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Member Since 11 Dec 2013
Offline Last Active Mar 04 2015 02:31 PM

#3473632 Ortho Tri + Spiro Vs. Diane 35?

Posted by CarpeMomentum on 04 March 2015 - 02:14 PM

It sounds like you may have hormonal acne as most women do.  I am on Spiro and was recently on Spiro + Yas.  I would throw a hissy fit.  My derm was the first person to prescribe this to me, but she really had no experience.  My endocrinologist now prescibes it for me as it is a treatment for PCOS.  Perhaps you can try that route?  I feel for you and hope you can find a solution.  There may be another physician in the area that would be open if you bring your current Rx, perhaps have your Dr in San Fran write a note?  It is off label use in the US as well, but more mainstream for PCOS sufferers.  I wish you the best.

#3462284 How ya feelin' about your acne today?

Posted by CarpeMomentum on 02 December 2014 - 02:02 PM

Just wanted to sign in and share with everyone how appreciative I am for this board and helping me in achieving clear skin.  It was a lifelong battle and finally was diagnosed with PCOS and started Spironolactone and Ocella (generic Yasmin) last year, Dec 30th to be exact.  What followed were 4+ months of worsening skin, depression, anxiety and I almost gave up.  Then the medicine finally started working.


Medicine may not be right for everyone, but I can say that it changed my life.  I dreamed of clear skin, not worrying about my skin, living a carefree life.  It took 33 years, but I was able to find this.  To all the ladies that have hormonal concerns and considering, I am happy to share my experience and urge you to continue to look into testing- hormones, endocrinologist, etc.  I continue to be thankful and pray on a daily and weekly basis for all the support and information you all provided me.  I am feeling thankful and sending love to all of you on here. 

#3438258 Spironolactone

Posted by CarpeMomentum on 27 June 2014 - 10:21 AM

I've been taking it now for about a month and a half. I feel like my breaking out has decreased, I broke out a bit more last week just because it was that time of the month, but nothing cystic. I get a a small pimple now on average maybe once every other day. I actually lost 5 pounds so far, but my bust has increased in size I think. does this sound normal?

Yup!  All pretty normal.  It took me about 3 1/2 months to finally break through but my dose was low.  I did gain weight after upping it to 75mg with BC.  My boobs did grow a cup size plus.  

#3437357 Spironolactone

Posted by CarpeMomentum on 22 June 2014 - 06:04 PM

Hey there!  Just thought I'd share my experience.  I started on Spiro 50mg  and Yasmin on 12/30 last year.  It took about 4 months to stop the constant breaking out.  I had mild hormonal acne prior due to PCOS.  It was only after I upped the Spiro to 75 mg with Yasmin on the 4th month that the oil production slowed down and consistent clarity began.  I did gain a little bit of weight due to the estrogen increase, I also grew at least a cup size maybe 2.  I just have to watch my diet and may go on Metformin to balance my insulin, issue with PCOS.  How are things going for you?

#3431677 Spironolactone Breakout With Increased Dosage

Posted by CarpeMomentum on 14 May 2014 - 06:26 PM

Yes, I experienced a breakout when I added Yasmin, I started at 50mg, had an IB, added Yasmin had an IB.  3 months later added 25 mg and had a small breakout and then a week later clear ever since.  Hope you have continued success!!

any new updates with the increased doses people?

I currently upped my does from 25 mg to 50 mg about 5 days ago, and I am experiencing what seems to be an IB. I was on 25 mg for about 6 months before upping the dose with out any kind of outbreak.

#3430827 Hormonal Acne- Spironolactone And Blue/red Light Therapy (Please Share Your E...

Posted by CarpeMomentum on 08 May 2014 - 07:21 PM

It's been a bit since I've posted, so thought I would come back and share.  My skin has really been a gift.  Thank goodness is turned around the way it did as I had a complete upheaval in my life, recently laid off and had to start interviewing, got a contract job right away and starting a permanent one next week.  Having clear skin and confidence back for that, I can't even begin to thank the Lord for listening to all of my prayers. 


My oil production has been completely reduced, I have a healthy glow and that is it.  I can go for hours without any real increase, just dewy at the end of the day.  I still am using the mandelic peels to keep my pores clear, it helps with just getting rid of dry or any potential clogged pore.  If I even have a clogged pore, it's easily extracted and nothing comes of it.  Did have one bump on my hairline last week, from getting my haircut and the product that the use.  I didn't wash my hair for two days, so expected something, but that was it. 


Weaning off of doxy, taking 1 less every other day.  Taking oregano oil on those days to try and also help my tummy bounce back.  I will then try 1 less for two days in a row, etc then 3 days in a row until I am at 1 a day and then every other day.  I just don't want tummy or other rebound issues so would rather take sweet time to slowly wean.  Thankful beyond words.  Have been freer with my diet as well and so far so good.  Spiro is truly truly been a miracle.  It was worth the torture of those 3months and appreciate all of the support I continued to receive.  Love to you all on your journey!!

#3428943 Hormonal Acne- Spironolactone And Blue/red Light Therapy (Please Share Your E...

Posted by CarpeMomentum on 27 April 2014 - 05:21 PM

Funny how I use to count the days and now I don't even pay attention.  I have been reflecting a lot on the journey that I have been through the last 4 months and I feel like so much of my life and time was wasted caring so much and being so miserable.  It was something I had to go through to get to where I am now.  I am content, my face is pretty much clear.  I only have minor tiny clogged pores every once and I while I either clear with a peel or exfoliate away.  I have had consistent clear face since after upping to 75mg Spiro and that small breakout.  I am going to skip my period this month and take my next pack and no actives.  The progress is great, I want to keep it up.  I have noticed my cup size has increased dramatically, they are super sore and I have gained a few lbs.  It may be due to changing my eating habits a bit, but also attribute it to the new level of hormones.  In 1 week I am going to start weaning off doxy slowly until completely off.  Probably will do it over 6 weeks.  I will document progress here.  I have been using peels on a weekly basis to keep exfoliation and even out skin tone.  I have tons of freckles and a bit of melsama from the sun, so would be nice if that faded a bit too.  I don't wear makeup, just a few dabs of concealer on my eyes and a few red areas that are taking a looooong time to fade.  I have lactic 55% that I may try next or the fade peel.  Overall my self esteem is slowly healing and I am trusting that I am on a great treatment that is working.  I was so afraid for so long, I am not letting fear take hold any longer.  Enjoying all life has and looking forward to the continued clearing and my skin getting better and better!

#3428305 I Need Some Encouragement

Posted by CarpeMomentum on 24 April 2014 - 06:59 AM

Hang in there!!! I have been there wayyyy too many times before and know how painful of a place it is to be.  I did always feel better going in to work and not letting acne stop me fully.  No matter how many people tell you that no one notices, it can be so hard.  But they don't notice.  I had a terrible breakout from starting Spiro and BCP and left me in your situation for a few months, wishing days, weeks and months by.  You will get through this, you will heal, life will get better.  Focus on just getting through today, baby steps.  Breathe, stay away from mirrors.  Dress up a bit if you can, see if that helps you feel any better about yourself.  Sending you lots of positive thoughts and hugs today!

#3427642 How ya feelin' about your acne today?

Posted by CarpeMomentum on 21 April 2014 - 08:45 AM

Yay!!  So happy to hear. I'm just under 4 months and the increase to 75mg in the last few weeks really really made a difference.  The oil production is about 50% less, so I hope you also see that as well.  Fingers crossed the small increase helps even that much more.  I am so excited to see consistent results and hope you continue as well.  :)

Ok 6 months into Spiro and as of today my skin is clear smile.png I did get one cyst right under my lip that hurt like hell but its now gone and I don't have one single pimple! I asked my gyno to change my birth control to Ortho Tri-Cyclen and she did so I took my first pill today. I really hope the new birth control and the continued Spiro will keep me clear from here on out. I have a dermatologist appointment on Tuesday and I think he's going to up my Spiro, if he does I will ask for 75 mg and wait on going up to 100 mg. I'm really happy with my progress.

#3426583 Spiro For 2Nd Time

Posted by CarpeMomentum on 16 April 2014 - 07:26 AM

Hey there!  I upped my dose from 50 to 75mg about 2 weeks ago, still in conjunction with Yasmin. So I am at around 100mg and seeing a bit less oil.  I was SO fearful of another IB.  I did experience a small one, but honestly NOTHING like the first time at all.  It's already cleared.  I also did have a migraine followed by headache for a week and 1/2.  Drink lots of water and just be ready to deal with whatever comes.  a week or 2 of breakouts is so much easier to deal with then continual.  I wish you continued improvement!!

Hi beautiful Maria smile.png I just wanted to check in and see how you are doing. I'm about to up my dose to 100mg next week when I finally see my dermatologist after 6 months. I'm so worried about another IB I cant take anymore. The 50mg of Spiro seems to be working but not as good as I thought it should be by now. I'm still getting a cyst here and there. I've also been cutting out foods that I thought I could finally eat again like chocolate grrrr. Well, I hope the 100mg will work better for you, keep me posted on your progress smile.png

#3426205 Another Spiro Log

Posted by CarpeMomentum on 14 April 2014 - 10:33 AM

Welcome to the Spiro journey!!  Have patience and stick with it.  It does work!!

I started spiro today! She gave me a prescription for 25mg 2x/day (50mg/day) and said to start at 25mg for ~2 weeks to make sure I don't have too many side effects/to not shock my system since I seem a bit sensitive to hormone changes. And she'd bump me up to 75-100mg if there is zero change in 2 months. 


I have a mirena IUD, and now that the cramping is better and the periods are gone and I basically don't have to worry about pregnancy, I really love it. Only thing is my acne is worse on it than on the pill due to the levonorgestrel progestin in it being way androgenic, so she said the spiro+mirena combo could be a first-line and long-term option before I give up on the IUD, since it would offset the most probable cause of my acne (retin-A and antibiotics only cleared the top half of my face and it dries out my chest and back really badly). I refuse to take antibiotics long term, too. 


Fingers super crossed on this one. 

#3426183 Another Spiro Log

Posted by CarpeMomentum on 14 April 2014 - 07:30 AM

Hey I am so glad to hear you are thinking of sticking it out with Spiro.  I know things have been beyond challenging for you and I hope you do see some success.  Is there anyway your dr will extend your doxy course?  When I started bcp on Spiro, I did take the packs back to back to try and keep my hormone levels regular and to try and head off any extra breakouts.  Are you on a monophasic pill, perhaps maybe you could do that as well and skip your inactive weeks.  They have done many studies that have shown it is not harmful.


I also second your choice for peels.  I've been loving them.  You may want to look into the Makeup Artists Choice Mandelic peels as they have been wonderful on my redness and even active spots.  They have an AWEsome 15% salicylic/15% Mandelic combo that worked wonders after the first time I even used it.  Dried out some spots that had been sitting around forever and really helps with the PIH.  Lactic is good for PIH but better once the active spots are minimal.  Wishing you a better week!

Week 11 (tomorrow): So, this last week or two, has been pretty good. A lot of cysts have gone down and I'm just left with a lot of redness. I'm far from cured. Still counting about 20 actives on my face alone and my shoulders are at its worst with cysts, but the really large clumps of cysts have gone down. As of right now, I told myself, if i do not get worse before my next appointment (which is in two weeks), I'm holding off on the accutane. I'm still taking the Spiro at 25mg but I think the thing that has really helped me was the doxy and the birth control pills which I started a month ago and 20 days ago for bcp. I'm really afraid of getting worse again since I'm coming to my last doxy pills and my inactive bcp both at the same time  (my luck). If I make it through this next week and I'm still under control, I decided to stick with my current treatment in addition to starting chemical peel. I've been looking up stuff online about it and think that 20% salicylic acid peels once a week would be a good place to start, since my skin should already be used to salicylic acid. I really just want to start the peels to help the redness. Im not really expecting them to do anything for the active. I'll still have bcp, spiro and doxy to help/ prevent actives. Also bought a bottle of saw palmetto. I dont really know when I should try that... thinking of starting now, since im on my inactive week of bcp. All this stuff is so confusing 

#3425299 Spironolactone Log

Posted by CarpeMomentum on 09 April 2014 - 02:35 PM

Hey there!  Reading through your log and just wanted to send some positive thoughts your way.  You are nearing a month soon and that's progress.  I've been on Spiro a little over 3 months now. The first 3 months 50mg and Yasmin, now 75mg and Yasmin.  It took a few months of breakouts off and on to finally have more of a clearing phase at 3 months.  The first month was inflammed, started doxy in addition to Spiro and then it was small little comedones all on my cheeks/jawline/chin.  Slowly cleared and just have a few clogged pores on my whole face which is a slight miracle after the first month.  Exfoliation and good cleansing routine helped the process along and keep my PIH down a bit.  I did have headaches from the increase in dose, but other than that.  I don't think you will become any "worse" than you are now.  My first month was definitely a shocking one as it got way worse than I've ever broken out before.  Keep your head up and keep on your spiro journey, it does work but it takes a whole hell of a lot of patience.  Mine was tested continuously and this board and these women really helped me through it.

#3424338 Dating With This Face (Pics)

Posted by CarpeMomentum on 04 April 2014 - 11:00 AM

Wishclean, you are beautiful!!!  Wow, I am so so sorry you had this experience and your story brought tears to my eyes.  I hope that you don't let this completely deter you from dating because of one person who is not someone you would really want to be with anyways.  In the end we all want someone who will love us despite our flaws. I am not saying you are flawed, because I would give to have your clear skin right now.  Your complexion is good, you don't have any crazy scars or redness.  Remember people read our energy as well, you were not feeling comfortable and maybe that came across.


Either way, I've been in your situation before when I first was single and just started breaking out.  It really hurt my feelings but a few months later I met someone else who understands what I am going through, doesn't care if I have a breakout and I can just be myself with.  That is rare and I am sorry this guy failed you.  Dont' give up, keep your pretty head up and we will help you get your mojo and confidence back.  Sending you lots of love!

#3423482 Spiro Dosage

Posted by CarpeMomentum on 31 March 2014 - 09:04 AM

Hey there, I do think it is a very personal thing based on severity of acne, levels of hormones, metabolism, etc.  I am about 125 lbs, 5'5 and tested with mildy high testosterone levels.  I am on 50 mg of Spiro in addition to Yasmin which is about 25 mg and helps to balance out the other hormones.  I do have baby blond hairs on my face as well, so not sure if taking a higher dose would help with that.  Either way I don't have any side effects from the medication except for frequently having to use the restroom.  I'd prefer to be on the lowest dose that my body can handle because the scare of sparing potassium and other side effects.  Some women will work their way up to 100mg and then after they clear try to ween down to a more maintenance dose. It does take time to take affect, took me about 3 months to slow down breakouts and clear.  I still have some clogged pores I am contending with but very different then breakouts before and during the initial breakouts month 1-2+.  You are pretty tiny, so maybe starting with 50-75mg.  After reading through all of the reviews on here of Spironolactone in the Reviews section, many women cleared on 50mg which gave me tons of hope.  I am still fairly oily which is fine with me as long as the breakouts aren't happening.  I am seeing an Endocrinologist this week so if I get any additional info on dosing I would be happy to share with you.  Good luck on starting your Spiro journey, feel free to reach out anytime.