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Oana Health · Compounded topical option

If oral spiro worked
but the dizziness
didn't.

A licensed provider may consider a compounded topical anti-androgen for acne or oily skin when the oral pill is not the right fit. Reviewed online; prescribed only if appropriate.

Compounded topicalProvider-reviewed$59/mo · free shipping
Start your online visit About 5 minutes · Provider chooses what is appropriateAlready have a prescription? Check refill eligibility
Topical spironolactone as a compounded alternative
A patient said"The oral was working — the side effects weren't."Lara, 33 · verified patient
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Oral vs topical

Same active. Different delivery.

The oral pill reaches the whole body. The compounded topical is applied directly to the skin — designed for local action where hormonal acne shows up.

Oral spironolactone

Whole-body anti-androgen.

  • Daily tablet
  • Mild diuretic effect
  • Routine BP / potassium considerations
  • Most-studied option
Compounded topical

Applied where it matters.

  • Compounded by a U.S. licensed pharmacy
  • Applied directly to the skin
  • Less published data than the oral
  • Optional niacinamide pairing
A private online process

Three steps. No waiting room.

Step 01

Short online intake

Tell us about your skin history and what you have tried. Takes about 5 minutes.

Step 02

Provider review

A licensed provider reviews your case and prescribes the compounded topical only if appropriate.

Step 03

Discreet monthly delivery

Your prescription ships free in plain packaging. Cancel anytime.

Common questions

Everything you might want to know.

Some women see real results on oral spironolactone but cannot tolerate the side effects of a daily systemic medication. A compounded topical applied directly to the skin is one option a provider may consider — designed to deliver the active locally rather than throughout the body.

Ready when you are

No oral pill required. Reviewed online.

Start a short online visit. A licensed provider reviews your history and may prescribe the compounded topical if it fits.

Start your online visit
Free shipping FSA / HSA eligible Cancel anytime

*Compounded prescription treatment if appropriate. Compounded topical spironolactone is not FDA-approved and has less published data than the oral form. Not for use during pregnancy or while trying to conceive. The decision to prescribe is at the discretion of your Oana-affiliated provider. Not all patients are candidates. Individual results vary.