Aldactone and pregnancy: safety, planning, breastfeeding
Aldactone · spironolactone · by Multiple
Reviewed by the glpzoom Editorial Team against primary clinical sources — FDA labeling, peer-reviewed trials, and specialty-society guidelines.
Content current as of June 2026; updated when guidance or availability changes.
Spironolactone is not recommended during pregnancy — animal studies show feminization of male fetuses. Contraindicated in pregnancy and breastfeeding for the typical hormonal-acne or PCOS dosing. Effective contraception is required for sexually active patients prescribed spironolactone for acne or hair-related indications.
Where to get Aldactone
Curology
from $20/moCurology — prescription-strength formula made for your skin
Apostrophe
from $20/moApostrophe — board-certified dermatologists prescribe online
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Frequently asked
Can I take Aldactone while pregnant?+
Spironolactone is not recommended during pregnancy — animal studies show feminization of male fetuses. Contraindicated in pregnancy and breastfeeding for the typical hormonal-acne or PCOS dosing. Effective contraception is required for sexually active patients prescribed spironolactone for acne or hair-related indications.
How long before pregnancy should I stop Aldactone?+
Manufacturer guidance typically recommends a 1-2 month washout before planned conception. Confirm timing with your prescriber.
Can I breastfeed while on Aldactone?+
Aldactone is not recommended while breastfeeding. Discuss alternative options with your clinician.