I joined acne message board because it helped me get through a difficult time in my life. It has been a long journey with acne and I just wanted to share some of my experiences. I experienced mild-severe acne at the age of 14 and this battle continued for the next 10 years. I have been on accutane at least three times and it clears up my skin beautifully within the six months I am on it but after completing it my acne will return and worse than before within 2 months. This is only my take on accutane I know of three people who took accutane once and the acne has never returned (knock on wood) and they have great skin so it can work for some. When I completed my last run of accutane the dermatologist who I have been seeing for the last ten years told me that it was my last try for accutane and she didn't see anything else working. At 23 years old, my acne was worse than it has ever been. I stopped going out and seeing friends or socializing at all for that matter. I had large cysts on my cheeks and jawline and on my neck. I did some research on a new dermatologist and some new methods for treating acne. The new dermatologist had recommended spironolactone about four months ago. I will be honest the first two to three months my skin was terrible and I felt like giving up on it. I came on acne message board and followed a girls blog on her spiro journey and she gave month by month pictures and updates. After a full three months my skin began to calm down and started to actually clear up. I just hit my fourth month mark and although I still get pimples, it is no where as bad as it was. When I first began the spiro I had at least 30-40 pimples (white heads, cysts, etc) and now I have about five small white heads. I do have some scarring from all the cysts but it definately has been fading and I have been using Aczone at night. Also the doctor had to lower my dose of spiro because I was getting naseaus a lot this past month so I am back down to 100mg a day. Anyway I know this was long but I felt like I needed to share my experiences with spironolactone. I hope you find your success.