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
September 18, 2008

Pros:

My acne did clear up..

Cons:

Not sure if my period being always late is related to the drug

I was diagnosed with PCOS 4 yrs ago. I began taking this drug 4 weeks ago (prior to that i was om metformin). My skin is clearing up but my menstrual cycle has gone nuts
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September 18, 2008

Pros:

I love this drug, works even better than Accutane (for me anyway) due to the mini,al side effects. Cleared skin within a month of taking it, also my hair is thinker.

Cons:

Tiredness at first but that went away. My sex drive has plummeted though which is a big deal but I'm afraid to stop taking it. Any suggestions here?

I asked my gynocologist to prescribe it for my skin and he had no hesitation. My only concern is that I have not had a potassium level test in a year so I think I will do that soon. My hormone levels were normal but I suspected that I was sensitive to testosterone due to my history of oilyness, breakouts and thinning hair. There's a book called The Hormonally Vulnerable Woman that explains this in detail.
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September 15, 2008

Pros:

clear skin, less oily skin, less oily hair

Cons:

sometimes a little dizzy at the gym if i am taking a step class and have to do a spin. weird, i know.

i have taken this medication for 4 months now. it has definitely improved my skin. i am getting comments from people that my skin looks amazing (it never looked amazing before with all the acne) i take a very low dose of only 25 mg/day. i saw results immediately, which is hard to believe, but true. my face is awesome. my back is much improved, but still not perfect. my doctor said i could increase my dosage to see if my bacne would go away, but i am happy with my low dose and am using apple cider vinegar on my back. this medicine works!!!!
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September 6, 2008

Pros:

It works! It really works!

Cons:

None for me!

Please ask your doctor for this med, give it a try. I could see an improvement in days. Do not suffer with breakouts a day longer then you need to. I wish I would have known about spiro years ago, would have saved my self-pride and my skin from scarring. I am so grateful that I finally found a doctor that had a solution for my acne. It's so easy and effective. Check it out! Feel better fast! I am combining 50mg Spiro 1x a day with a low dose antibiotic 2x a day (doc said I can stop antibiotic soon), Benzyclin pump topical every other night, and tazorac every other night (to start to resurface this new break-out free skin I have!) Exciting to see something work after trying so much.
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September 5, 2008

Pros:

My face and scalp seem to be a little less oily so far

Cons:

Maybe an extra trip to the bathroom here and there, for the first day I felt slightly dizzy about an hour after taking the pills

Havent really noticed any improvement in the breakouts so far, I am also going for Blu-U light treatments twice a week which kind of helps keep them at bay, I started on 25mg of Spiro for the past 5 weeks, recently upped the dose to 50mg daily. I am also on Alesse for the last 3 months but Im considering quitting that after this pack is done because it seems that my acne completely exploded since starting the birth control. Does anyone know how long before you start to notice a difference with the spiro or do you need to be on a high dose (eg. 100 mg daily) for a few consecutive months before you see anything?
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August 31, 2008

Pros:

It's working so far. Skin is 95% clearer and I am not oily any longer. This med keeps the water weight off.

Cons:

Kind of tired and a lot of bathroom trips. But not a major problem.

I have been troubled with acne for about 4 years and I am in my 30's. Tried a lot of different prescriptions topicals and they did not work for me. Proactiv did not work. It actually left my skin worse. Tried solodyn and it did not work. My dermotologist tried spiro because we had started to discuss accutane. No need for accutane now. I am using a combination treatment which is taking 100 mg twice a day and differin at night.
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August 21, 2008

Pros:

No acne, decreased facial hair, and let hair grows slower now. works quicker than accutane without the depresion concerns.

Cons:

dry mouth, frequent urination

If it keeps my acne awaym uts all good
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August 16, 2008

Pros:

a lot fewer breakouts, clearer skin, less oiliness

Cons:

not really noticed any

I've been on Spiro for a couple of months now and it has significantly helped with my acne. It was never really bad, but I did have to battle some cysts on throat, forehead and chin, plus the typical stuff one woman gets when menstruating. Very annoying!! I've read the board here and I haven't noticed anybody saying anything about change in menstrual flow. (maybe I haven't gone through all the pages).This is the second VERY light period I've experienced in my life, and it's because of the Spiro. Does anyone else have this blessed side effect?
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August 6, 2008

Pros:

IT WORKED! Within the 1st month my back was totally cleared up, my face was clear in 2 months. It dramatically improved the texture of my skin. It made my skin flawless!

Cons:

NOTHING

This worked for me and changed my life! My dermatologist was going to put my on Accutane and wanted to try one more thing! Thank God it worked!
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July 31, 2008

Pros:

I'm in my 40's and still had reoccurring acne. I'm on a combined treatment - this, solodyne, topical glymed wash and BenzaClin. Lost weight w/ diuretic effect of this one, face clear, skin texture even changed and oil reduced.

Cons:

Takes about 2 months before it all works. Must keep on program to keep it working.

My prescription costs $25 a month - with the total regimen it's about $100/mo., plus dermatologist visits every 6 mos. - but well worth it!
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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.