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eeisen

Transitioning off of the regimen after spironolactone?

Hi everyone! For the past 6 weeks I've been taking spironolactone for hormonal acne on my chin and it's helped a ton - I have no active pimples and it's been so long since I've had to reach for a hydrocolloid sticker to desperately try to suck out a pimple.

The reason I went on it was because I've been on the regimen for 11.5 years, and not only was I tired of this routine running my life and wanted to liberate myself from it, but it also wasn't totally effective, and my skin was getting worse - I started getting cysts in 2018 despite sticking to the regimen. I'm 26 and have PCOS, and I think this is a common experience for women with PCOS in their mid-/late-20s.

Now I want to begin transitioning off of the regimen, but I've been dependent on it for so long that I'm not sure how/am afraid of what will happen. I seriously can't remember the last time I went a day without applying the regimen steps to the affected area - it's been years. Does anyone have experience with going off of it once you're on spironolactone or another oral medication, or otherwise have ideas about what might be a good way to structure this? For example, I could begin by halving the amount of BP I use in the morning and night so that it's not such a massive and drying amount, and see if my skin stays clear. Or I could start using it only in the morning, or only a few days a week, or some combination of these, etc. Would love to hear your stories!

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