I have never written a review before but I want to help other girls who are cursed with acne like me. I have had horrible acne since I was 12. When I was 17, after I had tried every product (name a product, I have tried it) I finally gave in and did Accutane. Accutane works miracles and I was clear for 5 years. I maybe got three zits a year. Then when I turned 25 I decided I was going to get laser hair removal on my face. It wrecked my face. I started breaking out like I did was I was a teenager :( it was the worse decision I have ever made.

I decided to take spironolactone before I did Accutane again because Accutane is so bad for you. I am glad I did but just to warn you, it does take a while and it will get worse before it gets better. It took me four months. I also use jojoba oil on my face which is amazing. I recommend that too.

I began using this medication about 4 months ago and I am in LOVE with it! After about a month I began to see less and less break-outs. By the end of 2 months, I didn't have any break-outs at all! I didn't have an initial break-out like many users are describing. I am using it along with Tretinoin cream and together these medications work wonders! Now I have to begin working on my unfortunate scarring. If you have hormonal acne, I would definitely recommend this product!

The results of this process are SO WORTH the long wait and initial break outs. I haven't had a single cyst in 2 ish months (I've been on the medication for almost 5 months) and when I do get a regular pimple, it's painless and extremely tiny. I have not noticed any side effects, other than the initial breakout, but I am also on a low dosage - which I recommend. If your confidence has been suffering from hormonal acne, TRY THIS ASAP!

I'm 27 and started having acne at the age of 12; since then I have tried almost everything except for Accutane (Retin-A, topical and oral antibiotics, birth control and every possible OTC product you can think of). I have been on Ortho Tricyclen low for about 5 years and while at the beginning it kept my acne under control it stopped fully working after a couple of years. So I went to see my dermatologist who prescribed Spironolactone in addition to the BCP. It took a couple of months to work but the results were phenomenal! My acne completely disappeared and my skin was not oily at all. Last month, however, I stopped the birth control to give a break to my system and I have been noticing that my skin has gotten more oily than usual and I am also breaking out a bit more. If anyone has any experience using spironolactone alone without birth control, or after stopping birth control, it would be great if you could share your experience too!

I don't recommend it.

I am now 22 turning 23. I have acne (painful zits) since I was in 4th,5th grade, through out the years, the places that I had acne changed, I have had acne that were majorly on my forehead, or just on my cheek. As I become older, I had acne almost all over my face. I've tried almost every over-the-counter products and I took two different kinds of BCP before, no luck. I also tried acupuncture, no luck. Donating blood, no luck. The list can go on and on.

Basically, it works if you have hormonal acne, PCOS, insulin resistance, even slightly elevated testosterone. You just need to be extremely patient. I almost gave up. No joke. I could hardly handle the initial breakouts. I ended up on 200 mg a day, 100mg in the morning and 100mg at night. I know this sounds really high and even other derms I have see say it is too much. Yes, I got that. However, it is the perfect dosage for me (5'10, 130lbs). Drink tons of water! Don't give up!!!!

This medication worked moderately well, but I had to take an antidepressant with it (Zoloft). I have hormonal acne, and I have tried everything: accutane, all topicals, all antibiotics, fish oils, probiotics, and even levulinic acid. I am a pharmacist, so I am constantly trying to find new cures for my acne. Aside from accutane, spironolactone has worked the best for a prescription drug, decreasing my acne by about 50%. But I am now taking saw palmetto and it has done wonders in just 3 days.

Literally miracle drug for anyone suffering from hormonal acne. I have tried everything from topical to oral and nothing cleared my skin until this medicine. I'm obsessed with it and worried what to do if I plan to have children bc it can cause birth defects.

Mild acne since my teens. Now 27 moderate-severe after everything Iv taken &applied to my skin. Spiro in combo with retin a &benzaclin made my skin amazingly clear. my skin broke out immediately after i went off. lost job/insurance bc of downsizing. Pharmacy charged $100/mo for this rx. paid $30 w insurance. couldn't afford that plus $180 for retin a $130 for benzaclin a month. Would recommend this to anyone w hormonal acne. See cons for side effects to consider