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
May 14, 2008
I am 39 and have been living with the fight of acne for 25 years. I have tried everything under the sun but nothing works. I switch doctors to try Accutane but he suggested Spironolactone because my hormones were somewhat elevated. I have been on Spironolactone for almost 2 months. I haven't seen much improvment as far as oil and was farirly clear for a few weeks. A few weeks ago I started breaking out really bad with cystic acne all over my chin and forehead. My doctor put me back on my antibiotic for a couple months until Spironolactone kicked in. I still haven't noticed much of a change in oil or the acne. Is this nromal or is this not going to work for me??????
January 4, 2008
anyone on a combo of spirono (50mg twice daily), rozac wash and Metrogel? Started 3 weeks ago with a little improvement, but now am having trouble. I also take Yasmin for PCOS.
December 5, 2007

Pros:

I really have not seen results. I been on it for 2 wks .

Cons:

none

Im actually interested on everyone one else skin regimine. I, use Arnuad cleanser.Duac(ben perx) Evening I use Tazorac cream. Im 27 yr female and this is the year where it has really gooten worse. Depressed, angry.If anyone has advice...pleassse let me know. realtorbedoy@[link removed]
October 27, 2007

Pros:

cheap not too expensive..

Cons:

going through a major breakout with the pills. I went in with 6 pimples now my whole face is red now... I look so horrible. afraid to face people

if this product is suppose to work.. i am still waiting. I have been using it for 2 weeks now.
August 7, 2007

Pros:

Less oily skin, NO more breakouts on my back or chest!

Cons:

No help for my cystic acne! Frequent urination and dizziness.

I am 22 years old and have been dealing with terrible skin since I was 12 years old. Two years I was diagnosed with polycystic ovary syndrome and type two diabetes, so I soon realized that I have a hormone imbalance and that is the main cause for my uncontrolable cystic acne. I have tried ablative lasers procedures, all kinds of antibiotics, healthy diet, regular exercise, all kinds of different regimens, different types of birth control pills, and last but not least 100mg of spirolactone for 4 1/2 months and nothing has work. If any body has any advice, PLEASE HELP! I AM DESPERATE!
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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..
May 28, 2007

Pros:

Oil reduction

Cons:

Really really really bad breakouts in the first month or so.

When I started out taking Spiro I had one zit on my chin. Just one. During the course of taking it (it's been a little over 3 weeks) I have gotten *dozens* of zits. Now I have red scars all over my chin and forehead area. Seriously. I hardly ever leave the house and never ever look at myself in the mirror because I'm too afraid I'll start crying. When does this stuff start working? I am sick of looking awful. I'm just about at my wits end with this drug.

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.