Antiandrogen
Reviews
4.1
1330 Reviews
Antiandrogen
Efficacy
68%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Antiandrogen
Side Effects
High
Antiandrogen
Acne.org’s Real World Take
“Spiro” has been shown to work in a real and noticeable way most of the time. However, messing with hormones is messing with hormones and it’s best to proceed with caution.
Antiandrogen
How to Get It
Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one.
Read All About Spironolactone
Compare To Other Treatments
5
51%
4
28%
3
10.1%
2
4.9%
1
6.1%

Used Spironolactone? Rate It:

Choose from 1 to 5 stars
June 22, 2008

Pros:

Not really sure of any yet....

Cons:

none

I was given a low dose of Spiro almost 3 weeks ago to be taken along with the Yaz because the Yaz is not really working for me all that great after 4 months. I started getting few cystic like acne on my checks when I only had acne on my forehead. Did this happen to anyone? I'm thinking the Yaz needs to be changed to another BC. or maybe my Spiro is to low. I'm also using a Tazorac every other day as a topical. I hate being on so many prescriptions! Anyone go through the same thing??
May 3, 2008

Pros:

Weight loss, larger breasts, dizziness at first but no other side effects.

Cons:

i cant see much improvent yet

I am 34 and have had moderate acne my whole life. I've been on antibiotics and accutane. I'm tired of all the side effects of acne medicines so i'm trying this. I am also drastically changing my diet and started cleansing and exfoliating my face. I have been doing some research on how to clear acne naturally. I have become a Vegan and eat nothing but fruit and vegetables and tofu. I also do not eat nuts. I read that nuts aggrevate existing acne. I wash my face with sulfer soap in the a.m. and cetaphil cleanser at night. I exfoliate with baking soda at night. I exercise daily which can also make acne worse. So immediately after I run I take a cold shower. I read that cold showers help reduce acne. I also use a very mild mosterizer and a organic acne reducer instead of retinal A. Dermatologists have always told me to only wash my face with water, but since I've been gently washing my face and getting rid of the dirt and makeup my face feels and looks better. anyone else?
April 29, 2008

Pros:

lost weight already? small pill..

Cons:

hasn't started to work yet :(

i've heard great things about this pill but my transition from erythromycin to spiro resulted in 2 cysts that i just got injected today :( hopefully it will start to kick in soon!
March 23, 2008

Pros:

Takes 2 months to even begin to start working and during that time terrible breakouts. Stick it out.
weight loss

Cons:

The side effects are nothing compared to the other acne medications. There's slight dehydration and dizziness but that's about it.

It's not "Jesus Christ" that has cleared your skin, you know, it's a MEDICATION developed by SCIENTISTS. You know, do to with Science, the arch enemy of Religion. Haha, delusion is funny.
January 25, 2008

Pros:

My skin was clearer than it had ever been by the second week of use.

Cons:

I am on week three and my skin is breaking out again. I had a stressful week so maybe that is to blame. I will stick it out though.

I believe that my cystic acne is hormone related so I will continue to use this to see if it eventually works consistently. This is a last resort before trying accutane. I have been on antibiotics for the last 2 1/2 years and would love to quit taking them. I had a major skin reaction to my antibiotics last summer. I was in the sun for a couple of hours on July 4th, with 50 spf on, and for the next 2 weeks I had a strong tingling sensation in my hands. The docs could not explain my symptoms and it was very scary. I would like to find a solution to my acne before summer rolls around again. This drug is very inexpensive and I not noticed any side effects besides being very thirsty. My family thinks that I am crazy for trying all of these meds but they do not understand how depressing ance can be. I have my fingers crossed!!
January 23, 2008

Pros:

*Clearer Skin
*Oil reduction

Cons:

*Weight gain

I've been using Spironolactone for 2 weeks this Friday and my face is already a lot clearer. I've had acne since I was 11 or 12 and I'm almost 19, and literally, nothing has worked. I've gone to the derm. time & time again, and after some research, found Spironolactone online and got on it. The past few days though, I feel like I've had a weight gain and I'm not eating much at all; nothing more than usual. So I don't know if it's from this or changing birth control, which i'm in the process of as well. But it works very well for my acne; so far at least!
January 13, 2008

Pros:

Clear skin, lost 10 lbs, lowered my high blood pressure!!

Cons:

dizzy sometimes, Took about 3 months to see results. I want to have a baby- but dont want an alternative to my miracle drug! HELP!!!

I have been on everything under the sun. Accutane (straight for 3 years, no breaks- made me super aggressive and angry), every antibiotic made (Augmentin worked the best, but bad diarrhea- & got sick/flu all the time), I've tried every over-the-counter & TV gimmic. Have been batteling acne since i was 9. I am now 24 and acne free for the first time "consistently"! I wash my face twice a day w/Cetaphil Antibacterial soap, moisturize w/thier lotion, take a low testosterone Birth control-'Ortho Cyclen' (been on every BC too, Yaz made me crazy) and take 200mgs of Spiro once a day. Still have breakouts (couple zits here and there) but nothing like i had before.*Unorthodox but i swear this works too-'Aquafresh Extreme Clean toothpaste'- for the bad unexpected zits-leave it on overnight, wash your face in the morning and it is all dried up! Do that for a couple days and the zit is gone. b4 i would have had that same bad zit for 2-3wks. Q: anyone know the TRUE risks of pregnancy & Spiro? y/n?
January 7, 2008

Pros:

decreased oil production,controlled acne, lost 5 lbs!

Cons:

felt dehydrated

This is the ONLY thing that has ever helped my skin. Significantly regulated my oil production and lessened my body hair. Nearly eliminated the cystic acne I had suffered from for 15 years. Would get small whiteheads (which I never had before), but these would clear quickly. Since this is a diuretic, as an added bonus I usually lose 5lbs each time I restart this prescription (have been on it 2x). The formula that worked for me was 100mg spiro, solodyn, retin-a micro & washing with Glytone essentials. Did cause me to be extremely thirsty.
December 27, 2007

Pros:

Works wells, lose weight.

Cons:

anemia

I like this product alot, it works wells, I did not have the beginning outbreaks like most of you are talking about. This drug is an old hypertension drug, meaning it lowers your blood pressure, unfortunately I had low blood pressure in the first place, so if I don't eat iron rich foods, i.e. spinach, then I can get really dizzy sometimes. Drink plenty of water or tea to replace all the water and the sodium you are peeing out. Try to stay away from potassium rich foods, like bananas. This drug retains the potassium in the body, too much can be dangerous. Thanks!
July 3, 2007

Pros:

Gorgeous skin the first time around...

Cons:

No such luck the second time.

Please believe that I am another girl that has tried everything. Back in the day, my 100 mg Spiro with Minocycline and Retin A worked wonders. Now, after being off of it because the Spiro caused me to quit having my periods for a year and a half, I have had to return to it as the only thing short of Accutane that will clear me up. BUT... the second time around, it is doing nothing. Excellent..

Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.