Can Spironolactone And Birth Control Pills Cause Melasma?

Posted on Wed, 17 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 17 May 2017 Answered on

Tue, 6 Jun 2017 Last reviewed on

Question : Does spironolactone and birthcontrol exacerbate Melasma from Pcos?

Answered by Dr. Dr. Michelle Gibson (-4 hours later)

Brief Answer:
OCP can definitely cause this problem, individual reports with sprinolacton

Detailed Answer:
HI, thanks for using healthcare magic

OCP is a well known aggravating agent for melasma whether a person has PCOS or not.
It is likely to worsen melasma in persons who has a history of this condition

Sprinolactone is an anti androgen meaning that it acts against the male hormones in the body.
It should not worsen melasma but there are cases of persons whose melasma has been worsened by the use of the this medication.
There are no official medical studies looking into it as yet but there are individual case reports.

In terms of the spirnolactone, this would need to be monitored on an individual basis.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar