I have combined cystic acne and rosacea. My skin is now 100% clear of zits! (The rosacea is still present.)
For privacy reasons the before and after photos have been removed. Apologies for any inconvenience this may cause.
6 months ago I started 50mg a day of spiro, and after one month, my derm upped my dose to 100mg daily. I did not see ANY clearing until month 3, but after that the clearing was dramatic.
For those of you unfamiliar with spironolactone, it is an anti-androgen.
What I do daily:
-100mg of spiro.
-Wash once a day CeraVe cleanser and moisturize with CeraVe moisturizer
-7-8 hours sleep a night. Hard to do but so worth it.
-Dairy-free, low-sugar, moderate carb diet. Highly recommend the Paleo diet book for better health.
What I tried consistently but gave up on as a "cure":
-Benzoyl peroxide. It didn't prevent deeper acne. It may kill bacteria but it does awful things to the quality of your skin.
-Finacea (azelaic acid). It temporarily reduces my redness...but not much more.
-Blue/red lights. Specifically the Lightwave CS. While I think this is a great product for milder acne, it didn't touch my cysts.
-Oil cleansing method with 75% jojoba/25% castor.
-AHAs and BHAs
-Antibiotics. I have been on Tetracycline, Doxycycline (normal and Oracea versions), Clindamyacin (oral and topical), Minocycline, Amoxycyllin, Cephalexil, and Z-Pac. Treatment times for each have varied.
-Massive probiotics, Betaine HCL, and digestive enzymes. I actually highly recommend probiotics to everyone and believe there is a lot of hard science to support it. Many people see complete clearance from probiotics. Probiotics have been great for my health, but they just didn't stop the acne.
-Supplementation of zinc, B-5, garlic, magnesium, milk thistle, saw palmetto, and MSM.
-Water only method
-No washing method (this was a disgusting period of my life)
-Ketoconazole cream (antifungal)
-The baby brush method, the Clarisonic brush
What I tried not really consistently:
-Hormonal birth control. I have tried both Ortho Tri-Cyclen and Yaz. Later I found out via genetic testing that I am at an increased risk for Deep Vein Thrombosis and Pulmonary Embolisms, which means I cannot take hormonal birth control pills. I use a hormone-free copper IUD for birth control.
-I had one IPL. Reduced my redness a little for about a year.
Negative side effects of spironolactone:
-It is a diuretic. For the first few weeks you pee every hour. My body has mostly adjusted. Still drink a lot more water to stay hydrated.
Staying on spiro. Spiro's effects disappear when you stop taking it. Since spiro has been shown to be safe for long-term use, I plan to stay on it for as long as necessary.
Edited by Green Gables, 19 June 2013 - 05:15 PM.