Spironolactone Reviews

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Prescription summary (637 votes)

How well it works

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4.2/5
Agreeability

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4.0/5
Affordability

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4.6/5

Additional ratings

Consistency

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3.6/5 (975 votes)
Packaging

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3.7/5 (940 votes)
Fragrance

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4.1/5 (937 votes)

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3 of 4 visitors found the following comment helpful.
tt, socal, california
Jun 10th, 2007
How well it works
:):):):)
Agreeability
:):):):)
Affordability
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Pros:spironolactone was the only thing that worked for me
Cons:you gotta maintain taking it
Bottom Line:i had been on every topical, antibiotic, and even accutane. in 2002, i convinced my derm to put me on spironolactone after doing research on the internet. back then, it was rarely prescribed for acne. i had been tested for out-of-whack hormones, but the lab results always came out okay. however, i only ever got pimples along my jawline, lower cheeks, and onto my neck right on the sides of the the windpipe. the derm put me on 25 mgs/day, and i had to push to get it up to 50mgs/day. it took a while, but my skin cleared up. i lost my health insurance and went off spironolactone and within 3-4 months, acne was back on. i've since ordered spironolactone off the internet and started 100mgs/day about a week ago. so far, oiliness is decreasing. i'm confident things will get a lot better within the next couple months. i STRONGLY recommended for women, probably even before any antibiotics.
Recommended:Yes
Usage:tt has used this item for about a week.
Price Paid:20.00
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2 of 5 visitors found the following comment helpful.
s.d., cbus, ohio
May 27th, 2007
How well it works
:)
Agreeability
:)
Affordability
:):):):)
Pros:Oil reduction
Cons:Really really really bad breakouts in the first month or so.
Bottom Line:When I started out taking Spiro I had one zit on my chin. Just one. During the course of taking it (it's been a little over 3 weeks) I have gotten *dozens* of zits. Now I have red scars all over my chin and forehead area. Seriously. I hardly ever leave the house and never ever look at myself in the mirror because I'm too afraid I'll start crying. When does this stuff start working? I am sick of looking awful. I'm just about at my wits end with this drug.
Recommended:No
Usage:s.d. has used this item for about a month.
Price Paid:28.00
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1 of 1 visitors found the following comment helpful.
Anonymous, USA
May 25th, 2007
How well it works
:):):):):)
Agreeability
:):):):):)
Affordability
:):):):):)
Pros:My skin is clear, not oily, my period is regular again, and I don't have leg/ankle edema at the end of the day anymore!!!
Cons:If I drink alcohol, the combination makes me pee like crazy. Sometimes I have to go to the bathroom in the middle of the night.
Bottom Line:I had moderate, non-cystic acne in high school. I went on accutane when I was 17 and it cleared my skin up great. No one in my family has had cystic acne. Then, all of a sudden, when i was 24 I started getting cystic acne. I would get 2 or 3 BIG nodulo-cysts a month. They would take 6 months to come to the surface and would scar. I went on accutane again for 8 months, which helped somewhat, but I was still breaking out while on the accutane up until the last month on it. I was really demoralized. I was also having a lot of problems with bleeding when I wasn't supposed to while on birth control pills. Then, 3 months ago my derm put me on 50mg twice a day of spironolactone. This stuff is great!!! My skin is PERFECT again, dry, and my periods are normal again. I've also stopped getting ankle edema by the end of the day. I wish I had tried this sooner.

I would recommend this to any woman who has adult-onset cystic acne.
Recommended:Yes
Usage:Reviewer has used this item for a few months.
Price Paid:30.00
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5 of 5 visitors found the following comment helpful.
Cris, Viana, Portugal
May 17th, 2007
How well it works
:):):):):)
Agreeability
:):):):):)
Affordability
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Pros:I'm 30.Started with 50mg for hormonal acne and hirsutism.After one month raised it to 100mg, which I take every other day. It cleared my skin like accutane without drying it and without the super nasty side effects. Use it without the BCP.
Cons:the fact it messes with you potassium and sodium levels in the body can create letargy and lack of energy. You need to control your diet when on Spiro and never eat food rich in potassium (bananas, nuts etc) otherwise you might develop hyperkalemia
Bottom Line:If you are over 25 and still with acne,, or you are younger but have other simptoms as well (alopecia, oily skin, hirsutism) chances are you have hormonal acne. That means that you can either have too much production of masculin hormones (androgens/testoterone) or your skin receptors are too sensitive to a NORMAL (within the range) level of hormones. So the skin converts the normal level of masculin hormones circulating in your body into a greater amount of acne, oil, body hair etc. Don't let the doctors convince you that if your hormones levels are within range that you do not have hormonal acne. There are lot of respectable reaserch atesting to that. Spiro is a great way to get rid of acne (hormonal or adult) acne, with almost no negative side effets and can be taken during a long period of time. Much better than pill. I take it without BCP, and i take 100mg 4 to 5 times per week. You don't need to take it every day mind you!Apart from a bit of lack of energy, no side effects for me!
Recommended:Yes
Usage:Cris has used this item for about a year.
Price Paid:15.00
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Anonymous, PA
May 16th, 2007
How well it works
:):):):):)
Agreeability
:):):):):)
Affordability
:):):):):)
Pros:It works !! and cheap.
Cons:None
Bottom Line:I have only been using this for 2 weeks now. I am a 52 year old perimenopausal female and having a problem with acne for the last five years. Been on everything imanginable except for Accutane. Steroids, antibiotics, creams, pills, Elidel you name it. It started out causing the whiteheads to come to the surface, but then they slowly decreased. This is my second week and I can see a big difference. Please try it it cannot hurt to see if it works for you. No side effects either.
Recommended:Yes
Price Paid:10.00
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lalafa, Florida
May 11th, 2007
How well it works
:):):):)
Agreeability
:):):):)
Affordability
:):):):):)
Pros:Clears up, just slowly. The pills even have a little bit of a minty taste. They also make you go to the bathroom a lot, which made me lose weight, so I am not complaining.
Cons:A little lethargic, especially in the morning for me.
Bottom Line:Talk to your derm and see what he/she says. I have had very little side effects, and if I did have some, I didn't mind them. Yes, it did make me break out worse at first, but be patient. Just make sure and drink plenty of water.

Basically, I have battled awful complexion for years now, done all of it (accutane, antibiotics, and everything else), I have only been on this for about 6 weeks, I am still not clear, but I am seeing a glimmer of hope that I will be (my face and scalp are so much less oily). I am sticking in there and seeing this pill through, I have seen improvments, patience is the key! I will post again in a few weeks.
Recommended:Yes
Usage:lalafa has used this item for about a month.
Price Paid:15.00
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happy!, IL
May 7th, 2007
How well it works
:):):):):)
Agreeability
:):):):):)
Affordability
:):):):):)
Pros:I've tried everything - even accutane (which worked perfectly for about 2 years after stopping it) but then slowly but surely the acne came back. Spiro WORKS... I almost gave up on it when 2.5 weeks passed with no changes for the better or worse.
Cons:Started working week 3 on 100mg
Bottom Line:Be patient!!
Recommended:Yes
Usage:happy! has used this item for a few weeks.
Price Paid:5.00
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2 of 2 visitors found the following comment helpful.
Hannah, Florida
May 5th, 2007
How well it works
:):):):):)
Agreeability
:):):):)
Affordability
:):):):):)
Pros:I am 38 and had Acne since I was 12. This is the only thing that works for me. my doc would only give me 25 mg twice a day. I didn't thing it would be enough, but after 3 weeks (it got worse) my skin is totaly clear. I know take it every other day.
Cons:Can't stop it for more than a few days or I break out really bad, with cycsts. really is the only thing that worked for me. Retin-a is ok for having blemished go away faster, but this prevents them
Bottom Line:I love what it does for my skin, but hate the fact that I have to take medicine on a regular basis. Especially BP meds, and I have low blood presure naturally. I hope it doesn't mess up with my blood pressure. I wish I could find something that will get rid of it once and for all.
Recommended:Yes
Usage:Hannah has used this item for about a year.
Price Paid:10.00
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2 of 2 visitors found the following comment helpful.
Anonymous, Chicago, IL
May 3rd, 2007
How well it works
:):):):):)
Agreeability
:):):):):)
Affordability
:):):):):)
Pros:Cleared up skin completely, no breakouts, lost weight!!!
Cons:NONE!!
Bottom Line:My derm put me on this for about 9 months or so leading up to my wedding, because I was adamant about having clear skin on my wedding day. My skin was perfect!! Not a single breakout while I was on it. Plus, I lost about 10 pounds from the diuretic effect - an added bonus!!
Recommended:Yes
Usage:Reviewer has used this item for about a year.
Price Paid:20.00
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googler123, Los Angeles, CA
Apr 14th, 2007
How well it works
:):):):):)
Agreeability
:):):):)
Affordability
:):):):):)
Pros:Works well, few side effects.
Cons:Will start breaking out again if stopped, occassional headaches if you don't drink enough water.
Bottom Line:I have been taking 150mg for a year now and nothing has worked as well except for Diane 35 birth control, which made me gain a lot of weight and caused mood swings. Diane-35 is also associated with increased risk of blood clots. Spiro makes my skin less oily and I am usually at least 90% clear. However, it is heavily dose dependent. I reduced dosage by 25 mg and I started breaking out around chin area.
Recommended:Yes
Usage:googler123 has used this item for about a year.
Price Paid:25.00
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