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Spironolactone Prescription- Help Please...


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#1 kimberniki

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Posted 17 June 2013 - 05:30 PM

Hello all!!  I've been suffering with acne for quite some time...  I'm a 35 year old female with 2 small kiddos.  I know the basis of my acne is hormonal- it fluctuates, but never really disappears.  I get cystic acne on my chin and occasionally on my cheeks and horrible back acne; which has started to spread to my shoulders and my upper arms are starting to clog up...  I'm so fed up with this nonsense!!  I get a reasonable amount of non-inflamed acne on my face as well.  I don't have sensitive skin.  I am very religious about my skin care routine and I WILL not skip it for anything- day or night...  I am on an oral antibiotic and I use Dan's face wash, Paula's Choice salicylic acid, Lumiplexion 10% benzoyl peroxide, Dan's 10% alpha hydroxy acid and prescription 1% Retin-A (couple times per week).  I manually exfoliate morning and night.  Sounds like a lot right- well it has worked very well for the non-inflamed acne...  BUT the cysts still persist and my back is another topic...  The back drives me crazy- nothing works...  I contacted my General Physician and my Nurse Practitioner in the Dermatology Dept at Kaiser (where I'm insured).  I'm trying to get a prescription to try SPIRONOLACTONE.  I've researched and have read great reviews on it for hormonal acne... But, apparently it is not FDA approved for acne- therefore, neither of them will prescribe it...  Both think I should go on Accutane- for personal reasons, I really don't want to go that route at this time... side effects and birth defect issues...  My question- how do people get prescribed this medication for acne???!!!  If any one has some clarity on the situation, I'd greatly appreciate it...

 

Thanks a bunch,

Kimberly



#2 DC-girl

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Posted 17 June 2013 - 05:54 PM

My first thought is to go to a different derm.

 

Or try and reason with them.

They want to give you a chemotherapy drug (accutane) but not spironolactone?

Seriously, that's non-sensical.

Spiro is WAY safer; I would push on that fact. 



#3 the uphill battle

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Posted 17 June 2013 - 06:38 PM

I second that. I would go to a different derm if they're not willing to give you what you need. I actually got my first Spiro prescription from my gyno... and then when I relocated, I got a derm and asked if they would continue prescribing me Spiro. She agreed without hesitation and said they regularly prescribe it to females struggling with hormonal acne in her practice. I definitely think it's worth giving a try! I haven't gotten a cyst in 4 years since I've been on it and my body acne completely vanished and never returned.


"I'm selfish, impatient, and a little insecure. I make mistakes, I'm out of control, and at times hard to handle. But if you can't handle me at my worst, then you sure as hell don't deserve me at my best." -Marilyn Monroe

#4 AyeAye

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Posted 17 June 2013 - 09:00 PM

I've moved this thread to the 'prescription acne medications' forum where you may receive more replies to your question.  Good luck.


After remaining clear for around 1.5 years following DKR (The Regimen), in March 2013 I decided to change to Epiduo.  I use a pea size amount of epiduo each night, followed by a layer of topical antibiotic (Eryacne). I also apply Eryacne every morning and moisturise twice a day. After switching to Epiduo from the regimen I found that it took a good 3 months to get back to being perfectly clear again and now I might get one small pimple appear per month.  I can live with that smile.png

I started following Dan's Regimen in September 2011 after suffering with acne for 20 years or so. I followed the Regimen instructions exactly and became 100% clear within 9-11 weeks. In December 2011 and after being consistently clear for over a month, I started to slowly reduce the amount of BP I used until I was only applying BP at night. My skin still remained clear however I sometimes switched to applying BP twice a day for a few days (perhaps once a month) if I felt a few under skin bumps starting to come up. I used acne.org products (including AHA and jojoba oil) and sometimes cetaphil moisturiser at night if I felt my skin was especially dry.  In the gallery I show my week by week progress following the regimen.


#5 Green Gables

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Posted 18 June 2013 - 12:14 AM

It helps to bring in something printed. This webpage lists how spironolactone is used for hormonal acne and cites medical journal references at the bottom. You can also say that you have a friend who spiro worked well for.

 

http://acne.about.co...ronolactone.htm


photo-152109.gif?_r=1345837784?__rand=0.

 

I don't get notified of your response to my post unless you QUOTE my post.

Please only quote a small portion of the post so it doesn't clutter up the thread. 

 

How to Treat Hormonal Acne

Good and Bad Birth Control Pills and Implants for Acne

How to take Spironolactone

List of Doctors Who Prescribe Spironolactone

Topicals for Hormonal Acne

 

HOW I STAY 100% CLEAR:

Spironolactone (anti-androgen drug)

Betaine HCL with each meal

Avoiding silicones and occlusives in skin/hair products

 

 

 


#6 kimberniki

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Posted 18 June 2013 - 09:38 AM

Thank you all for the replies and support! Aye Aye, thanks for moving the topic to a more appropriate forum. The Uphill Battle- thanks- you've given me hope for the cysts and body acne... DC Girl- thanks- I'll try! Green Gables- awesome idea- will do! I'M ON A MISSION ;-)

#7 jean alfred

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Posted 05 October 2013 - 05:56 PM

Recently, the doctors started to use a new drug in the fight against the acne. During years, the spironolactone, an anti-androgen used to block the production of hormones, was more frequently found in the oral contraceptives. However, dermatologists discovered that this drug in the form of cream topics can be useful to block the hormones which create the acne. If your doctor prescribed, here some stages to help you to use the spironolactone acne topicality.

 

jean alfred


Edited by jean alfred, 12 April 2014 - 03:29 PM.





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