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I know that you ladies are interested in this drug to thicken up your hair but please be mindful that this is a prescription drug with side effects that may be hazardous. I recommend speaking to your doctor before starting any type of medication like this, especially when the primary indication for spironolactone is for hypertension and it is a potassium sparing diuretic. Some adverse affects can be hypotension (if you do not have hypertension) hyperkalemia (too much potassium in the blood) which can precipitate an arrhythmia, cardiac arrest or death if untreated. Please research all other ways to thicken up your hair before resorting to a prescription drug with potentially harmful side effects. I'm not trying to preach or anything but this is something we just learned about in school (I'm a third year pharmacy student). This medication can also cause abnormal periods or it can cause you to stop having your period all together among a bunch of other unwanted side effects. Just be careful and decide whether the benefit of potentially thicker hair is worth the risks. Also Finasteride is only to be taken by men and shouldn't even be prescribed to women. Yes it is similar to Spironolactone but it can't be substituted.