Can I get it?
Not for this use. Spironolactone has no EU authorisation for it, so it cannot be prescribed or dispensed here for that purpose.
Why buying it online is risky
Spironolactone · Ljubljana
Spironolactone in Ljubljana: what you should know.
NOT AVAILABLE IN THE EUSpironolactone has no EU marketing authorisation for this use.
We don't prescribe it today, but our doctors can review your case and propose an equivalent hair growth treatment with EU approval and clinical evidence.
€15/month (billed €45 every 90 days)Full refund if a review is not approved
IN PLAIN TERMS
What Spironolactone is, and how to get treatment
Spironolactone is a water tablet. It is authorised in EU countries including Spain to treat high blood pressure, some types of heart failure, and conditions where the body makes too much of the hormone aldosterone. It also has a weak anti-male-hormone effect, and because of that some doctors prescribe it off-label for female pattern hair loss - off-label means outside the uses it was officially approved for. Hair loss is not an authorised use of spironolactone anywhere in the EU, and it is not something Hi-Doctor prescribes.
Spironolactone has no EU marketing authorisation for this use. It may be an approved medicine for something else, or approved in another country — but not something a doctor here can prescribe for this.
What can I take instead?
Minoxidil is approved in the EU, has published peer-reviewed trial results, and can be prescribed today if a doctor decides it suits you.
Read about MinoxidilWhat do the studies show?
Every trial behind Spironolactone is listed below with how many people took part and whether the results are peer-reviewed or a company announcement.
Jump to the studiesLocal consultation facts
Can I get Spironolactone in Ljubljana?
Not through Hi-Doctor. Hi-Doctor does not prescribe Spironolactone. People in Ljubljana, Slovenia, can request an online consultation for Hair growth with a licensed EU doctor, who may recommend an available option when clinically appropriate. If approved, the EU prescription arrives as a PDF for a pharmacist in Slovenia, who dispenses the locally marketed equivalent with the prescribed active ingredient.
Availability
Hi-Doctor does not prescribe Spironolactone. The links below show options in Hair growth that our doctors can assess.
- Country
- Slovenia
- Language of service
- Spanish and English
- Prescription turnaround
- In less than 4 hours on average, only if the doctor approves
- Honoured locally
- PDF honoured locally for the prescribed active ingredient
How the EU prescription works where you are: In Slovenia, show the approved prescription PDF to a pharmacist. They honour it under EU cross-border rules and dispense the locally marketed equivalent with the prescribed active ingredient.
TREATMENT OPTIONS
Available hair-growth treatments
A licensed doctor decides case by case. We never prescribe without evaluation.
Rx · tablets
Prescription only
Oral finasteride
A 5-alpha-reductase inhibitor taken daily. A doctor may prescribe it after reviewing your history and ruling out contraindications.
Daily tablets
€15/month
Rx · tablets
Prescription only
Oral minoxidil
Low-dose oral minoxidil, used off-label by some dermatologists. Requires close medical supervision for potential cardiovascular effects.
Daily tablets
€15/month
OTC · lotion
Prescription only
Topical minoxidil
Solution or foam applied directly to the scalp. Can be combined with other actives in a compounded formulation.
Lotion or foam
€15/month
Rx · tablets
Prescription only
Dutasteride 0.5mg
A more potent 5-alpha-reductase inhibitor. Reserved for specific cases, always under medical evaluation.
Tablets
€15/month
Rx · compounded
Prescription only
Personalised compounded formulation
An individualised preparation that can combine finasteride, minoxidil, tretinoin, or other actives, compounded by pharmacies after a medical prescription.
Individual preparation
€15/month
You pay for any medication separately at the pharmacy you choose. Hi-Doctor does not sell medications.
WHAT IT COSTS
One plan, reviewed by a doctor.
Hair growth
ONGOING PLAN
€15/month
Billed €45 every 90 days · cancel anytime
For ongoing treatment and doctor-reviewed renewals.
Lowest monthly price we offer
Start consultation
Full refund if a review is not approved
WHAT'S INCLUDED
- First consultation included
- Renewals reviewed by your doctor
- Ongoing care with your doctor
- Cancel anytime
Full refund if a review is not approved
If a review is not approved, we refund that period's €45 fee and cancel the plan.
Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.
VERIFIED EVIDENCE
Spironolactone: evidence and regulatory guide.
WHAT IT IS
How it works
Spironolactone blocks the hormone aldosterone in the kidney so the body passes more salt and water in urine, and it also partly blocks the effect of male hormones on body tissue.
- Mineralocorticoid receptor
- Androgen receptor
DEVELOPMENT STAGE
Not marketed in the EU
What the studies reported
Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.
Peer-reviewed
Aleissa M. The Efficacy and Safety of Oral Spironolactone in the Treatment of Female Pattern Hair Loss: A Systematic Review and Meta-Analysis. Cureus. 2023;15(8):e43559. doi:10.7759/cureus.43559 (PMID 37719557)| DOSE OR GROUP | MEAN WEIGHT CHANGE | WEEKS |
|---|---|---|
| All regimens pooled (25-200 mg daily) | 56.6% of women recorded as improved (95% CI 40.5-71.4) | — |
| Spironolactone alone | 43.2% recorded as improved (95% CI 32.9-54.2) | — |
| Spironolactone plus topical minoxidil | 65.8% recorded as improved (95% CI 43.8-82.6) | — |
| All regimens pooled | 3.6% recorded as worsened (95% CI 0.2-9.9) | — |
The five pooled studies (413 patients) were mostly observational, used doses from 25 to 200 mg and durations from six months to over a year, and none compared spironolactone against a placebo, so these figures cannot be separated from natural variation or from other treatments taken at the same time.
NAMED SAFETY SIGNALS
What has been reported with Spironolactone.
Scalp itching or flaking
Reported in 18.9% of women in the pooled analysis of five studies (413 patients).
Menstrual changes
Reported in 11.9% of women in the same pooled analysis; the Spanish product information lists irregular menstruation, absent periods and post-menopausal bleeding as adverse reactions.
Facial hair growth
Reported in 6.9% of women in the same pooled analysis.
Raised blood potassium
The Spanish product information requires potassium and creatinine to be checked in the week after starting or increasing the dose, then monthly for three months, quarterly for a year and every six months thereafter, and says treatment must be interrupted if potassium exceeds 5 mmol/L.
Breast tenderness and breast enlargement in men
Gynaecomastia and breast pain in men and women are listed as adverse reactions in the Spanish product information.
Pregnancy
The Spanish product information states spironolactone should not be used during pregnancy unless the potential benefit justifies the potential risk, and records reproductive toxicity in animals linked to its anti-androgen effect.
UNAPPROVED PRODUCTS ONLINE
Why buying Spironolactone online is not a shortcut.
No doctor in the EU can prescribe it for this use — including ours. It may be authorised in another country, or for a different condition.
Check the EU common logo
A legitimate online pharmacy in the EU must display the common logo linked to its national register. The logo is a verification check; it cannot make an unapproved medicine legal.
How the EU common logo worksFREQUENTLY ASKED QUESTIONS
Questions about Spironolactone.
OTHER HAIR GROWTH TREATMENTS