I'm 40 years old and have battled with acne on and off since I was 18. The only 2 times in my life I had beautiful perfect glowing skin was during my 2 pregnancies and for some period after. I was on tetracyclines (on and off) for many years but I guess my body became immune to it wasn't as effective as before. I was sick and tired of antibiotics, which was the only thing my dermatologist offered other than the topical creams. I suggested tetracycline (after doing some research) but she refused because she couldn't check my liver functions. Thank God my PCP was open-minded and prescribed spirolactone 25 mg at first (didn't work) and then 50 mg. It's been almost a year and I couldn't be happier, my skin has been clear for months!! If you suspect your acne is hormonal give spirolactone a try. I've had blood work done 3 times and I have no problems. I'm finally acne free.

I never write reviews atually this is prob my first one but I had to testify to the amazingness of spiro, this drug has changed my life, literally like others , have had acne since 6th gade and Im talking back chest face, it was horrible constantly hiding my skin, I tried every rx known to man and even 6 cycles of accutane, yes 6, and accutane does work...it just doesnt last much beyond when you stop taking it an of course is extremely dangerous.. anyhow, if I only would have known about this drug YEARS ago!! I have to say this is a miracle drug.. I hope it works for you!

It's really worth a try if you are suffering from hormonal acne. I had acne as a teen, it went away, & then poof...I woke up with crazy acne at 26 yrs old. My acne is not severe but at 26, having lots of tiny bumps all over my face was not cool! I tried several topical treatments (Metro Gel, Epiduo, ViDerm) for 6 months before I gave in & decided to take oral meds. My list of Cons may seem like a lot but the side effects did lessen once I adjusted the dosage that worked for me. My doctor first prescribed me 50mg 2x's a day. The side effects made me super uncomfortable for the first week, so I called my dr and she suggested that I just take the 50mg once a day instead. This helped lessen the side effects by A LOT. So pay careful attention to any symptoms (good idea to keep a daily log of how you're feeling for the first few weeks) & let your dr know if you're not feeling bright eyed & bushy tailed....even if you're not positive that you're feeling crappy due to the meds- take note! I've read a lot of reviews with people gaining (or losing) weight but I have not seen any change in my weight so far. The time period for results may differ according to each individual. It only took me a few weeks to notice my skin clearing up & others say it takes a few months. BE PATIENT. I have great insurance so it was at no cost to me. According to other reviews, seems pretty cheap ($5-$20) if you have insurance. TIPS: - drink PLENTY of water: you may get headaches b/c of dehydration. If you don't like drinking a lot of water, try some gatorade. - watch intake of caffeine & alcohol - keep daily log of any symptoms, tell your doctor ASAP about any severe or consistent side effects - do not take this if you're trying to get preggers

Completely cleared up my hormonal acne- topical treatments did nothing.

I know it sucks to hear, but you MUST be patient with spiro. I came here to give spiro a negative review after 1 month but after seeing other people warn to be patient, I decided to wait longer. After a frustrating initial breakout in the first month, I'm now almost completely clear in month 4. I'm 29 and have had acne for more than 15 years which of course has been maddening. I have moderate acne on my face and body and very "congested" skin with LOTS of comedones. Spiro has slowly cleared my skin which is awesome, after struggling with this crap for so many years! I was taking 100mg but was getting my period every 2 weeks so I dropped down to 75mg. It seems to be working just as well. So my advice is to give it time to work even though it's frustrating to wait :)

Before I took spiro, I had many large cysts continuously forming, one after the other. But after the first night I began spiro, my acne was gone by the next morning, and I have had no breakouts since. This was a miracle medicine for me. I know it takes longer to work for others, but for me, it worked instantly. Either way, research and my own case study has shown me that this medicine works for the majority of women who take it whether instantly or in the near future.

A little background, i'm a female in my early 20s who have suffered from acne for maybe 8 years now. I have tried different topical medication, minocin, birth control, low dosage accutane for oil control, and nothing has really worked. Finally, i did my own research and asked (demanded? lol) my doctor prescribe me this. He was somewhat reluctant as its not a traditional acne medication and suggested I should try full dosage accutane first, but knowing the harmful side effects of accutane, I really wanted to try this first. Plus, based on my research, jawline acne is caused by hormones, so I wanted to try something that'll target the hormone issue. I've been taking 100mg once a day for 12 days now, and I have already seen a dramatic difference. Since the day I started taking spiro, I have had ZERO new nodular acne growth. Still small white heads here and there, but prior to spiro, I've had consistent breakouts on my jawline that were bumpy, painful, and lasted forever. I'm still working on keeping my skin hydrated and waiting for the hyperpigmentation from previous breakouts to fade, but seriously, if you have suffered from long term acne, try this before you give up!

I am 57 years old and had long since been through menopause. Taking Spiro has re-feminized me along with reducing facial oil, clogged pores, and cystic breakouts. I had had 4 courses of Accutane over several years and still the breakouts came back. I have high BP and need a diuretic so this does everything for me (150 mg). I would give up all my other meds to stay on this stuff - wish they had given it to me sooner. I have beautiful skin that has no breakouts and seems to have gotten firmer and smoother since starting Spiro. Also, the growth rate of the hair on my legs has slowed, my breasts got firmer, my eyebrows don't need to be groomed as often, the facial hair that had gotten worse, is gone...basically, the Spiro has evened out my hormone levels - I love it.

I've tried a lot of products and was tired because nothing seemed to work. I am 38 years old. It took about 2 months before it started to work, but my acne went away completely and I get no more breakouts. The issue with my period is the only real negative. I'd like to encourage the people who get the bad initial breakout to hang in there. It will work.

Spiro changed my life. It has changed my skin and confidence in ways I never thought possible. I can actually go somewhere without foundation now if I need to. I do still prefer wearing foundation when I can because of some scarring and uneven coloration, but knowing that I don't absolutely HAVE to is so liberating. I used to not even enter a grocery store without makeup on. A GROCERY STORE. That's how dibilitating it was. I would put makeup on immediately after a shower or right before bed so that my own boyfriend wouldn't see my skin. :/ My skin controlled my life, but now I am free. My skin is not perfect, but it is a million times better...and there are days when it looks downright amazing. I still have mild scarring, some redness (that I've always had), and blackheads, but it is overall so much CLEARER! I will occasionally get isolated pimples here and there, but NO MORE BREAKOUTS!!! And no more deep, painful, monstrous cysts!!! For a year and a half now I've had wonderfully low-maintance skin. One spiro a day and a good moisturizer (Clinique Redness Relief for me) after showering and I'm set. When I shower I use Cerave Foaming Facial Cleanser, but to be honest, I don't even wash my face aside from when I'm showering anymore. I can get away with falling asleep in my makeup and my skin is still clear!! I don't do this intentionally, and maybe if I didn't at all my blackheads would be even less noticeable (lol), but I'm just saying the fact that I CAN is incredible. My skin is clearer, my routine is little to no maintainance, and my confidence is through the roof. It's amazing going to sit down at a restaurant and not even think about my face. I am so happy and so fearful of the day I have to stop this medication. **note: Spiro DID make my skin absolutely god awful at first. I thought it was bad before, but after starting this drug it was horrendous. I read these reviews beforehand though so I knew that this was a possibility and I think being prepared helped me push through it. It took a good 3-4 months before I started to feel clear and confident. I know that sounds like an eternity to wait but believe me, the end product makes that crappy waiting period look like a microscopic smudge in the grand scheme of it all. You can do it!! It is so worth it!!!!