I started Spironolactone today on a dose of 25mg per day. It is not a lot but my GP recommended to try a small dose to see if the medication agrees with me, and then work it up to a higher dose. Ideally, I would like to be on 50-75mg depending on how it works for me then use lower maintanance doses once the acne and sebum has settled down. I am aware some people may require 100mg or even more, so will keep that in mind.
I don't like the idea of being on tablets for anything, but I am tired of my oily skin which has come back after my long low dose course of isotretinoin, so I hope spiro can decrease my sebum excretion. I hate the oiliness of my skin and hair. The insides of my ears also get oily it's truely gross lol.
I have already been using Isotrex gel on my face since 13/05/2013, so it's been about 5 weeks now. It's been ok, I think I'm still in the peeling and purging stage though as my skin was becoming smoother in the first two weeks then suddenly it's like just peeling everyday. Not really badly, but when I touch my cheeks especially, I can feel almost like facial dandruff type flakes rubbing off onto my fingers lol. It is calming and stopping any major inflamed acne from sprouting though, so I know it is helping to a degree.
I don't expect to see any major improvement until another few weeks yet as topical retinoids tend to show improvements after months of use. I hope after adding the spiro, I can lower the oiliness so that will add to the improvement of my skin and aid the isotrex in doing it's job aswell.
The spiro should lower oil which in turn will lower the acne causing bacteria which feeds on sebum, and the isotrex will continue to increase cell turnover and loosen blackheads so they come out easily and overtime comedones should stop forming = clearer skin
I am going to be realistic and try not to expect too much in this first month especially, but I look forward to writing about my improvement in the coming weeks and months. I can't wait for my skin to feel smoother. Hope anyone reading it and following it will find the info insightful and helpful as well.