I guess I'm responding here because I feel like I have no one else to talk to. I just started spironolactone yesterday. I am 24 and my acne is consistent with the symptoms of hormonal acne, that being that it is very deep, and only on my cheeks and lower face. I am also using a topical that the dermatologist prescribed. I feel so depressed about my acne, and it seems hopeless. I am afraid that months will go by and there will be no improvement. If anybody could let me know how long it takes to start seeing results that would be great.
I am 23 years old and I know my acne is not as bad as some, falling into the moderate category with a few painful cysts, however, it has been persistent and unresponsive to other OTC treatments, antibiotics, retinoids, and oral contraceptives. I was thrilled when I went to the dermatologist 3 weeks ago and right off the bat he prescribed me Accutane, 50mg daily. It was the start of a new school year and within the first week of being on the med I started seeing a dramatic improvement. Literally within the first 3-4 days the pain of my cysts diminished, giving me so much hope for the healing of my skin. After a week the stubbornness of my acne seemed to subside, leaving only fresh scars that were finally being given time to heal properly. My reason for going on Accutane was also because my dermatologist told me it was quick, and I was so happy that the guy moving to VA that I have been talking to for a couple months would see me with beautiful skin. To me, it was worth it to have some hair loss, it was even okay that my skin on my scalp and lips would bleed randomly, that my eyes were dry and bloodshot, that I was tired and sick. I kept telling myself this was all temporary and worth it to be beautiful in the end. What I did not know is that the Accutane would cause me to spiral into a deep state of depression with suicidal thoughts. I stopped taking the Accutane a couple days ago because the depression got so intense I have been having trouble getting up to go to classes, work, eat, and I do not see friends. The people I want to call and talk to I neglect because of this. I pray that this will go away with time. It's kind of sad because I only really had MODERATE acne, and in retrospect it was not that bad and not worth it to feel this way. Well, the guy I was dying to see for so long and just wanted to be beautiful for is coming here tomorrow, and the energetic, happy person I was before seems to be gone. I would give anything just to go back in time and change what happened so I could feel happiness like I did before. I wrote this in the hopes that if anyone else has here is contemplating going on Accutane for mild-moderate acne they will give it a second thought because it should only be a last resort, not something that should be frivolously prescribed by ignorant dermatologists who do not care to evaluate their patients' past history with psychiatric disorders and inform them of the risks. If you already have a predisposition to depression, try to consider if your condition is worth this. Nothing is worth feeling this way.