I was on 25 mg of Spiro for about 3 weeks and then went up to 50 mg for about 3 months. My derm was hesitant to prescribe it because I do not have PCOS, but said she'd give it a try. My oil production decreased dramatically. However, 50 mg is a smaller dose, so I knew it would take some time. I saw her once about 2 months in and she seemed disappointed. She said I could finish out the Spiro for the next 6 weeks, but if my skin didn't improve much she wanted me to try ANOTHER antibiotic. (I've already been on like, 3 of them). I got very discouraged from that and decided not to go back to her. I kept with the Spiro until my prescription ran out but decided not to see the same derm again.
Life got hectic and my skin had been looking better for a couple months so I didn't make the time to go to the derm again. BIG MISTAKE. I underestimated how much the Spiro had actually been working and I now remember what it was like before I started the Spiro. I was off of it for about 2.5 months and finally saw a different derm a few days ago. She was very kind and is starting me on 50 mg and says she will bump it up to 75 after a month with normal blood tests. She seems much more positive about the Spiro and knows that it can clear women up. I am 23 and have had acne since I was about 12. I KNOW it's hormone related so I am glad I found someone who will listen to me...at least for now.
I am also simultaneously getting help for some mental health issues. I have anxiety and depression from some other life issues, but I know acne hasn't helped with my self-esteem and whatnot. I was just prescribed Lexapro and Xanax for anxiety. I feel more calm and have fewer racing thoughts. I also have a bad tendency to pick at my skin from anxiety. I am hoping the antidepressants help with this issue some.
I am excited to start this journey of a better mind and body.
I can't start the 50mg of Spiro until I start birth control which will hopefully be on Sunday. Don't worry, it will be a kind low in androgen activity.
So Sunday I will officially be on...
50 mg Spironolactone
Yaz or TriNessa (whichever my Dr. approves today)
10 mg Lexapro
.5 mg Xanax XR