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Spironolactone + Tretinoin Log

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About me:

I'm 22, and I've had moderate-severe acne since I was about 12-years-old. I've tried probably every over-the-counter medication, and as the story goes, nothing has worked. I've also tried, at various points, oral antibiotics.

Finally, I got permission to see the dermatologist, who prescribed me 100 mg/day of spironolactone, clindamycin gel for morning and evening, plus Retin-A cream every night.

I am starting my third week on this new regimen. My skin is horrible--I'm suffering from a terrible initial breakout caused by one, or all, of these treatments--especially focused on my jawline and lower cheeks.

My hope is that by tracking my progress, I can help myself and others. I hope that those with experience on any of these prescriptions can lend their advice and wisdom.

Right now I'm wondering about this initial breakout. My skin is the worst it has been, and it's very difficult to deal with.