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 was given Ortho Tri-Cyclen in high school. My parents were really leery of it, and it made me morning sick, so I gave up quickly. I also tried Yaz until my friend got a pulmonary embolism on it. I am currently on the non-hormonal copper Paraguard 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.
Advice for MEN: Although spironolactone is more commonly prescribed to women, it has been studied in male acne and/or rosacea patients at low doses with success. Keep your dose at 50mg or below and you won't experience any "female" side effects. Remember that spiro's effects are completely reversible, so if for any reason you do not like the side effects, just stop taking it!
An easier option would be to take natural anti-androgen supplements that were specifically developed for men. While there are many supplements that are weak anti-androgens (MSM or B-5 come to mind), you will be better off with a stronger anti-androgen. Look into dosing 500mg-1000mg a day of saw palmetto, stinging nettle, or wild yam. I recommend LifeExtension Saw Palmetto & Nettle combo on Amazon: http://www.amazon.co...s/dp/B0019BLXQY
Edited by Green Gables, 10 January 2013 - 04:27 PM.