Well I actually stopped Spiro (at least temporarily) to see if the twitching is caused by it - it's random, all over in different muscles.
Can be a side effect of diuretics, though doesn't seem typical.
To be fair, I'll be happier if it turns out it was Spiro then if it remains.
Now I'm taking Saw Palmetto, and hope my skin won't stop improving in the few days while I get another prescription for something... but I haven't much choice, either Accutane or something like Cypoterone acetate. 
Or I might get back on 25mg and see how I'm doing on that - it's reassurring that you see results with it!
Glad that you feel reassured.

Have you talked to your derm at all about the muscle twitching?
That seems like such a random side-effect. I just did a really quick Google search about spiro-related twitching, and nothing tangible really came up. It might be worth your while just to call up the doc and talk about it., even though you're no longer using spiro.
So, the latest on these lovely cysts on my chin is that I think they'll require another 1-2 night's application of non-whitening toothpaste to draw them out. What fun! They're at the whitehead stage now (I know, how appetizing), which is good in one sense. They'll be gone fairly soon. However, I HATE walking around in public with my acne lesions exposed for everyone to see. Even if I have covered them up with mineral concealer. It's still pretty obvious that I've covered up some major honkin' zits.
Ugh. Oh well. Next time, I'll be sure and avoid the types of situations that will cause these yucky blemishes to form.
Oh! Almost forgot. I just came across this "Fitzpatrick Skin Type Test" online, and it's a pretty good one.
http://www.mirabella...ty.com/skintestI'm a Type II. Being of Northern European (mostly Irish) ancestry, I'm not at all surprised to have learned this.
More updates from my Adventures in Spiro-land coming soon.
Edited by CherrySoda08, 03 January 2013 - 02:56 AM.