Page 5 of Spironolactone reviews

Read or post reviews on thousands of acne products & treatments.

4.2/5 - 1147 reviews
5 star
595 reviews
4 star
340 reviews
3 star
109 reviews
2 star
51 reviews
1 star
52 reviews

Write Your Review



Active Ingredients:
25 mg, 50 mg or 100 mg of Spironolactone.

Inactive Ingredients:
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.


Where to buy is not associated with this product. All proceeds from links go to charity.

[The prices listed above may change at any time and in some cases do not include shipping.]


Did you find a problem with this item?

 Mark product as discontinued

 Flag an error in this listing

Temporary fix/ Bandaid
Reviewed on July 26, 2015

I've battled hormonal acne since age 10 Currently 22. I've been on every antibiotic and topical cream on the market and even did a course of accutane. I tried to fight the battle the NATURAL way for a year with no improvement. In 12/2014 my acne was the worse it's ever been I was depressed and stayed locked in my house hidden all winter. Finally the derm that I'd been seeing for two years finally stopped wasting my time and referred me to an OBGYN to treat my hormonal acne. 4/2015 I started taking Spiro at 25mg twice daily for two months and saw no results until I upped my dose to 100mg drastic change no more breakouts oil production cut in half my skin is gorgeous scars and all and with my scars fading no more huge pores my skin just continues to improve. It's now been 3 1/2 month's and I will continue to take this amazing med that has made daily life a ton better for me. A couple of weeks ago I started doing the ACV and Indian healing clay mask every 3 days and it's a black head blaster and is great at drawing impurities out of the skin. I may look into chemical peels for the deeper scarring I have but overall I'm happy and grateful to have came across this miracle drug my mood is even better depression is GONE and anxiety greatly reduced. The good out ways the bad for me.


Some tiredness here and there.


Excessive urination at night on some nights after 2nd dose

Some dehydration in the a.m. due to urination at night

Made my period 2 days longer (was 5 days now 7days) but still regular every 25 days.

I may switch up my pill cycle to prevent this. Also this started only when I upped the dose to the 50mg twice daily so my body may still be adjusting.

I love this med and would recommended to anyone



So I'm going back down to 50mg a day because the side effects w/ 100mg have become a bit much my period is now irregular and I've been a bit depressed. Going back to 50mg .



At 50mg the depression is gone but my oil production is back up so I'm getting some clogged pores and some breakouts very mild though. I'm considering upping the dose to 75mg as an attemp to control the oil so the clogged pore breakouts stop. 100mg is the magic dose for 100% clear glowing skin but the side effects are nothing but trouble.


I no longer take Spiro for a number of reasons. It may seem like a maricle and fill you with joy to finally have some skin clarity however, at what cost? Smh Spiro is no good in my opinion it alters the way your kidneys function, spares too much potassium, messes with your thyroid, gives you sore breast, depression, irregular periods, dehydration, crazy fatigue and you WILL STILL HAVE ACNE. These are all the things I experienced while on spiro my skin was clearer but never completely clear I'd still get 2-3 jawline pimples around my period they would heal fast but I never got full clarity . Winter's here and now my skin is breaking out more and Spiro is not helping AT ALL and I feel I gave Spiro too much credit when I feel I owe that credit to the summer and the vitamin d(sun) I was getting all summer. The past 3 years I've watched my acne closely and I've notice that my acne is BAD in the winter and VERY MILD in the summer. I decided to try more natural things and recently started taking 6,000IU vitamin d, spearmint tea & peppermint tea along with a kidney and liver detox tea, I'm gonna keep doing this regimn and see how is goes. As for Spiro STAY AWAY

by ko12345 on 07/29/2015 20:16
How long were you on 100mg before you saw results?
by Meredithdemp on 08/12/2015 13:51
What other side effects did you experience with 100mg
by Meredithdemp on 08/12/2015 14:03
What other side effects did you experience with 100mg
by ed13 on 08/13/2015 04:32
I am in the same spot as you, but I am still breaking out- want to go back to 50, wondering how ur doing and what side effects u had
Miracle drug with strange side effects!
Reviewed on January 25, 2016

I started getting cystic acne when I was about 15 and it all went downhill from there. Treatment after treatment antibiotics and so forth. I'm sure most of rwading this know the struggle.

I finally got referred to a competent Dermatologist in June of 2015 when I started taking Spiro along with a RetinA topical cream. It is now January 2016. My face used to be destroyed and covered in breakouts and cysts. I was so depressed most of the time that I'd be willing to go to far lengths just to not have this plague of a horrible disorder of the skin. It took time and patience, but now people don't even belive me when I say I had horrible acne. Just some light scaring and mild breakouts of a pimple or two around my cycle.

On that note, I did experience lots of side effects. Some people don't think it's worth it and it depends on the person but I was at my wits end.

Some side effects I experienced were:

Dizziness, bizarre dreams (especially when starting and lowering or higher ingredients doses), frequent urination, getting dehydrated easily, dry itchy scalp, dry itchy ears on inside, terrible fatigue, and now I've developed dermatitis on my elbows and hands. I am currently weaning of my 25mg twice a day original prescription to just take 25mg once until I stop taking all together. I am hoping this will help the dermatitis go away. My Dermatologist says the dry skin and dermatitis is unrelated but this started happening when I started the medicine so I don't see what else it could have been.

Regardless, I was so tired of having red painful dots that screamed "look at my weird face" all the time that I would happily trade it in for the side effects especially if they leave once I stop taking this medicine all together.

I'm curious if anyone else had these kind of side effects with dry skin?

Good luck.

by Exning on 02/05/2016 20:58
Sounds like an allergic reaction!
One Week on Sprio, No Serious Side Effects Yet
Reviewed on January 9, 2016

To start this off, I want to mention that my doctor did blood tests and found that my DHEA sulfate was very high (622 when it should only be 400 something) so I had some pretty clear evidence that my acne was hormonal.

Anyway, one week on the meds! (And three weeks back on birth control). My face is a lot clearer, I haven't really had any new pimples show up, though it does still feel like there is stuff under the surface. As far as side effects, I haven't had many. At first I had to pee a lot of course, but that pretty much went away after the first day (though I did wake up in the middle of the night last night to pee, but I'd had a lot of water before bed). I felt very slightly dizzy once, but I drank some water and it was gone, so I'm not sure if I even was feeling dizzy. I've had some heartburn a couple of times (once after having a glass of whisky) but I'm not sure if I can attribute that to the meds. The thing is, it was a different kind of heart burn, like pressure more than burning.

I've also had some super dry skin on my face since starting. I bought cerave in the tub and have used it at night (as well as aquaphor once) and also used a 2% glycolic acid wipe one night, and that seemed to take care of most of the flakes. I'm also still using my pocket derm meds every couple of nights, and washing my face with water once a day and cerave foaming cleanser once a day.

I'm going in for blood work next week to make sure there's no problems, and I'll update with any new information then!

by jesrose on 01/17/2016 16:09
January 17, 2016 Two weeks on the meds! My face is still very clear. I had two pimples show up this week, but they were very small whiteheads that went away pretty quickly. My face isn't really dry or flaky anymore, but I've still been using cerave in the tub a lot and I used nip + fab glycolic fix once this week. I have noticed a new, weird side effect that I plan on bringing up when I see my doctor for a follow up. I've had what feels likes muscle cramping in my left foot and the backs of my hands. It almost feels like the vein is throbbing. From my little bit of internet research it looks like too much potassium can cause muscle cramps, so I guess I'll see on my two week blood work if my potassium is too high. I've also had the weird heart burn a couple more times. I haven't been woken up at night to pee anymore, but I've also been careful to take my second pill earlier in the evening and not drink much water past 9 pm. I usually get most of my acne in the middle of my cycle (which should be this next week or two) so the real test will be how my face looks after that. I'll update again in a week!
by jesrose on 01/23/2016 21:28
Three weeks on the meds. I've had 1 huge cyst on my chin this week, 1 medium one on my chin, and 3 small zits, one by my mouth and two on my cheeks. I can feel another big one forming on my chin. A hydrocolloid took care of the huge one and medium one overnight. This is fewer cysts and fewer acne overall than I would normally have at this time of the month, and they seem to be going away more quickly too. Dryness is the same, as long as I use enough moisturizer my face isn't dry and flaky. I still have to pee a lot. Still having some weird pressure in my chest and throbbing in my hands and feet. A new symptom I've noticed (that I actually think has been going on the whole time, it's just more noticeable now) is that I'm really tired. The first couple of weeks I thought that maybe it was because I was staying up later than usual. And it may be. But last night I went to bed around 10:30, and woke up this morning around 8:30, and I'm super sleepy right now. However, that could also be caused by my thyroid, as sometimes my hashimotos randomly acts up. My blood work is scheduled for Monday, so I'll let you know next week how the meds have affected my levels.
be extremely careful
Reviewed on January 4, 2016

The medication I took was called ALDACTONE which is the same thing

I highly do not recommend this!!!

Be extremely careful with this medication. I took it for a period of 9 months. First three months now that I look back I didn't realise just how clear my skin was, probably the clearest since I first started to get acne.

After the three month mark things went downhill. My acne came back worse and since then it's been over a year since I still have acne to this day, it never went away and I'm stilling struggling to get rid of it. But that isn't the worse part.

I developed severe depression from this medication, I know some people don't believe medication gives people depression although I never had depression before taking this and I've still got it a year and a half later. It got so bad I was becoming suicidal. The depression was not from the acne just to note, I started getting depression before my acne got worse. Due to depression I put in a lot of weight and still have not lost it. On top of all that I started having lighter periods and then eventually they just stopped. Also I'm losing hair currently, not sure if this is related to long term side effects from this medication

I didn't look into this medication before I took it and I have never regretted anything more in my life. Taking this medication for such a long time I can easy say was the worst decision of my life. Please please be extremely careful.

by SZW on 04/09/2016 17:58
What was your dosage?
by Rachel1907 on 04/17/2016 03:49
Sorry for my super later reply I haven't been on here in a few months. I was on 100mg a day. 50 in the morning 50 at night
Give it time.
Reviewed on December 30, 2015

Little background: It was the end of my Junior year in high school and I got extremely extremely bad acne. It covered my ENTIRE face. I couldn't run my hands over my skin or even wash it without wincing in pain. I became deeply depressed over the summer and barely left my room. I knew I needed help and my mom took me to the doctors. They said I had severe acne and needed medication to help clear it. The first medication I had been on was doxycycline. I was on that for about 4 months and things got clear, not completely but enough. I decided to get off but of course, the acne came back. So I revisited my doctor and got prescribed minocyline and a birth control. I liked mino much better than doxy, one less pill and easier on the stomach. Finally I went to the doctors again for a check up and they decided to check my blood. I have irregular hormone levels, which was causing the acne. In order to correct the levels I needed a medication of course. So I was prescribed spironolactone! I have been on this for about 4 months and absolutely love it. It is 100 times better than any other medication I have tried. It took awhile to get started, maybe 3 months. But my skin was clear, no bumps, no cysts. One thing I would recommend is not waiting to refill.. The past week I forgot and haven't taken the pill in 5 days, and I now have multiple breakouts and cysts around my chin.. Of course I am discouraged but have faith that the pill will fix it all up quickly :)

It's working
Reviewed on December 28, 2015

I have been eager to write this review but wanted to wait until the three month mark to report my results. You really have to give this medicine at least three months, if not more, to reach full effect. I know how extremely difficult it is to suffer from excessive acne, and I NEVER thought I'd find anything to help me. I thought I was doomed for life since it kept getting worse and worse and NOTHING would help in the slightest. I hope that my review can give others hope that they can overcome their hormonal acne.

My story is like many others. Suffered from acne since puberty, I am now 22. Over the last year, it had gotten so bad that I was having constant cysts and spots on not only my face, but down the sides of my neck. It was all over my face, but mostly concentrated on my jawline and cheeks. Huge spots that would shoot onto the mirror if I popped them. I would have 20+ spots at a time (of all different kinds, not including blackheads and clogged plugs) with 5-10 new spots a day. It was exhausting and effected my self-esteem severely, and no one understood why. I tried everything over the last 10 years of course. I started wasting A LOT of my free time doing extensive research on why acne happens. I don't trust dermatologists. I came across spironolactone and printed out scientific studies and such to bring to my gynecologist that has been seeing me since I was 15. I cried to him about how unbearable my acne was and begged him to let me try spironolactone even though he said my testosterone levels were in normal range. I've had extremely irregular periods since puberty, excess hair growth, and cysts on my ovaries... so that led me to believe that spiro could work since those are all symptoms of excess testosterone or testosterone sensitivity. He was familiar with the medication, and agreed. Thank GOD he did. I started on 25MG twice daily for 2 or 3 weeks, then I got anxious and upped in to 50MG twice daily. I started spironolactone in late September(3 months ago and it is now late December. I broke out consistently and constantly during this. Now, finally, within the last week I am noticing definite results. I only have 4 or 5 active spots right now, which is obviously a major improvement. I still have a lot of blackheads, clogged pores, and scaring, but I am confident that will all clear up with time! I'm not at the end of the road quite yet, but I can see the light at the end of the tunnel.

Spiro works, but PLEASE give it time. And don't reviews it after 2 weeks because that's not how this medicine works....

I've had no negative side effects except for frequent urination... but honestly I can deal with that if that means that my skin doesn't look like a mountain range anymore. I dealt with some heart palpitations and anxiety the first few weeks... but determined that it was just from dehydration and electrolytes imbalance since I'm peeing out all

my salt and retaining potassium. I just try to drink more water and increase my salt intake... all has been good! I will update in a few months.

Results may vary even if taken for a long time
Reviewed on December 16, 2015

Overall: I do recommend giving this medication a shot, especially if you are suffering from acne that’s caused from internal issues/hormonal/PCOS and you’re down to your wits about getting results for a better/normal complexion.

I will say, however, that I honestly don’t want to depend on this medication for the rest of my life. The side affects are a big nuisance and hindrance at times and sometimes I still suffer from bad breakouts. I’m just okay with it at this point until I can find a different solution once and for all.

Below I have attempted to compile a detailed review of my experience with this drug so far.

I suffered with acne and cystic acne around chin, jawline, and partial neck area severely, sometimes forehead but not often and sometimes around nose area as well. I was also a bit more hairy on my upper lip and chin area. These issues started once I turned 19 back in late 2011. I was using ProActive for a few years prior, which helped tremendously during the time I was in high school, but stopped working and actually destroyed my face once starting college. I was prescribed various topical treatments including retinol and have also been given several types of antibiotics, all of which did not work. I have also been on 3-4 different brands of BC that really screwed me up emotionally and physically. I refuse to take any now.

At that point I knew there was something deeper and internal causing my issues so I was sent to an Endocrinologist.

2012 – Diagnosed with PCOS. Main issue was androgen levels too high (as of summer 2015 also found out I do get ovarian cysts). I also have a Vitamin D deficiency.

2012-2013 – Began Spironolactone (started off with 50 mg and eventually bumped up to 100 mg) and generic Junel BC.

2013 (Towards the end of summer/sometime in fall) – Stopped taking both, as my face was clear, and I was given the clear to stop. Over time my face began breaking out awfully in cysts again (also didn’t help I was stressed at a new college I transferred to). Decided to begin both medications again, only to find that BC was causing me to break out awfully, ditched it and only remained on spironolactone. Seemed to be helping, but not by much at all. Stopped taking it altogether as well considering the side effects were greatly affecting me.

2014 Spring – Suffering from awful, hormonal cystic acne with rarely a break, in between. Even if my face were mostly clear, would always have 1 or 2 or more cysts/acne present. Bore through it all just trying to finish my semester until I could see a specialist back in my state again.

2014 Summer – Started back on spiro again, really made a difference once more. Maybe I needed those several months for it to be effective again.

Today (12/16/15) - Still on 100 mg spironolactone, been on it for over a year, although I have noticed I am starting to break out still even while on it. Could possibly be due to stress from school, but I am on break now and relaxed but still breaking out. The cysts and acne go away within a matter of time, only to have one or two new ones pop up on the other side of my face. Right now they’re slowly subsiding.

I do get blood work done at 1-2 times a year to make sure my potassium levels are fine, as well as other blood work to help make sure nothing goes wrong. My last blood work from over the summer states I’m still Vitamin D deficient and now I’m low on B12 as well (which I have been taking vitamins for).

Side Effects I have and continue to experience while on this drug:

Please note that Spironolactone is a diuretic. It prevents you from retaining salt, which also prevents you from retaining water, which is why you’re constantly drinking and using the bathroom. That also explains some of these side effects:

Constant, constant urination (the biggest culprit). I find myself visiting the restroom a lot, which I’ve become accustom to (though I don't like it), but it makes it really difficult if I’m at an important event and I’m constantly having to step out to relieve myself every 5 minutes it feels like. Even if I’m doing something as simple as drinking water, I will need to unload about 15 or so minutes later. There are times at work where I literally hold my pee in for about an hour before I use the restroom again or else I would be going constantly. This forces me to drink more as well because I'm losing fluids at the rate I'm drinking them, which is extremely annoying.

Constantly thirsty. This coincides with the dryness and constant urination.

Dry skin. My face at times, especially around my chin and jawline area, tend to get more dry now which is where most of my breakouts occur. It's also around my nose.

Weight fluctuation. I don’t gain weight as badly, fortunately, but I don’t lose it as easily either. It’s really difficult. I will continue to monitor this once I start working out again later this month and next year.

Hair is not as thick as it used to be. Fortunately, I’m not experiencing hair loss to the point where I’m balding, but there is a significant difference in my hair than what it once was. I used to have a decent amount of thick hair and the texture of it felt a lot stronger and now it’s more normalized and thinner.

Digestive problems. Sometimes I’ll be excreting at least 3 times a day or more, others none at all. I’ve been suffering from constipation a lot lately as well. I never realized or noticed that spiro could cause this as well until I looked it up again.

Periods are odd. My period doesn't last as long while on this medication, however I occasionally have messed up cycles. Recently I had my period and not even a week or two later I had it again. :/

Things I plan on trying to see if they make a difference:

Eating habits, especially cutting dairy out of my diet

Exercising more

I try and will update in the future.

Great for acne, terrible for bladder
Reviewed on December 9, 2015

Was on it for a year and a half and it works awesome for people with severe cystic acne like myself, but the frequent urination was a lot to deal with. My derm put me on 100 mg daily and I was up at least 4 times a night going pee and every 10 minutes during the day I felt the strong urge to pee. Very annoying side effect of the medication so now I'm switching to Yaz birth control for the anti androgen ;)

Lost 25 pounds on this drug probably from water loss :/ I look great but I know the medication is unhealthy for me. No side effects other than the frequent urination though would recommend to give it a shot!!

Be patient! No seriously, be patient.
Reviewed on December 5, 2015

Hormonal acne for last 3 years.. Tried it all. Doc suggest spiro end of Feb 2015.

I started at 100 for 4 months (end of June) and saw some difference, then upped to 150 and by the 7/8th month (August/sept) there was a huge difference. Zero acne. Zero! No deep cysts that were painful or needed to be drained, no more thick cover up, no more puss. I decreased to 125mg in October and skin has been clear the whole time. Be patient and don't be scared of higher dosages. I'm 5'1, 105lbs. This is the only thing that has completely cleared my acne. I'll take peeing more and monitoring my potassium levels over accutane any day. In my opinion, people give up way way too soon. You've struggled with acne for how many months or years? What's a few more? Be patient. It works.

It works
Reviewed on September 18, 2015

I have been taking it for three months. I love it my skin is clear. The only problems i have noticed are breast tenderness and i have had a period twice a month for two months ,which i dont like so not sure if i want to stay on it if that continues. I am going to ask my ob about if i should continue or not. I also use Retin A which as long as i keep using it my skin stays nice.

by 455167_1443952509 on 11/22/2015 00:49
What was your dosage?