For starters, I use way more than just spironolactone. My regimen includes the following: 1,000mg of Amoxil daily, two applications of topical clindamycin 1% gel, one application nightly of Topical tretinoin 0.1%. I also periodically, by making a special request to my dermatological nurse, who then forwards the message to my derm, take an elevated dose of up to 3,000mg a day of Amoxil.
That said, back to the newest addition: spironolactone. I have noticed that when I do get breakouts, which are extremely rare at this point, the pimples seem to resolve over night. Some of them still leave dark marks but no pits. I have a lot of residual damage from acne because I lost my job at one point and did'nt have health insurance for 3 years. It was awful but my skin is smooth now. The scars are fading over time. I still get blotchy but I live with it. I have sensitive skin.