Antiandrogen
Reviews
4.1
1326 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
51.1%
4
28%
3
10.1%
2
4.9%
1
5.9%

Used Spironolactone? Rate It:

Choose from 1 to 5 stars
January 8, 2007

Pros:

Saw results almost after only a few days of taking Spiro. After almost three months of use, the results have been dramatic. I can't ever remember a time my face was this perfectly clear.

Cons:

The only side effect I experienced was irregular menstrual cycles for the first month and slight dizziness shortly after taking it. Also, the cost for me was pricey, but only because I don't have insurance. If you do have insurance, it's cheap.

I have had mild acne since I was 12 years old, but it was never as bad as it became last summer. All of a sudden out of nowhere, I broke out severely. At my worst I had at least 20 pustules on my face. I tried EVERY topical gel, and minocycline/doxycycline. NOTHING WORKED. After going to a new dermatologist I was desperate to find a solution. I was certain my problem was hormonal, not bacterial. He prescribed me 100mg of Spiro (2 50mg pills per day) in conjunction with .005% Tazorac gel. Within a week, I noticed that fewer breakouts had popped up. After a month I was only getting about one or two per week. And now, after almost three months of use the only breakouts I ever get are around my period, and even then they are TINY and managable. If you have tried everything for your acne and NOTHING has worked, urge your derm to prescribe you Spiro. I pray this continues to work for me. So far the results speak for themselves.
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January 4, 2007

Pros:

no severe side effects, quite effective in conjunction with Tazorac

Cons:

some bleeding b/w periods, no irregular periods as of yet; no really expensive but a significant expense to add per month for ME

Great product and only a few things to watch: no pregnancy while on it and get K levels checked
December 27, 2006
I'm 42, all of a sudden I was having cyst acne due to hormonal changes. My doctor prescribed Antibiotics and Retin A micro, it did nothing and the Retin A was too harsh. I started taking spironolactone and haven't had a single break out since. Also, with the hormonal change came water weight gain and the spironolactone helped with that as well. I love it!
October 17, 2006

Pros:

It' scheap and easy to use.

Cons:

I've been on it for almost 3 months with no change in sight... :(

How long does this 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.