SPIRONOLACTONE HAS WORKED WONDERS FOR ME!
Ladies, I cannot stress this enough, SPIRO IS A VERY SLOW-ACTING DRUG! Many women go on spiro, take it for 3 or so months (even up to 6), claim it's not working then switch. IT TAKES LONGER THAN THAT FOR MOST PEOPLE!
I have suffered from SEVERE acne since I was 15 and this is the only thing that has cleared me besides accutane which I have taken 3 times (trust me, I have tried everything you can think of at the direction of my derm).
If you have tried accutane and the effects haven't been permanent, TRY SPIRONOLACTONE!
I have been on it for about a year now and honestly, I can just say that within the past couple months it has totally cleared my skin! BE PATIENT, give it AT THE VERY LEAST 6 MONTHS before deciding there are no effects. For me, it took even longer than this but IT WORKS I promise for severe cystic acne.
I also take Microgestin Fe 1/20 birth control pill daily, unsure if this adds to the effect, and treat with Neutrogena On-The-Spot 2.5% benzoyl peroxide cream both am/pm. The combo of this has given me perfectly clear skin (thanks to the spiro as I've always done those other things).
ALSO IMPORTANT: You MUST take a dosage of 100mg or higher. I know many derms prescribe less, and perhaps that works for minor or moderate acne even, but if you suffer from moderate to severe acne you must take more than 100 mg. My derm has stressed this as well, he starts ANYONE on atleast 100mg even if not severe acne.
I take 200mg daily. I have a friend who has only very slight to moderate acne and ALSO takes 200mg daily. We both have clear skin. I have a friend who takes only 100mg daily and still has a few pimples at any given time. Take that as you will.
So, in conclusion, SPIRONOLACTONE WORKS. It is very slow-acting, do not give up on it until you have taken it for 6 months or more. Also, you need to take a high dose, 100mg/day or more especially if you have severe a