I haven't been on Acne.org in a very long time, but I just wanted to create this topic about Spironolactone and what it's done for me. I'm a young female in the NY state area, and I have had moderate acne for about five years. My acne ranged a LOT in its severity. I got cystic zits on occasion, and I seemed to break out around my period each month. No matter what, my face was never consistently clear. I always had at least a few bad red marks or zits, usually quite inflamed because I would mess with them. I had one really bad breakout my freshman year of college where I had red marks and zits ALL over both my cheeks. I looked like I had a severe case of the chicken pox. I went on Doxycycline and it cleared it up for the time being, but my acne soon came back.
I had heard about Spironolactone for years on the Acne.org board, but none of the doctors I saw had ever heard of it being used for acne. Eventually, during my fifth year of dealing with excessively oily skin and deep, painful zits, I was fed up and searched for doctors with experience prescribing Spiro for acne. I found one who did and got prescribed 50 mg of Spiro first, but after finding that it did nothing for me, my doctor bumped it up to 100 mg a day. I've now been on 100 mg a day since August 2013.
To say it's been a miracle worker is an understatement. My skin hasn't been this consistently clear since before I got acne. My oiliness has decreased incredibly, to the point where I do not need to blot my face anymore. My skin is not PERFECT by any means; I do still get a zit every few months or blackheads once in a while. But it is not nearly as bad as it used to be. I am quite happy with Spiro and plan to be on it as long as I can, since my doctor said it is safe for long term use.
If anyone has any questions feel free to ask me. I personally think every female (or even male if you get a lower dose) should give Spiro a try. I never even thought I had hormonal acne since I didn't really have cystic acne, but I decided to try it anyway and it has really worked. I have to thank the user Green Gables for her help in finding Spiro. She was how I found out about Spiro in the first place!