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
March 31, 2011

Pros:

clear skin

Cons:

dry skin
expensive without insurance

great product.I feel like myself again.it reduced my acne to almost not existing in 1.5 month! it worked so fast probably because I take it with bcp (femcon).I recommend spiro to every women with hormonal acne. I had some initial breakout for the first 3 weeks.besides that I don't have any real side effects.I take 100 mg daily. my advice- give it a try and be patient.
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January 9, 2011

Pros:

Clears acne for us females.
No side affects.

Cons:

Nothing. Well, except that they say it can cause cancer. But I have yet to hear a human getting cancer from it.

This stuff works! I'm thrilled to have clear skin. I started getting adult acne around 21 and suffered with it for 4 years, then this little number came along and changed that. I take spironolactone and use a gentle face wash. Awesome.
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July 2, 2010

Pros:

Decreased oil on face and back
Acne not as severe

Cons:

Can raise blood potassium levels

I was recently diagnosed with PCOS and at my wits end with trying what seemed like every prescription treatment for acne. I finally went to my OB/Gyn and was diagnosed with PCOS, which can have a major effect on acne production. I've only been on this for two weeks, but i can already see a difference in the size of my acne and less oil production on my face and back. I am also using Minocycline 50mg twice daily, as well as chemical peels every three weeks, so that may play a factor in the reduced and less severe acne. I plan on staying on Spironolactone unless I experience any major side effects.
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November 30, 2009

Pros:

wow, it does work! wow, no more cysts from chocolate and eggs, no bumps from sugar. it's awesome for that! skin is soooo clearing up after a week or two of constant use. the redness is down, yay! relief of edema, legs are slimmer

Cons:

not without weird side effects.
and hoping i won't get any permanent effects

I'm only taking 25 mg, and I'm only taking spironolactone after careful consideration and research (and some faith!! yikes!), and I'm super sensitive and careful, and wrote down these side effects: -light headed, spacy, somehow, i don't feel as smart... like I'll misspell things, which usually I'm not really prone to doing -throat feels painful, like i have a cold. this is weird, but with continuous usage, is less noticeable - CAN ANYONE PLEASE EXPLAIN TO ME WHY THE QUALITY OF MY TEETH HAS DETERIORATED SUDDENLY? They're thinner, browner, and i swear, usually my teeth are strong and sparkling (I eat all organic, take the best supplements i can afford right now, like raw-food multis), but since i've been taking this, I've noticed this. No changes to my diet, really. - of course I get tired, but some days it seems to energize me!
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November 24, 2009

Pros:

none whatsoever

Cons:

painful joints, rapid heart palpitations,dry itchy skin,hair loss,depresion,dizzines

I don't mean to discourage any one....i just want to share my personal expirience,i only took it for 2 days 25mg of it,and that was enough to send to the emergency room,with severy hives,swollen from head to toes,and to top it off a mild stroke....it's been 4yrs and i'm still suffering the horrible side effects (dry itchy skin, hair loss.painful joints) i too have pecos and with hormonal problems,the acne back then was moderate,now is severy,big painful cysts,i've learned to deal with it,but not accepting it....because of my experience, i cannot recommend this drug,it works for some and not for others..."you can't win them all" Good Luck to all!
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November 15, 2009

Pros:

Cleared up my skin utterly and completely after 17 years of consistent chin and jaw acne.

Cons:

It took time. 7 months of it before the true turnaround. But it's oh-so worth it.

This changed my life. For a more in depth look at Spironolactone, check out my blog I've kept whilst taking it for the past 9 months on the blog forum. But some tips: 1. Be persistent. And I mean PERSISTENT. It might take weeks. It might take months. Lots of them. 2. Take it with the pill, it works better that way. 3. Don't stop your topicals right away.Oh - and I didn't get an initial breakout, just strange ones along with the usual ones. Don't be afraid.
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October 12, 2009

Pros:

It has cleared my acne. I've been on it for years now at a low dose. I have tried to go off it but break out when I try so I don't try anymore.

Cons:

I don't have any

People have no idea I have an acne issue. I have had to hide from mirrors/pictures for years and now I only worry about my hair. This drug has given me a normal life. I would highly suggest you try it.
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October 4, 2009

Pros:

I didn't take it for every long...two weeks

Cons:

The medicine made me feel like I was going to have a nervous breakdown. I have no idea why. I cried all the time, over really stupid things. I called my mom, and she insisted that I stopped taking the medicine.

I thought there would be NO side effects...just be careful with any meds you take.
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August 24, 2009

Pros:

It has cleared up my skin drasticlly! Also, I've lost all the water weight caused by my birth control (about 5lbs).

Cons:

If I stop using it (even if I continue with the Differin), I get a pimple. BUT once I start taking it again, my pimple is gone in a matter of a day or two.

Last fall, my skin suddenly broke out and I tried everything to clear it up (ProActiv, Retinol, etc). Nothing worked until my dermotologist prescribed me spironolactone and differin. My skin was flawless within 3-4 months and just in time for my wedding! I'm 27 years old, and never thought that I would get acne at this age. I HIGHLY recommend it to anyone with acne! It's been a life saver!
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August 1, 2009

Pros:

hello?! clear skin!

Cons:

not sure, but i feel like im urinating more and ive definitely been taking naps during the day...but that could also be because im on summer vacation and can finally do so!

100mg spiro at night. it just works. i also have scalp issues and, although it did get worse on my scalp before it got better, everything has cleared up. not having to wear makeup this summer was my goal, and it's been met! (my derm offered me a few rounds of laser free of charge since ive been a very good customer over the years). i still cant believe im not wearing makeup and im no longer scared of the rain! definitely try it. oh, and i would recommend taking it at night (although they recommend morning)--i havent had to get up in the middle of the night yet...and i actually seem to get a more restful sleep on this stuff! also on: duac (benz cream/clyndamycin) - morning + moisturizer trentintoin cream -night + moisturizer if needed GOOD LUCK everyone!!! me: acne since early 20s (31 now) - mostly chin, cheeks, jawline, forehead (um, that's everything, right? ;) accutane - 3 times (high doses for shorter periods and low doses for a longer period of time)
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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.