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Week Four

Week four on Spiro/Retin-A!

My intial breakout is finally coming to an end! The cysts I had are starting to heal and I haven't gotten any new ones since last week. I still have a lot of clogged pores and blackheads in my t-zone but they're starting to clear up as well. I have yet to notice a reduction in oil though. My skin is still very oily in my t-zone. For the side effects of spironolactone, I am not urinating as much as I did at the start, but still a bit more than usual. That's it for now! Hopefully I will see some clearing in the next few weeks. 




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Week Three

A little late posting....but I've been keeping track of my progress on my phone.

It's now the end of week three on spironolactone.
-I have upped my dosage to 50mg of spiro in the morning.
-I still continue to use Retin-A at night, every night.

Currently, I have a lot of small whiteheads in my T-zone, an increased amount of blackheads on my nose, five to six cysts on my cheeks and jawline, and several small pimples on my cheeks as well. I'm still experiencing an initial breakout at the moment, but the rate at which I am getting more breakouts has slowed down a bit. My skin has also gotten pretty much used to the retin-a as well. I still have a few mild dizzy spells here and there, but they only last a few seconds at most. I have also noticed I only get a bit dizzy when I am really stressed. The most noticeable, and annoying, side effect is my period spotting. I finished my period right before starting spiro, and I experienced some irregular spotting about two weeks afterwards for a few days. My periods are normally pretty light and regular due to my Mirena. Other than that, everything has been going well and it seems like I am passing the peak of my initial breakout.





Start Of Treatment!

Hi world! I have been a long-time lurker of the forums and blogs on acne.org, so I finally decided I should contribute my own information. To start, I am a 24 year old female....and stillllllllllllllll have acne, ugh. Currently, I am experimenting with spironolactonone, doxycycline, and retin-a. I basically diagnosed myself with hormonal acne due to my age, its resilience and persistence, and the location of my acne. I have acne mainly on the medial portion of my cheeks and chin, with whiteheads and blackheads in my T-zone. If I were to rate my acne from 1-10, with 1 begin extremely light and 10 being severe acne, I would say it would be a 4. I normally have 5-6 decently inflamed pimples on my face at any given time, I will get the occasional cyst every month, and I consistently have whiteheads and blackheads in my t-zone. Oh, and tons of scarring and hyper-pigmentation. I have maintained my mild acne currently with: Purpose Face Wash (Morning and Night) Clearasil Benzoyl Peroxide 10% (All over face, night) Clean & Clear Acne Moisturizer w/0.5% salicyclic acid (Morning and Night) Seabreeze Astringent w/salicyclic acid (Night) Pantothenic Acid 250mg (Night) With this regimen, I have been able to keep my acne pretty mild. But, my acne never heals, it just doesn't get awful. My new regimen will be: Purpose Face Wash (Morning and Night) Retin-A 0.025%(Night) Spironolactone 25mg-50mg (Morning, I will begin with 25 and work my way up to 50) Doxycycline 100mg (Night) Oil of Olay Sensitive Moisturizer (Morning and Night) Jojoba Oil (PRN) Pantothenic Acid 250mg (Night) *****I have noticed the Pantothenic Acid as prevented me from getting too many cysts, but I haven't seen serious improvements with it...but it hasn't hurt anything so might as well stick to it! Physician's Formual CC Cream & Powder (as foundation) **I would also like to mention that I was able to purchase the spiro, retin-a, and doxy all on All Day Chemist. I have been using this website for about a year now for my thyroid medication and Latisse without any issue. I was dropped from my dad's health insurance about a few months ago so this is my only route to obtain these medications here in the US. In the past, I have tried basically every over-the-counter option, most prescription topicals, and Accutane. I must say though, with the prescription topicals, I definitely did not use them long enough to make a valid opinion about them. After using Accutane, my skin stayed 90% clear for about six months after using it. I didn't have any horrible side effects with it, besides moderate dryness of my skin and dry eyes (I also wear contacts). Both of my brothers used Accutane when I did the course as well and they saw great results and have been clear for about two years now. So I would definitely say go ahead and try it if you don't have hormonal acne. So after much research, I have decided to try spironolactone. Day 1: Morning: I started my day off washing my face as usual with Purpose, I find it to be really gentle yet able to wash off my makeup, then applying Oil of Olay moisturizer. Then I apply my Physician's Formula CC Cream, which is also super moisturizing and has an SPF. I reallyyyyy love this CC Cream, it's super inexpensive and provides about a light to medium coverage, and I have never found it irritating to my skin. I wait about an hour or two after I have my coffee to take my 25mg of spiro, I don't want to double-diuretic myself so that's why I wait Night: Wash face with Purpose, wait about ten to fifteen minutes to apply Retin-A (remember just a pea size!), then wait about another ten to fifteen minutes to apply moisturizer and jojoba oil to my eye area. This is also when I take my Pantothenic acid and doxy. End of Week 1: -I have noticed I do pee a lot more, but I normally drink tons of water and pee a decent amount anyways. -My skin is a bit flaky (just small little flakes, not really the huge peely flakes...if that makes sense) -I can see that I am going to start an initial breakout just because I got a few new pimples and I have more whiteheads all around. -No major side effects though. End of Week 2: -I am peeing a bit less now, I have had a few dizzy spells but I just sat down, breathed through it and it was over in about a minute. I normally have a BP of around 110/60 so I'm sure it dipped a bit low. -I am flaking a lot now. Mainly in my cheek, chin, nasal tip, and upper lip area. My forehead doesn't really get acne or dry...it's pretty tough no matter what I do to it. I used my clarisonic a few times a week to get rid of the huge flakes. Also, it's really hard for me not to pick at the dry skin...but I will try to be as hands off as possible. Also...the skin around my eyes is superrrr dry so I have been putting jojoba oil morning and night. -I am still getting more breakouts, I would say about a 50% increase in the amount of acne compared to when I started. But all of the acne has been sprouting up in the same areas before (cheeks and mouth) I have read that is a sign of a true initial breakout, rather than a product clogging your pores. ****The increase in acne sucks, but I have high hopes for spiro so I will stick to it! I also forgot to mention that I have a Mirena (hormonal IUD)...I am not too sure it affects my acne too much, it does regulate my normally heavy periods though. Thought I would put that out there just in case! Random "Others": -I eat relatively healthy everyday (I will have a splurge meal once or twice a week) -I exercise heavily (intense cardo+lifting) about three times a week -I'm a heavily stressed college student, but I feel I manage it pretty well -I do not have any food allergens that could be causing my acne either I hope somebody out there finds this helpful and I'll keep posting my journey!