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This medication takes a bit of time to work. for me personally it started to kick in fully at 8 months. I had absolutely no break outs by the 8th month. for some people they see full on results between 3-6mothns. This medications works for hormonal acne but you need a lot of patience with it , Do not give up ! Give it up to 8months to see if you see a change in your acne. Another thing is you must drink lots of Water ,you must train your body to love water.
My dosage was started at 100mg then upped to 150mg a day around month 4,
I also got on Yaz birth control once I started spironolactone.
For topical I was prescribed fiancea to fade my acne hyper pigmentation , and to spot treat my acne.
I have been using 100 mg of sprinolactone for 14 weeks and I couldn't be happier with the results. I use it in conjunction with birth control and Aczone. I have had mild acne on and off since I was a teenager but over the past 2 years it developed into moderate and at times severe cystic acne with my skin not being clear for months at a time. I had tried everything else, antibiotics, topical creams, etc. and nothing was working. After starting spironolactone I slowly saw results but did have a cluster breakout of pimples on my cheeks about once every 3 weeks at the beginning. However, my skin has been clear for the past month and I keep telling my sisters who suffer from the same kind of acne as me to get a prescription! No major side effects except for feeling dizzy when I get up sometimes if I am dehydrated. Stick with it, it's worth it!
**will keep updating as I go**
I will be getting married in 9 months. That being said I'm hopeful that'll give my skin enough time to a just to this medication.
when i was in my teens (14) i started suffering from acne. i mostly had it in my T-zone with the occasional cystic out breaks on my forehead. at the time my reg. doc gave me a scrip for Duac. this ended up being the wonder drug for me! after being on it for two years, i noticed i had "grown out" of my out breaks and was easily treated with otc so i stopped taking the duac.
Fwd to around 20 and i was getting more mild out breaks around my cheek area, my doc then decided it was hormonal and put me on a low dose Birth control pill to balance me. This set my skin over the edge! I've never been so badly and painfully broken out in my cheeks while on the pill. I had black heads, white heads, and cystic acne. I was on the pill for 3 months trying to give it a chance. i couldn't take it and stopped taking it. i then requested to be put back on the duac. unfortunately, duac isn't working as well as it did. it cleared up the black heads and the white heads about 85%, but not the cystic. my cheeks are starting to get a couple of "pits" and its depressing to look at. no amount of make-up will hide them... on top of it my skin has been very oily and my pores are enlarged. reading other reviews on this drug is giving me hope. most everyone else who is posting reviews on this, were having the same problems. my acne isn't as bad as most. i usually have around 2-3 cysts in my cheeks, the duac is keeping the white heads at bay. the cysts come around 1.5 weeks before my period and then finally subside after. then i'm for the most part "clear" of the cysts for about a week or so, till the cycle starts again. I'm nerves about the huge out break everyone describes, but I'm hopeful by summer my skin will finally be clear and i don't have to worry about doing a full face of make up any more.
I am 25 years old, and when I was sixteen I got bad acne on my back. Went to the dermatologist, and it cleared right up. Then after that I was fine, no real problems. Then I hit 22, my acne is not awful, its moderate. It feels awful though. I always pick at them I can't help it. So at 22, I was put on birth control to help, and antibiotics, then retin-a. I read it can take up to a year to work, I used it off and on for the first year, then I decided to get serious so I used it religiously, nine months go by and no change. I get maybe four days out of the month with clear skin. I noticed it got really bad the week before my period, and during. I changed my dermatologist about a month ago. I told my new doctor that I felt like my old doctor would just put me on a different antibiotic at a higher dose, and never really asked my too many questions. He said he didn't understand why I was on retina, because he said it was for smaller pimples, and black heads. He prescribed spironolactone, because my acne was is the right place as hormonal acne, and it corresponded with my period. I am already on birth control, so he said to stay on it. He also paired it with minocycline antibiotic to help with the initial breakout. He told me the first week to do 1-2 25 mg pills a day of sprinolactone, then the next week up it to 2-3 pils, then the final week to take 4 pills, so 100 mg. He left it up to my to decide what dose my skin responds to the best. I am on the first day of the 100 mg week. I am still in the breakout stage, which isn't any worse then one of my bad breakouts. I am really hopeful about this. He told me to come back in November to check in, and see if it was working. I will update my post then. This dermatologist was much more attentive.
They that was three months ago above ^^^^^^^^^^
I am updating my review. Going from 3 to 5 stars. 12/08/2014
If you want my acne background scroll down to the August posts, and there it is. I have been on Spironolactone for three month's. I see a huge difference. My acne corresponds with my period. Last month there was still a breakout the week before my period started. This month nothing, no big breakout. My dermatologist wanted to be proactive so he wanted to do another check up 3 months after I started. Which was around my last period. Which was before thanksgiving. I still had a breakout going on when I went to see him. So he added a topical creme, to my birth control, and Spironolactone. I don't know if the spiro kicked in, or the topical put me over the top. Its probably a combination of both. My skin has been clear for three weeks now. Which is unusual for me. I only have moderate acne, but I still got pimples every week. Nothing since I started the topical. Its called AcZone, apparently is pretty expensive if you don't have insurance. My insurance covered the whole cost though. When I tried to fill it at the pharmacy, the girl said the insurance won't let me fill it, because they want to see I had tried other topical's. So she called the insurance and ask them to override it , because I had tried other things. It took only about ten minutes. I am pretty sure all three things I am on has helped me become totally clear. The birth control, and spiro helped the hormones. So that treated what was wrong on the inside, then the AcZone just put me over the top. I would recommend all three to you guys if your breakouts correspond with your period hormones! Birth control was free with insurance, AcZone was free with insurance if you have met your deductible, and I think spiro was 5 to 10 dollars with insurance! Oh and I didn't experience any of the negative symptoms on Spiro that some people have. No tiredness, no dizziness, or I have read some of you have had weight gain? I haven't gained a pound. I am really lucky, because I know all our bodies are different, and respond to things in different ways. It also only took 3 months to kick in for me, that might be because the other stuff helped too.
Background: PCOS, so hormonal acne for 100％
Have read almost every post and review about spiro on this forum, so the sane me know sometimes spiro can be slow. But going through all these I can bearly think rationally.
2 mo ago I went on spironolactone, 50mg per day. Stopped getting blemishes for 5days but then broke out again. Stayed at 50mg for 3 weeks and got bumped up to 75mg. Stayed clear for 3 days but broke out persistently again. One week later got upped to 100mg. Stayed clear for 3 weeks and I genuiely thought this years long nightmare is over. BAM breaking out nastily again. Today marks 2mo starting spiro and 3weeks on 100mg. New ugly spot every day. My skin problem is consuming my life. And I cant imagine how I would really have clear skin one day.
Going to give it 3 stars because I want to be hopeful! Ever since starting the Spironolactone, it seems to just keep getting worse and worse. Now huge cystic acne under the skin and it's getting red, and seems more irritated. I will keep holding out, because I know it's all hormonal. I don't think my period helps when it's that time of month. However, I really am getting depressed over it, and want to cry. My kids want to go out and play, I don't want to go do anything. I'm getting so sad, I feel so ugly. The package says to drink alot of water, and I have been to see if it helps. NOTHING IS WORKING. Anyone else have any hope? I started the pill on November 17th, 2014. I'm now learning, from reading different reviews it's going to get worse before it gets better. This is just disheartening, however hopeful all at the same time. I don't know how to feel. I'm really upset about it, and cry everytime I feel how bad my face is.
Hope this all pans out, and I don't have to wear makeup anymore.
I have never posted on here before but feel like I am at the point to do so. I am 29 years old and battling with hormonal acne since I was 12. As we all know, it can really take a toll on your self confidence and it has made me so insecure over the years. I have tried numerous things along with everyone else and in the past Proactiv worked for me but now makes me skin burn and no longer works. Birth control also helped me but I stopped taking it when it was getting too expensive. About 6 months after I stopped my face started breaking out like crazy possibly worse than I can remember. I tried clarisonic, multiple cleansers, to no success. I finally broke down and went to the dermatologist hoping for a cure and interested in Spironolactone because of all the good reviews. She started me on Spiro 50 mg for one week then bumped me up to 100 mg daily and it has only been 2 and a half weeks since I have been on it. I am also on Atralin gel at night and Aczone in the morning. I feel like my skin is very slowly improving but it is hard to tell and I know it takes time with this medicine so I will continue to be patient. I hope for the day I can wake up and see no acne looking back at me. I seem to tolerate the medicine okay so far with no crazy side effects.
I've been on Spiro for 41 days and I'm just now seeing the results I'd hoped for. I have one pimple on my cheek but my entire face has cleared. I used to have cystic acne all around my mouth jawline and cheeks. I was on 100mg for 1 month and just bumped up to 125mg the last 10 days. I would recommend to anyone struggling with acne!! It does take time though and I am still hoping for more improvement over time.
I have never really had Acne until about a year ago. After reading several posts I think the factor that caused me to suffer such a sever breakout was going on and off of birth control 3 times in the last year and stress. I would have to say the end of 2013 and most of this year has been extremely difficult.
A little background about me... I am almost 29, and have suffered with thyroid disease for the last 14 years having been diagnosed with hyperthyroidism at the age of 15. Then having radioactive iodine therapy at age 17. Which sent my body into a complete shutdown causing my thyroid to become hypo. For a really long time I was taking synthroid and it wasn't helping me at all. I was gaining massive amounts of weight, extremely depressed worst part was the excruciatingly unbearable pains in my joints, no energy couldn't stand to be cold, always getting severe colds almost pneumonia all of the time. Until about 2 years ago when I found this wonderful doctor who in a way saved my life. Since then I dropped all the weight, feel happy and healthy. No pain and then this.......
About a year ago my skin went crazy. My cheeks and neck became inflamed with nodules, cysts, and huge disgusting white heads. Then the picking and popping began. Everyday it was another and another and there wasn't one day that went by that I didn't get another one. I started seeing a derm by my office who would give me creams, washes and more and more antibiotics. for months doing everything as prescribed and not seeing any light at the end of the tunnel. I changed my diet (which I was already eating very health to lose the weight) . I used organic this and no dairy and went for facials, even did Photodynamic therapy with and without levulan leaving more acan and now holes, scars and dark spots.... You name it I did it. After not seeing any results with the first derm about 2 months ago I started seeing another one. She started me the same way blu U, anti biotics, aczone, acyana, epiduo, etc, etc... Last month I went there just heart broken. I was about to host my boyfriend's 30th birthday and I couldn't even bear the thought of going into public like this. All I wanted to do was crawl under my covers and hide. The derm said lets try spironolactone.... She prescribed me 50mg's 2 times per day also kept me on minocylcen 100 mg once a day and creams aczone in the AM and epidou in the pm. wash 2 times per day with neutrogeona ultra gentle hydrating cleanser and cetaphil oil control moisturizer.
Today marks my one month on this medication. The only side effects i experienced were in the first few days a little lightheaded and dizziness.. that has pretty much subsided, I am very thirsty and Pee a billion times per day. I did have terrible initial outbreak in the second week which still has not gone away. I have ugly cysts on my check but I have noticed the amount of acnem i normally get is reduced and the length of time a pimple takes has increased. I don't know how much more patient I can be. M skin is still oily and I don't want to wear make-up but walk with my head down out doors because its just so heartbreaking. I am supposed to go back to derm on Monday. Hopefully something with give for me soon. My heart is just so heavy I can't even look in the mirror. If i have to go somewhere i have to cake on pounds of make up and that doesn't even help. I just want to feel pretty again. All I do lately is cry because I have done everything as directed and just nothing. I hope everything I read is true and I start to see improvement soon. I don't know how much more I can handle.
I will update again in a few weeks. Good luck everyone out there going through this.
I was diagnosed pcos 2 years ago and they put me on this drug. Worst mistake of my life.
I've recently discovered( change doctor)I don't have any pcos( weight 110 lbs, height 175cm, no hirsutism, perfect blood exams,no insulin issues, perfect testosterone and dhea levels even before this cure, no issues with menstrual cycle)and the previous doctor was totally wrong and gave a wrong diagnose.
My acne was never completely cured while on this drug despite being on 100 mg per day and despite my acne was mild, never more than 5 pimples/ papules per time.
Beware of the side effects which aren't mentioned like drying of the skin and scarring.
My skin became superdry in the last few months but my acne is still there. I'm weaning off of it but it's still dry.
Scarring, which I never experienced before, is caused by dry skin and the fact that skin wounds take more time to heal if the skin is dry. Acne is not only caused by oily skin but it has to do with the oil and the pores of your skin. That's why you don't cure acne just by suppressing oil, because even the smallest part of oil can get stuck in your pores if they don't work properly.
Moreover this drug is not a cure for your acne, because even if it works when you stop it your acne will come back.
You'd better give accutane or exfoliators a try, this is just a waste of time and no permanent Fix.
My skin has scars now Thanks to a wrong diagnose, a wrong cure and a stupid doctor who told me to stick with it for almost 2 years.
I'm considering a lawyer and will start accutane in a few weeks.
Even my periods went totally crazy,came every two weeks, and I needed a progestinic 4 days a month to fix it. Stay away unless you have real pcos or you are looking for troubles.