Hi dee I have stumbled across your posts and I have just started spironolactone I was on 50mg for 2 weeks now on 100mg been on this for 1 week now. I also was prescribed isotrex 0.5 I've been using this every night for 9 days now with no bad side effects so that's why I've continued using every night instead of skipping (wanted to see if I had any bad side effects before skipping days) little background I'm 26 always battled with chin and jawline acne since 17 was in dianette till April for a year and it cleared me well! Was t perfect but I wasn't complaining. Came off as I get migraines with aura skin was ok up until July then is got worse and worse! So I paid to see a derm and this is where I'm at it's definitely hormonal as I've tried antibiotics for 3 months nothing changed and if dianette helped I hope spiro will! My question is how long will spiro take to kick in? I'm having a really bad breakout currently probably from isotrex there more smaller pimples then big cystic ones so I'm thinking it's getting all the little microdomes up from under the surface? How long should I stick with isotrex I am trying to remain positive it's just depressing right now I have another appointment 9th jan with a derm on the nhs I'm hoping they agree with what I'm using so I know I'm on the right path! I was considering accutane but for people with hormonal acne I know it will come back so is rather give spiro sometime first.
Hey, so sorry for the late reply! If you read this I hope you are still on Spiro, it doesn't work quickly and takes a few months to show some effect. Obviously, it varies from person to person but I would give it atleast 6 months before you decide if it's helping you or not. Also, it depends on the dose you are taking as some people will improve on 50mg and others will need to take upto 200mg for it to help them.
As for the isotrex, that will definitely take a few months to work, so I hope if you are still using it, it has helped. It works slowly but would help with the microdomes more so than the inflammed types of acne. It just needs time and patience really, so don't give up hope! They have worked for me when I have used them consistently but it's best to stick with it in the long run for your skin to really improve