About four months ago my skin became acneic for the first time in my life. I did have the typical teenage flare-ups when I was younger, but nothing that required medical intervention. I'm now in my 30's. After about two weeks of trying OTC products I sought help from a dermatologist, who prescribed the lowest dose of Retin A Micro. He warned me about experiencing an initial break out from the purge effect, but I was NOT prepared for it.
By 2 weeks into my Retin A treatment my face was a MESS - a red, dry, pimply MESS. I persevered with the treatment, attributing the MESS to the IB. Well, 10 weeks later my skin was just not clearing, so I sought help from an endocrinologist, who ordered hormone tests. My lab results were normal, but due to my PCOS and thyroid history, and obvious acne problems, he suggested Spironolactone - and here we are on Day #1 of Spiro. I'm taking 25mg each morning and night for the first month. The endo will evaluate dosage, effectiveness and K levels after 30 days.
So I took my second pill 2.5 hours ago and so far I'm feeling the same, which is what I expect at this point. I'm optimistic, basically because alternatives are dwindling. I'm going to update the status of my skin each week.
Right now my skin is a mess. I have about 2 active pimples, but several, several, several clogged pores which are just waiting to sprout. Most of them are flesh-colored, but a few are red. I tried to count the clogged pores, but I get too depressed once I reach 10.
I also have 1 under the skin pimple on my chin, which is very unusual for me. I don't normally get any there, not even with the Retin A initial break out. Since my break outs began 4 months ago, I have only gotten pimples on my lower cheeks and jawline, none on my forehead, temples or chin. I also have red marks from my Retin A IB, which are very, very slowly healing.
RIGHT SIDE: 2 red pimples, 1 active, 1 healing, several clogged pores
LEFT SIDE: 3 red pimples, 0 active, 3 healing, SEVERAL clogged pores, 3 will become active soon and they are clustered together
CHIN: 2 red pimples, 1 active, 1 healing
Forehead: 0 pimples
Red marks: SEVERAL, too many to count without becoming depressed.
Having any red spots on my chin is atypical for me, so I'm not sure what that's about. It's too early for it to be from the Spiro, and too late to be from the Retin A micro IB.
All of my acne occurs on my lower cheeks and jawline.
Edited by *ShiningStar*, 08 November 2011 - 09:43 PM.