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25 mg, 50 mg or 100 mg of Spironolactone.
Calcium sulfate dihydrate, colloidal silicon dioxide, croscarmellose sodium, crospovidone, hypromellose, lactose monohydrate, magnesium stearate, peppermint flavor, polydextrose, polyethethylene glycol, povidone, pregelatinized (corn) starch, sodium lauryl sulfate, titanium dioxide and triacetin.
Items marked with orange can be irritating and over-drying, especially to acne-prone skin.
The list of ingredients above is provided for informational purposes only. Always check the actual product label in your possession for the most accurate ingredient information due to product changes or upgrades that may not yet be reflected on our web site.
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I take 50mg a day. Sometimes when I'm starting to break out a little, I take 100mg. (My Dermatologist has approved this)
Not to sound too dramatic, but spironolactone has changed my life. It has cleared 95% of my breakouts. Even though my acne has never been cystic, it is very severe. I would get tiny pustules all over my body which looked like folliculitis. Even my stomach had acne!!
Everyone thought I had PCOS until an ultrasound proved them wrong. For some reason my adrenal glands produce over twice the limit of DHEA-S and this is what causes my acne. If you're in the same boat as me, spironolactone is worth a shot.
I'm on Yaz as well, and I dread the day when I have to go off these meds.
I was on spiro for about a year last year and then a few months again this year. The first time I took it I was soo happy and amazed. I cleared up all of my big pimples on my cheeks and forehead and the only side effect I noticed was that the first few weeks I felt kind of light headed but that went away. However, I also experienced some really bad dry mouth which started to really bug me (still not 100% sure it was from this but I think it was). My other problem was that it did not clear up the tiny forehead bumps I got all over my forehead. Those never went away with this medicine for me. So I stopped taking it due to the dry mouth and forehead bumps and wanting to be "all natural" and not take any medications. My face broke out some more so I took it again for a few months but then stopped taking it again for all the same original reasons. Moral of the story: It works great but if you dont want to have to take a pill forever or deal with any possible side effects then try something else! Also- like other reviewers, i also lost about 5 or so lbs while on it because it makes your body release all of its water so you lose water weight and look a lot less bloated which was a plus
I have extremely oily skin with mild-to-moderate acne that fluctuates. I was put on Spironolactone to try and help regulate my breakouts and it really only made me break out in places that are considered to be "hormonal breakout areas" like my jawline, neck and shoulders. It helped mildly with the smoothness of my face but I would still get breakouts around my period. Since I stopped taking it, my jaw and neck don't have any breakouts and the condition of my face remains as it was. I haven't seen enough of a miracle with this product that would make me keep using it.
I am 20 years old, have had acne for about 5 years! Pretty deep and painful cysts but also many on the surface that take a few days to go away. I have tried Minocycline, Bactrim, and Trimethoprim. I would say that none of these worked for me, not even before I developed a resistance to the antibiotics.
So my dermatologist prescribed spironolactone! I have been taking 100 mg, once a day, for almost three weeks. He also gave me Epiduo to use as a topical medication. Also would like to mention, I took hormonal BC for about two months which cleared me up. It also made me seriously depressed so I had to switch back to my minipill. (This is how my doctor recommended Spiro to me, because it blocks androgens, which part of what the estrogen in BC does.)
First week: Had a slight headache that I could combat with Advil and lots of water (I still worked a full time job so it wasn't unbearable). I also had about three cysts present themselves BUT they were super easy to cover and are basically gone now. I knew there would be an initial breakout and I am just happy it wasnt worse! I had also used the Epiduo twice that week, so my face was a bit dry, but not anything my moisturizer couldn't fix.
Week two: This week the cysts were definetly shrinking and I did not get any new ones. The headaches were completely gone, and I felt like my normal self. Some people claim that this medication makes them sluggish although I don't feel that way at all! In fact I felt pretty good- probably from all the water I was drinking. I used Epiduo three times this week, and I think that it is helping a lot with the small pimples that arise at the surface, I had significantly less than I typically get in a week.
So now I am halfway through week three and I feel good! I don't want to get too optimistic because if this doesnt work it will be more of a bummer, but I have to say I am pretty happy! I have been told it takes about three months so I am going to wait it out.
My acne is relatively mild, so I am very sympathetic to people who really suffer, and I would like to address the people who worry about the IB or other early on side effects:
Three months time is going to pass anyway. Whether you take the medication or not the time will pass, and three months from now, if you hadn't taken the Spiro, you will definetly still have bad acne, but if you do take it, three months from now you could have the beautiful radiant skin that you dream of!
That's what keeps my spirits up. Hope this helped!
(4 stars simply because I am just starting!)
Hi, I'm 21 and just a few months ago had break outs all over my chin and neck. I'm so confused as to why this is happening given that I never struggled with acne to this level before. In high school I had crystal clear skin. Does anyone know why hormones change like this?
Also, I just uped my dosage to 100mg three days ago and have been very sleepy and sluggish. Yesterday I took a three hour nap. I haven't seen much about this side effect and don't know if it will go away or if it's serious. Any feedback would be fantastic!!
100 mg-- was what I needed to clear skin. I would say nothing more or less. Ive tried antibiotics, different birth control, changing my diet, and cutting out dairy-- this works.
I'm 23, and I've battled spurts of acne since I was 18. My skin would be very clear for months or years at a time and the all of a sudden breaking out everywhere. I went on Gianvi or Yaz first, which cleared my skin when was 18. When I was 18 after taking prednisone, my skin literally was covered over night. I only took it for about a year and a few months after going off it I noticed mild breakouts that occurred all the time. I went to a dermatologist, and was prescribed spironolactone 100 mg and one month later my skin was crystal clear. I stopped taking it, and didn't experience breakouts for over 2 years. After 2 years of literally perfect skin and no medication, I started breaking out on the lower half of my face. Eventually it was all over the lower half with almost no clear places. I was really upset and depressed and didn't want to see anyone-- it was an awful summer, avoiding people and any type of social interaction. I eventually went to the doctor and got on spiro again-- 100 mg. This time, I did not have the quick results I wanted. A side effect that I have noticed with spiro is a breakout period about one week to 10 days after taking it or upping a dose and ending around 2.5 weeks, my chest (something that doesn't break out) and forehead are covered in rash like acne. It's a week at most, but I guess its just my bodys reaction to the hormones. Ive also lost about 5 lbs every time I go on it. I also got back on gianvi both control. After a little over a month and no results, I went to the derm and he lowered my dose to 50 mg because I had upper cheek breakouts. This was a MAJOR mistake. I should have waited the prescribed 3 months. I tried to wait it out because I was told by numerous terms and on this board, it can take 3-6 moths for hormones to even out. My acne became severe on my upper cheeks only for the next 6 months and I was miserable. Even though my derm, told me to I didn't increase my dosage back to 100 mg, fearing the initial breakout I got every time I tampered with my dosage. My next step was going to be accutane. I spent so much of my day worrying about my skin and putting on makeup. Finally after 7 months on 50 mg and still moderate acne on my cheeks, I increased to 100 mg. Within 2 months, I now have clear skin with an occasional breakout. I think 100 mg and yaz is the best option for most people as well.
31 yo female who has suffered from all types of acne since I can remember. Visited the dermatologist in April and he prescribed Spiro. This is the first I had heard of it so I have done nothing but read reviews since. So far, I have noticed a reduction in oil production but not much in the way of acne reduction. I am still holding onto faith that another month or so and I will see improvement in that regards. However, I have extreme discoloration all over my face now. Has anyone else experienced this? Will it even out? I'm fair skinned but always have a red tint which I associate with the inflammation of my acne. is this part of the healing process? Please....I need answers as not much info on discoloration is available in these threads. Thanks :))
I started breaking out about 2 years ago when I was 22. - i have never had acne before that besides the odd spot.
I had moderate cystic acne mostly on the bottom half of my face. Anti-biotics would kinda help but the acne always came back. I tried to fix it with diet, that didn't work and it was honestly no way to live, I was becoming obsessed with food and constricting myself to too much!
I went to the dermatologist and he put me on spironolactone. I started on 50 mg a day for 30 days. It helped, but it did not clear it up… (I hear it takes a few months for most people though).
After 30 days my doctor bumped me to 100mg and added a birth control. In my case it is diane-35. My doctor told me that spiro works best to it's full potential when paired with a birth control.
This combo did WONDERS for me. I was acne free within 2 weeks. I still get tiny break outs when I am on my period but they are totally manageable and small, I wouldn't have even noticed them back when I had big cysts.
Side effects? Yup one major one, but I am not complaining about it. Weight loss! I was 130lbs when I went on this med and I now weigh in at 117lbs! I feel better about my face AND my body.
I sometimes feel my heart beating faster than normal, that is just an indicator that I need to down some H2o and I'm all good.
If you are a woman and you think your acne is hormonal ask your doctor about spironolactone and if it's right for you. Most GP's don't really recommend it because I think they are just not knowledgeable on it? That's only my assumption. I was going to the GP for my acne to get antibiotics and they did not recommend sprio to me. Once I went to a skin specialist they recommended spiro right away! Wish I knew about it earlier to save myself 2 years of agony on my face haha.
Spiro gave me awful breakouts until I hit 100mg which took 4 months. It spread to my cheeks and really took a toll on me. But after 100mg within a week I noticed i stopped breaking out. HOWEVER at the same time, side effects hit me. I told myself in the beginning I would handle the side effects but it was too much.
I felt weak, I couldnt exercise, I couldnt hold a conversation. I felt so awful, my heart was beating so fast that I thought maybe my birth control (yaz, which im off now too) was giving me a blood clot. I went to the hospital and all they could find was that I was peeing out all my phosphates (spiro is a diruetic). They gave me an attivan and it turned out it was also really bad anxiety. So dumb. I got off my bc and still had the issues and it was getting worse, I couldnt do anything without crying. I finally made the choice to get off it and feel like myself again. Im still breaking out but I never want to feel like that again
I always had really oily skin with hormonal breakouts which in turn made my skin completely unattractive - with often zits, scars, rash-like bumps, and painful cysts. I've only been on it for 2 month. I started to see results in about 2 weeks. I really love this stuff. I have no side effects what so ever and my skin looks amazing and is completely clear.