I know this post is about two years old but I just wanted to give a "Spironolactone in the UK" update.
I live in the UK and have had no success after asking two GP's for Spironolactone so I decided to go private (I have to wait 6 months to even be referred to an NHS dermatologist even though I've had acne for 30 = years). I contacted dermatologist Dr Nick Lowe in London (google him and he should come up) and went to their "acne clinic" last week. I saw a lovely nurse who agreed that before using Accutane we should try Spironolactone. I had some blood work done - again privately- and am waiting for my prescription for Spironolactone to come in the mail (the nurse called today and said it was in the post). So don't give up - it is possible to get it in the UK. I'm hoping that my GP will accept a letter from the (private) Dermatologist as a recommendation to prescribe me the medication on the NHS, however if not then at least there is a way here in the UK albeit costly . Here's a breakdown of the cost so far:
Consultation = £150
Blood work = £175
Then the cost of the medication itself which I'm yet to purchase however Boots told me that 28 days of 25mg is £6.
I hope this helps someone.
oops sorry this topic is about 1 year old I mean :-)