I never post in these forums, but wanted to come in here to offer some hope to anyone who might need it. I started Spironolactone almost a year ago. I started at 50mg/day. It didn't seem to be doing anything and, after 3 months I went back to my doctor to ask for a higher dose. She bumped me up to 100mg/day and I will never forget she essentially told me that this dosage works for all her patients, and that I better not be the exception. I was certain that I would be the only person that Spiro does not work for, since that's my luck and nothing else has worked in the past. I suffered through worse acne than I'd ever had before over the next several months at 100mg. The only thing that kept me going was coming here to read about everyone else's success with spiro, and the confidence that my doctor seemed to have that this would work. 7 months later of 100mg/day and I can tell you, it truly does work and I am so glad I waited it out! I have never been this clear in my life, and now the only thing I deal with is acne scarring and the occasional tiny pimple on my chin right before that time of the month.
Don't give up on spiro, what the others have said about it is true: it takes a long time, but it is so worth it to stick with it.
Thank you so much - you have no idea. I am 6.5 months on 100mg a day and honestly, I am still oily. I have been told it can take 9 months to work so I'm trying so hard not to give up hope. When you say 7 months, did you START seeing improvements then or did you reach your final clearance at that point? And it was 7 months after starting the 100mg, not including the time you spent on the 50mg?
I'm glad my post was somewhat helpful to you, michi31! I don't even count the time I spent at 50mg/day because everything was exactly the same for my skin at that dosage. I moved up to 100mg/day and my skin freaked out for probably a good 6 months until I started seeing improvement in the 7th month. The way it worked for me, it was like my skin freaked out and then all of sudden the next month(month 7 at 100mg/day) it was basically clear (i had one or two small and short lived pimples right before my period). The only gradual improvement I noticed was less oily skin around month 6, but I still had breakouts. I think it can definitely take even longer for some people. So it's been a total of 10 months on Spiro for me, but I don't even count 3 of those months, since nothing got worse or better over that time. I also use topical tazorac, which really didn't help that much before when my skin was terrible, but now it seems to be helping with fading scars.