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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:


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


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!


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