Get a customized topical spironolactone formula

Response time: 1-2 working days

Board-certified dermatologists
Customized Foothills formula from $48.99
No medication subscriptions

Woman with acne touching her forehead alongside a topical spironolactone gel and a Foothills Pharmacy skincare bottle

Medically reviewed by:
Dr. Eric Howell
Dermatologist

What is topical spironolactone?

Spironolactone is an ingredient that has FDA-approved uses in its oral form. In some cases, prescribers may request that pharmacies prepare topical formulations as compounded medications.

Compounded medications, including topical spironolactone, are not reviewed by the FDA for safety or efficacy. These medications are prepared by pharmacies in response to a licensed prescriber’s determination of individual patient needs.

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A seamless teledermatology + pharmacy experience

Miiskin has now partnered with Foothills Pharmacy, a leading compounding pharmacy, to make prescription skin care effortless.

Now, when your dermatologist prescribes treatment via Miiskin, you can choose Foothills as your pharmacy and order your medication via the Miiskin platform. They will send a payment link and after payment is completed, your medication will be delivered for free shipping.

Most customized Foothills formulas are $48.99, with a few advanced formulas priced at $58.99 and some hair care formulas priced at $68.99.

Oral medications from Foothills typically cost between $24.99 – $38.99, based on the pill count your clinician prescribes (30, 60, 90, or 120 pills).

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

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How to get a topical spironolactone prescription?

Do you need a prescription for topical spironolactone?
Yes. Topical spironolactone is available only as a compounded medication, which means it must be prescribed by a licensed healthcare provider.

How can you get a prescription for a compounded formula that may include spironolactone?
Through Miiskin, you can request an online consultation with a dermatologist. The consultation fee is around $59 for new patients and $30 for medication renewals for existing patients.

Where can you get compounded spironolactone?
If you are interested in a customized formula with topical spironolactone, select Foothills as your preferred pharmacy. You can order it right on Miiskin when your prescription is issued. Most Foothills formulas are $48.99.

Important notice: Compounded medications are not reviewed by the FDA for safety or efficacy.

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Request a personalized formula with topical spironolactone via Miiskin

Select “Start consultation” to sign up.
Fill out the consultation form and take photos of your skin.
An independent dermatologist will prescribe a personalized formula with topical spironolactone to you, if medically appropriate.
Buy topical spironolactone online from a compounding pharmacy

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Process to getting a prescription for acne
Through Miiskin, you can connect with a dermatologist through an online dermatology consultation. The dermatologist will review your case and prescribe topical spironolactone if it is appropriate for you. If prescribed, you can choose Foothills Pharmacy as your preferred pharmacy, and they will compound and ship your medication directly to your home.

What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
Patient Review →

I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
Patient Review →

What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
Patient Review →

Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
Patient Review →

Important information about compounded topical medications

Compounded medications, including those that may contain spironolactone or tretinoin, are not FDA-approved. This means they have not been reviewed by the FDA for safety or efficacy, and there is no FDA-approved labeling that describes side effects.

Some patients who use topical skincare preparations containing active ingredients such as tretinoin or spironolactone have reported experiencing skin reactions like dryness, redness, irritation, or itching. Because compounded medications are customized, potential effects can vary depending on the formulation and the individual.

If you have questions about potential risks, or if you experience any unexpected reactions, it’s important to discuss them directly with your prescribing dermatologist or pharmacist.

Side effects of spironolactone and tretinoin

How to use your customized formula?

You should always follow the instructions of your healthcare provider, however, as a general rule, if you have never used a compounded formula, here is a good way to start.

Cleanse:
Wash with a gentle cleanser and dry your skin.
Moisturize:
After the medication absorbs, use a gentle moisturizer to reduce dryness.
Apply medication:
Apply a thin layer of the formula on dry skin, at nighttime avoiding sensitive areas like eyes and corners of the mouth.
Sun protection:
Apply sunscreen every morning.

It is also important to find a balance that is right for you. Your skin may not tolerate the application of your customized formula every day straight away. Apply it every other day instead of daily in the beginning if you experience irritation, once your skin is used to it, apply daily.

Provider & Prescription Information

Miiskin connects patients with independent dermatologists who provide care through their private practices. Compounded prescriptions can be ordered via Miiskin and are dispensed by Foothills pharmacy. Standard medications can be issued for any local pharmacy.

Got more questions about getting a topical spironolactone prescription for acne?

Is topical spironolactone FDA approved?

No, topical spironolactone for acne is not FDA approved for the treatment of acne. It is sometimes prescribed by dermatologists off-label depending on the patient’s symptoms.

Can men use topical spironolactone for acne?

Topical spironolactone is not FDA-approved for acne or for use by men or women. If a dermatologist believes a compounded medication containing spironolactone is appropriate for an individual patient, they may prescribe it based on clinical judgment.

Can spironolactone be applied topically?

Spironolactone is FDA-approved in its oral form for certain conditions. Some prescribers may request topical formulations to be compounded by a pharmacy. These compounded preparations are not FDA-approved and have not been reviewed by the FDA for safety or efficacy.

Does topical spironolactone work as well as oral for acne?

No studies reviewed by the FDA have established the safety or effectiveness of topical spironolactone for acne, or compared it to oral spironolactone. Any use of a compounded topical form is based solely on the prescribing provider’s judgment of an individual patient’s needs.

Can dermatologists prescribe topical spironolactone for acne?

A dermatologist may prescribe a compounded medication that includes spironolactone if they determine it is medically appropriate. Compounded medications are not FDA-approved and are prepared by licensed pharmacies in response to a prescriber’s order.

Does topical spironolactone cause facial hair growth?

The FDA has not reviewed topical spironolactone for safety, so there is no official labeling about side effects. Because compounded medications are individualized, potential effects can vary. Patients should discuss possible risks with their prescribing provider.

How long does it take to see results from topical spironolactone for acne?

There is no FDA-reviewed data on how topical spironolactone affects acne, so timelines for results have not been established. Patients should follow up with their prescribing dermatologist to discuss expectations and treatment progress.

Does topical spironolactone mess with hormones?

The FDA has not reviewed topical spironolactone for hormonal effects or safety. Any questions about potential risks should be directed to your prescribing healthcare provider.

What is Miiskin?

Miiskin is platform that connects patients with independent dermatologist for convenient high-quality medical care for skin or hair issues.

References:
¹https://pmc.ncbi.nlm.nih.gov/articles/PMC8247934/
²https://pmc.ncbi.nlm.nih.gov/articles/PMC8247934/
³https://pmc.ncbi.nlm.nih.gov/articles/PMC5574737/