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Spironolactone for hair loss

In stockSpironolactone
CompoundedSpironolactoneAndrogen-blocking support for female hair loss
From$69/mo
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Compounded in the USAFSA and HSA eligiblePay over time withKlarnaAfterpayAffirm
  • Androgen-blocking support for female hair loss
  • Same-day doctor visits and prescriptions
  • Free expedited shipping, all 50 states
  • No hidden fees, no surprise charges

Spironolactone is a daily tablet that blocks the androgens behind female pattern hair loss, used off label to slow thinning.

Who it's for: Women with female pattern hair loss, especially when hormones play a part, who are not planning a pregnancy.

  • SpironolactoneCalms androgens
  • A 24/7 care team, day or night
  • Physician visits and follow-ups
  • Dose adjusted as you progress
  • Help with side effects
  • Medication from a US pharmacy
  • Free expedited shipping, all 50 states

You can cancel your treatment plan anytime from your online patient portal. There are no cancellation fees.

Note that canceling in the portal does not cancel any active orders already sent to the pharmacy. If your order is pending, contact us at support@sipra.com and we will help.

Matched to the cause

Hormonal, all over, or both. Tap your pattern to see what targets it.

Hair loss pattern
CrownGood match
Compounded
CrownFrom $85/mo

A widening part with hormonal signs.

What's inside2-in-1
SpironolactoneCalms androgens
MinoxidilRegrows
Slows loss
Regrows
FormCapsule
Get started
SpironolactoneGood match
Prescription
SpironolactoneFrom $69/mo

Calms androgens. Pairs with a regrowth option.

What's insideSingle ingredient
SpironolactoneCalms androgens
Slows loss
RegrowsNot included
FormTablet
Get started
Lush LoxGood match
Compounded
Lush LoxFrom $95/mo

Thinning all over, no hormone blocker.

What's inside4-in-1
MinoxidilRegrows
Biotin, D3 and K2Hair support
Slows lossHormone free
Regrows
FormDaily dissolve
Get started
ReGrow FuelGood match
Compounded
ReGrow FuelFrom $95/mo

Regrowth plus scalp support.

What's inside4-in-1
MinoxidilRegrows
GHK-CuScalp support
Apigenin, fisetinPlant support
Slows lossHormone free
Regrows
FormDaily dissolve
Get started

Not for use while pregnant, trying, or breastfeeding. Your physician checks before prescribing.

Not sure which one? Two quick questions.

sipra
Hair finder · question 1 of 2
Would you like your plan to also calm androgens, the hormones that can thin hair?
Your answers stay on this page.

Personalized medicine,
in three simple steps

Submit your application
and meet with a doctor
Step1

Complete a quick form and meet a licensed provider 100% online. They'll see if a treatment plan is right for you.

Choosing what you are interested in on the Sipra intake
Get your medication
delivered at home
Step2

Once approved, your prescription ships directly to your door, fast and free.

Your Sipra box delivered to your door
Receive 24/7 support
and ongoing care
Step3

Regular check-ins and on-demand medical support to keep you on track.

24/7 support and ongoing care
sipra
Start here · one question
When did you first notice hair loss or hair thinning?
Tap an answer to start your hair loss intake. You can change it there.

More than a prescription

Most online programs ship a box. Sipra stays with you.

Sipra compared with a typical online program
sipraTypical online programs
No membership feeNo feeOften a monthly fee
The Sipra PromisePay only if a physician approves.$0 todayOften charged at checkout
Leave anytimeCancel online. No call, no form.AnytimeSteps may vary
One price, shipping includedVisits and support too.IncludedFees may vary
US-licensed pharmaciesURAC, ACHC and LegitScript accreditedAccreditedMay vary
Tested before it shipsPotency, plus sterility for injectionsYesTesting may vary
Dosing set by your physicianIncludedFollow-up may be limited
Side effect supportIncludedMay vary
Care team messaging, day or nightAnytimeHours may be limited
Start my visit

Nothing is charged until a physician approvesFSA and HSA eligible

How regrowth works

Thinning in women often has more than one cause, so the plan targets more than one.

A hair follicle in cross sectionAndrogens bind hereSignal blockedMore blood flow

Your first year

Hair grows in months, not mornings. Here is what a year on treatment usually looks like.

Month 0Month 1Month 3Month 6Month 12 Month0

Day one

Take a photo today. It is your baseline.

Thin hairs, some follicles empty

The pharmacy behind your treatment

Licensed 503A pharmacy

Your treatment ships to all 50 states

Compounded in the USA

Made for you, never mass-produced

Tested before it ships

Sterility, endotoxin, and potency, under USP 795 and 797

Independently accredited

URAC, ACHC, and LegitScript

From your visit to your door

Exactly what happens after your visit, who handles it, and when you pay. Nothing is charged until a physician approves.

Start my visit
  1. 01Online visit

    A few questions, no charge

  2. 02Physician review

    A licensed US physician

  3. 03Approval

    Charged only if approved

  4. 04Pharmacy

    Prepared in the US

  5. 05Delivery

    Expedited shipping included

  6. 06Ongoing care

    Check-ins and dose changes

Dr. Jillian Foglesong Stabile, Sipra Medical Reviewer
Sipra Medical Reviewer

“Thinning hair in women usually has more than one cause. What matters is looking for the reason first, from hormones to iron to thyroid, then treating what you find.”

Dr. Jillian Foglesong StabileMD, FAAFP, DABOM

Board-certified family physician and Diplomate of the American Board of Obesity Medicine.

American Board of Family Medicine
American Board of Obesity Medicine
Wake Forest University School of Medicine

Spironolactone questions, answered

Spironolactone is not for anyone who is pregnant or trying to become pregnant, or who has high potassium, Addison's disease or serious kidney disease. Tell your clinician about potassium supplements, salt substitutes and blood pressure or heart medicines, which can raise potassium further. It is not for anyone taking eplerenone. Your clinician reviews your full health history and every medicine you take before prescribing.

Spironolactone blocks androgen receptors and lowers androgen production. Androgens can shrink hair follicles in female pattern hair loss, so blocking them can slow thinning. Using it for hair loss is off label: it is FDA approved for heart failure, high blood pressure and fluid retention. Read more in our Spironolactone guide.

Spironolactone commonly causes more frequent urination, dizziness, breast tenderness and irregular periods. It can raise potassium, so your clinician may check your blood. Get help right away for muscle weakness or an irregular heartbeat. Your care team is there if anything comes up.

You answer a short online health questionnaire. A licensed US clinician reviews it and prescribes Spironolactone only if it fits your health and history. A licensed US pharmacy prepares it and ships it to your door, and your care team stays with you for follow-ups, questions and dose changes.

Female hair thinning has many causes, including hormone shifts, genetics, stress, thyroid changes, and low iron. Your physician looks at your intake and any labs to understand what may be behind it. Treatment depends on that picture, so it is not the same for everyone.

Hair grows slowly, so most women need several months of steady use before judging. Some people shed a little at the start as the hair cycle resets, which is expected. Individual results vary.

A video visit is not needed to start. A licensed US physician reviews your online intake, and may ask for recent labs, such as blood work for potassium or thyroid, if they are relevant. Your care team helps you through that step.

A compounded medication is prepared by a licensed pharmacy for a specific patient, sometimes combining ingredients into one dose. Compounded medications are not FDA-approved, and they are not the same as any brand-name product. Your plan shows what you are receiving.

Your price does not change with your dose. Shipping is included, and you pay nothing unless a physician approves your treatment. No insurance is needed, and FSA and HSA funds can be used.

Yes. You can cancel online at any time, with no phone call and no form. Your care team is also there if you want to adjust your plan instead.

These treatments help only while you use them, so thinning can return gradually after you stop. If you are thinking about stopping, message your care team first so your physician can talk through your options.

Explore your hair loss options

  • Online evaluation by a licensed clinician
  • Treatment based on your health and goals
  • Clear pricing before you commit
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From$69/mo