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 3, 2012

Pros:

Supposed to be good for hormonal acne.

Cons:

My 12 year old was spotting after a couple of weeks on this medication, so the doctor took her off it right away.

Be careful and be in communication with your doctor while taking any medication.
November 20, 2011

Pros:

Noting yet :(

Cons:

My face is breaking out :(
Taking a pill 2x a day.

I have been on this medicine for 2 weeks and my face has never looked so bad. My acne is hormonal therefore I only break out right before my period. My derm recommend this medicine. I take 50mg a day. After reading some of the reviews it sounds like my face will get worse before it gets better. But how long do I have to wait? I am very tempted to stop taking this medication. I am 36 years old and having "this much" acne is embarrassing.
November 17, 2011

Pros:

Started to work quickly

Cons:

Side Effects not tolerable:
cramping
diarrhea
dizziness
increased aggression
sleeplessness

Not worth it!! And I'm on a small dosage.
November 4, 2011

Pros:

NONE

Cons:

HORRIBLE CYSTIC ACNE, HAIR LOSS

This drug is absolutely, positively the absolute worse drug i have ever taken. I was completely clear before starting this medicine. Almost immediately I started to breakout in massive cysts. Every two weeks a new one would sprout. I stuck it out for two months, but i just couldn't take it anymore and stopped completely 21 days ago. I am now left with many hyperpigmented areas, a scar, a huge crator, and a hypertropic scar. This drug ruined my skin. I had to give a rating, but i would rate this minus one hundred, its disgusting what it did to my skin.
September 27, 2011

Pros:

None

Cons:

Very dry skin.
Weight gain.
Dehydration.
No improvement in acne.

This medication caused me to be thristy all the time, I could not drink enough water, and I had to urinate every 30 - 40 minutes. gained 10 pounds, with no change in diet or exercise. This medication did not help my acne at all.
June 11, 2011

Pros:

Works really quickly

Cons:

Caused melasma, headaches, and fatigue

This medication works really fast, but this medication gave me a tan-stache!!! I'm going back to accutane.
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April 23, 2011

Pros:

Weight loss (possibly from diuretic effect of med).

Cons:

Side effects included dizziness, excessive thirst, irregular periods, and sensitivity to caffeine. Don't take this med if you have low blood pressure already.

I've been on this med exactly 3 months now, and my skin is worse than ever, with cysts along my jawline and around my ears. My dose has been low--50 mg--because of side effects (most notably dizziness due to low blood pressure). Med may be more effective for those who can take higher dose.
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March 25, 2011

Pros:

none

Cons:

made acne worse!
mood swings
dehydration

I have been dealing with adult acne since for 10+ years! I have been on accutane, antibiotics, laser treatments, dermabraisions and etc to control my acne. Accutane did wonders but after a year, it came back but not as bad. I didnt want to go back on it because of the side affects. So anyway... I have recently been struggling with moderate acne which becomes worse during the spring and summer months. So after being on 5 different medications since last Sept, I became fed up and decided to go the hormonal route. Well, after the first week I noticed that I was getting acne in places I've never had pimples (forehead, temple, nose, upper lip and chin). Then the usual spots that I normally get acne is on my cheeks and jaw line which exploded with nodule type of acne. I have never seen my skin dry, yet severely clogged in all my life. After 3 weeks, I simply stopped taking it and couldnt bare going in public looking like a pizza. Now I am back on benzaclin, epiduo, and triluma. Its been a week and its starting to control my acne much more than spiro. I guess its not for everyone. Food for thought. I have tried Ortho Tri. in the past which helped manage my acne when I was in my early 20's but after 4 months into it, it started breaking out pretty bad. Much like my experience with Spiro. I also tried Yaz and got the same results. So maybe its just my body that doesnt do well with hormonal treatments. I am glad for those whose body does accept the treatment. Congrats! It just sucked for me.
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February 24, 2011

Pros:

Did nothing

Cons:

None

Didn't work for me
January 19, 2011

Pros:

Unable to use it long enough to get any benefits!

Cons:

Heart palpitations within the first several days of use. Had to immediately discontinue. I also had severely high blood pressure which I've never had.

There are side effects but not as common. Really bummed because my doctor said it would take away all my bumps! Now I'm stuck with acne for who knows how long. 30's suck!

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.