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
November 17, 2009

Pros:

I can see some changes, cleared up my acne.

Cons:

I walk up this morning and had a really bad muscle ache...

I don't know what to do( continue or not)
February 5, 2009

Pros:

skin less oily

Cons:

pee a lot more

I honestly have NOT noticed that this is clearing up my acne (yet). I have been taking 100mg once a day for about a month and its almost as if my acne is worse. I also use tazorac at night in addition to this which I have also been using for about a month. My skin looks worse than ever! Its flaky, dry, red, and broken out! I hope that this is just the medicine "kickin in" and it gets better soon.... I have heard to give Spiro at least 2 months so I am being patient. I have noticed that my skin is less oily, which is a plus.
December 22, 2008

Pros:

cleared up my acne after 2 months

Cons:

i have to pee soooo much now, lol and i get dizzy if i get up too fast, not sure is that has to do with the low blood pressure the pills can cause.

highly recommend if acne is more of a hormonal issue than a hygiene issue. i've been to so many different dermatologists and they all tried to treat my acne with washes and masks...but FINALLY i have a doctor who realized that my acne was being caused by my hormones. 6 years of disappointment, but now i'm actually starting to see results, uhhhhhmazing :)
October 16, 2008

Pros:

It's an inexpensive treatment compared to Accutane and some topical creams.

Cons:

It may take a while to clear up your skin. Also, sexual desire may slightly decrease.

I have tried tons of other products and medications including Accutane, Antibiotics, creams such as Benzoyl Peroxide, Tretinoin, Differin, and Retinoic Acid... all of them worked while taking/using them, but after stopping, the acne came back. This is my 4th. week taking Spironolactone. My derm said that this would be the last resource (the end of the road)...It just started to work.... altough, the first weeks it made my acne worse I am hoping this is it and the final solution. I have to be patient... but it's so hard!!!
June 19, 2008

Pros:

My skin is much clearer and I have less black heads. I've been taking Spironolactone for three months and it's amazing. I'm 36 years and suffers with acne for most of my life. I tried Accutane twice but couldn't handle the side effects.

Cons:

Frequent urination and breast tenderness.

It worth trying if you have exhausted all you options.
May 11, 2008

Pros:

It works.

Cons:

Lower sex drive, feel tired

Use it but ween your dose down after 4 or 5 months.
September 6, 2007

Pros:

I just started using it 3 days ago and already see results! I tried 4-5 different abx's--nothing worked. I was skeptical about using this at first. I'm glad I filled the prescription.

Cons:

frequent trips to the BR, dizziness if I get up fast

If the first three days are any indication, I will be tickled pink when my skin finally clears. I never had a lot of breakouts but when I did, they were nasty. This has helped tremendously
July 25, 2007

Pros:

it pretty cheap and have heard good reports about it

Cons:

only taking it one week so far - but not working at all yet... have probably got more spots..

Does anybody know how long it takes to start working - I am on 50mg/day, have been taking it for a week today... I have noticed some difference in that my spots/acne do not have quite the same amount of fluid/gunk inside.. but i am still gettting lodas and it actually taking longer to go away.. i am worried about scarring as I get them along my jawline and occasionally on my cheek bone, lumps that dont surface to the skin..
February 6, 2007

Pros:

Inexpensive, side effects not too bad

Cons:

Hasn't helped much yet, but I am on a low dose so far.

I am so hopeful about this stuff...but I have yet to see one tiny sign of improvement. I'm only on 25 mg. Most of the postings I've seen show improvement after 50-100 mg. I'll be patient and see how it goes.
January 15, 2007

Pros:

No side effects yet

I have been on it for one week in combination with Diane 35(which stopped "working" to contraol my acne after two year) and my acne is worse-anyone else? How long does it take to work?

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.