I™ve been taking spironolactone for about 5 months and my skin completely cleared around the 4th month with a pimple here and there. Now I™m finishing my 5th month on it and am completely clear and almost never have a breakout. I started out taking 50mg the first month, then the second I was on 100mg, then I started 200mg which seemed to be the sweet spot for me. Now all I have left is hyperpigmentation and some scarring which I™m using tretinoin to heal. This changed my  life completely! If you have hormonal acne get on this now!