I have used spironolactone alone and it did not get rid of my male pattern baldness itch. spironolactone by itself is not strong enough to give measurable results in my opinion. I would use it in conjunction with other treatments. Currently I use revivogen, spironolactone, nizoral, and tgel which I consider all weak anti-androgens. Using all of this together I have stopped my male pattern baldness, I am unsure whether I will regrow hair time will tell.