It's been a while since my last post... mostly because I hardly have to worry about my skin anymore! I've been taking spiro for over 8 months and have never been happier. I'm still using tretinoin cream at night and moisturize with cerave PM. In the morning I use cerave AM. That's all! Every other day I use St. Ives apricot scrub to help clear away the dead skin from the retin-a. I stopped using all benzoyl peroxide and salicylic acid products. They made my face much more inflamed and irritated and dry. Since I stopped using that harsh stuff, I noticed my skin is more balanced and actually breaks out less. I think the cerave moisturizer is helping a lot.
I still get a pimple or two when I PMS but it's nothing too crazy or unmanageable. I'm so happy with my skin finally!!!!! My best advice to anyone with cystic acne is to be patient and give spiro a long time to kick in. It took months and months (with LOTS of ups and downs) before I really felt I had made significant progress. And not to mention 15 years of bad skin before that... !
My dermatologist was constantly telling me I needed accutane and I'm SO GLAD I didn't go that route. At 29 years old, I didn't think that would be a long-term solution. Most women at my age who use accutane have relapses and have to do additional rounds. I think that my acne was mostly related to stress, hormones and years of putting harsh acidic topical irritants on my face. And diet too --- I've been eating an organic, GMO-free and dairy-free diet while minimizing my intake of processed food. I think that has made a huge difference. There are some awesome sites about how GMO foods are causing lots of health concerns and I whole-heartedly believe my skin breakouts were directly related to food allergies and/or upset stomach caused by overly-processed food. Corn and soy ingredients that are genetically modified are being linked to lots of diseases like autism, cancer, and more... it's crazy. Okay enough about food! I hope anyone who tries spiro sticks with it and sees great results like I did