I am so happy to say that my skin is sooo much better. I am still taking 100 mg spiro and birth control once a day, at night before bed. Not only is my skin drastically clearer, but it's softer. Now that my acne is no longer an issue, I can do other things like clarifying masks, eye creams, toner sprays, and all of these other things I was too afraid to try before. For any one who feels like they are at wits end with their adult acne please please - give spironolactone a try!