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Member Since 14 Jul 2013
Offline Last Active Today, 12:04 AM

#3381846 Spironolactone (Aldactone)

Posted by travellinggal1170 on 10 September 2013 - 08:45 PM

I'm trying! It's hard when it had started out at one breakout around the chin and now it's my whole face with clogged pores. I have never had acne this bad and I feel like it just looks worse when I try to cover it up with makeup when I have all these bumps. My derm had me bumped up to 100 mg and I asked for an antibiotic but unfortunately my insurance doesn't cover much. Now she out for another week or two so I'm kind of stuck. I've tried the trentinoin topical cream which made it 10 times worse and now am using aczone which isn't really doing anything to help. My skins gotten less oily but now it just has this rough texture to it.

I initially started off at 50 mg/day, then 75mg and when I upped it to 100 mg/day, that's when I started to notice a real difference. If your derm has just increased your dose to 100 mg/day, give it time for your body to adjust. You can't adjust hormones overnight (as much as that would be nice). I didn't need to take any antibiotics and you may want to hold off on that for now. I'm not sure how effective spiro and antibiotics are in combination but I'd be concerned about the toll on your body and liver.


I would avoid using any trentinoin or Retin A creams for now. I'm not familiar with aczone but chances are it has a drying effect on your skin.  When I used Metro Gel (before spiro) it made my skin look rougher and my acne looked more pronounced.   If at all possible, avoid wearing makeup so that your skin can breathe. Trust me, I know how hard this is, especially when you want to cover your acne. But I think not wearing makeup will help your skin heal faster.  I've found less is more with skin care helped my skin to heal.  Use a good sunscreen too; this will help the hyper pigmentation to heal better. 


I use Cerave hydrating cleanser, Paula's Choice 2% BHA lotion (only on the trouble spots), Cerave lotion and Vichy sunscreen during the day. Paula's Choice BHA lotion is helping with my blackheads so this might work on the clogged pores. 


Check in with your derm when she's back and give the higher dose some time to work.  Try and stay positive because stress will definitely make things worse. 

#3380532 Don't Give Up On Spiro

Posted by travellinggal1170 on 05 September 2013 - 12:53 AM

It has been about 2 months since I started taking Spironolactone and I'm very happy to report that my skin is almost completely clear.  (about 98%) I still have a few persistent pimples that are taking their time going away but they are. The hyper-pigmentation is slowly healing and I think it will be a while before that clears. I have scars on my forehead (cystic acne) which are fading a bit too. (although I think they will always be there, just gradually less noticeable over time)

Also, my rosacea seems to be clearing up, which really pleases me. My colleagues at work have commented on how clear my skin has become. cheer.gif

My skin and hair have become less oily which is a nice change.


My acne was moderate, concentrated primarily on my chin area and fortunately, the side effects have been minimal for me.

I was really tired for a few days but I changed how I took the medication (2 x 25mg twice a day vs. 1 x 25 four times a day) and kept hydrated.  I haven't experienced any hair loss; in fact, I'm shedding less hair than before I started taking spiro! 

I was definitely concerned about my menstrual cycle and so far, I'm still getting my periods each month, although the days between cycles have gotten a bit shorter. (hopefully that will work itself out in the next while)

I've also lost weight too!  I'm not sure if it's because this drug is a diuretic but it could also be that I'm watching what I eat and spending time on the treadmill on a regular basis.

I am relieved that my body seems to be tolerating spiro this well. 


I'm getting blood work tomorrow to check my potassium levels (I had blood work done shortly after I started taking this drug and I was fine) and I hope all will be fine there.


fyi, I'm in perimenopause which brought on my acne. Now to convince my doctor(s) to continue prescribing the drug for me as I'm dead certain that if I stop taking it, the acne will be back.  My doctor has suggested taking Yasmin or Diane35 once I'm clear and going off spiro. I'm not thrilled with that as I don't like the risks associated with these OC's. (then again, spiro has its own risks too)

This is one scenario where I'll need to really advocate for my own health.


I'm on 100 mg/day which is the right dose for me (I definitely started seeing results once I upped my dose to 100 mg).

So for those of you who have just started taking spiro or have been taking it for a while and getting frustrated with not seeing the results you want, hang in there! This drug does take time to work and the results do vary for each person.