see a noticeable reduction in hormonal acne breakouts*
maintain clear or mostly clear skin while continuing treatment*
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.


Through Honeydew, I started Spironolactone. My skin completely cleared up and the level of new breakouts has been zero to none. The consistency of sticking with Honeydew and sticking with Spironolactone has been amazing.

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.
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.
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.
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.
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.
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.
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.
Zero waiting rooms, zero co-pays. Get expert care, personalized treatments, and ongoing support, all online for one transparent price.
Licensed dermatology providers who understand acne beyond the surface and guide your treatment from day one.
We handle prior authorizations, pharmacy communication, and refills so you don't have to.
Upload photos directly to your patient dashboard so you and your provider can monitor how your skin is responding to treatment over time.
Message your provider anytime your skin changes, your prescription needs adjusting, or for anything else.
Honeydew membership is eligible for HSA/FSA spending.
Get expert dermatology care from anywhere in the U.S., with no in-person visits required.
Find more answers in our FAQ or Contact us.
From topicals to oral medications, your provider prescribes what’s right for your skin.