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
May 4, 2008

Pros:

Less oily skin and hair; Less breakouts of cystic acne; Lost 15 pounds without trying!

Cons:

I haven't had a period in 3 months; dizziness

I have cystic acne from working out and usually around the time of my period. I have had only 1 breakout in the 6 months I have been taking this period. However, I have only had 1 period. I also lost a lot of weight and went from a size 10 to a 6 because I am no longer bloated (yay!). There are many benefits to this medication- I reccommend it!
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April 13, 2008

Pros:

Clear skin, reduced oiliness, weight loss

Cons:

No period, frequent urination for first 3 weeks

Love love love this stuff. I'm thrilled with the results so far. Only catch is that it seems to have made my period go away. It's only been two months so maybe I'll adjust. I take 100mgs a day.
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April 13, 2008

Pros:

oil production

Cons:

tired

I have been ruled by my acne for too long and decided to find a doctor that would truely help me. I get so embarassed about my acne that I physically do not leave the house, I have called in sick, skipped school, and I do not make plans because I never knoe if I will have a breakout. I finally found a doctor that would prescribe me spiro and I am hoping that it works as well as other have said. I have great skin other than my chin, where I get horrible cystic acne as well as anything else my face wants to through at me. I have only been on Spiro for 9 days but I have already noticed a difference in my oil production, which is much less. I have not had a hoorible intiial breakout, but had many spots pop up. When these popped up they actually hurt and itched, the next day they were healing and did not hurt anymore. I pray that this medicine works, I do not want to try Accutane, my last resort.
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March 27, 2008

Pros:

o side effects at all and very affordable

Cons:

only been taking 1 week and like so many others breaking out more than used to

Thanks for all of the reviews! I am a 46 year old female (yes, how pathetic!!!) Was on accutane appx. 7 years ago - worked wonders / began to break out again and was given accutane again but only for two months (not sure why - had no problems) Anyway - different dr. sugested spiro and hopefully will work - only taking 50mg/day. i am breaking out quite a bit now but will keep on truckin!!!! Good luck to everyone!!!!!
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February 28, 2008

Pros:

Works!! I'm pissed off at my doctor for not giving me this right off the bat.

Cons:

None. I dropped a lot of weight because adderall takes away my appetite and this dehydrates me, which is a bad thing for me because I'm too small. If you're a little person, this might make you feel sick sometimes.

This stuff is incredible. My acne went away and I've only had a few little bumps along my hairline, tiny, like little grains of sand that brush away and don't come back. I've been on this stuff for three months, I had a 90 day supply, and when I had only 9 pills left I ordered my refill. Well, it's been two weeks and my order's gotten lost in the mail or something, so I've missed my doses for about four or five days now. The meds cleared my skin up beautifully, with zero negative side effects. I love the stuff. The weird thing is that I thought I was breaking out a tiny tiny bit when I finally ran out of it completely, and since I've been off it the mini break-out vanished. I thought you were supposed to break out awfully if you stopped taking it? Weird. I'm expecting to wake up with awful skin very soon, but that's the mail-people's fault, not the meds. (It also tastes yummy and minty.)
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February 16, 2008

Pros:

Complexion smoother and oiliness reduced.

Cons:

Very tired and somewhat irritable. Dizzy and dried out!

I have been taking Spiro for over a month now. My reason for taking it - facial and body hair. I neer really had much acne problems - very minor! It doesn't seem to be improving the hair issues as of yet but my face is looking more even toned. I also have always had an extremely oily complexion which seems to have reduced somewhat. I am on 50mg p/day. Does anyone know how long it takes before one notices an improvement in the hair growth?
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January 18, 2008

Pros:

It is the only thing that really gets rid of my cystic acne.

I'm prescribed 50mg. 2x a day. I found that if I take it once at night that seems to do it for me. If I miss a night though, I usually have a breakout in a day or so. It's so nice to know that I have control over it now. I also use Tazorac at night, my skin looks great!
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January 16, 2008

Pros:

Cleared up acne; Less oil production

Cons:

Skin feels a bit drier, but it's not too bad

I've had acne since I was 12; I am now 25. I tried several regimens and prescriptions through high school, but never really stuck with anything. After numerous attempts with over-the-counter products, I finally went to the dermatologist. He recommended 50 mg of Spironolactone a day. I noticed a slight improvement with breakouts and less oil production. After 2 months I requested a higher dose. He put me on 100mg a day, which I've now been taking for about 4 months. I noticed a big improvement with the higher dose. I haven't had any major breakouts, just a few random pimples which clear up immediately. I haven't really felt any of the side effects; I just drink a lot more water. I've missed one or two doses, but haven't broken out. I went to the dermatologist last week and asked if there was any product I could use to help with the redness, scarring, and texture of my skin now that the acne is gone. He prescribed Differin cream. I haven't started it yet, but hopefully it will hel
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January 1, 2008

Pros:

Flat stomach

Cons:

Make me feel thirsty all the time. Have to drink tons of water to not feel dehydrated, Taking a pill every day.

I have been taking spiro for about three weeks. I definitely saw my belly get super flat but I havent notice much improvement in my acne. I was taking 100mg every day but I upped my dose to 200mg. I will probably slow downt to 150mg baceuse 200mg might be too much and I think a higher dose will not accelerate the process. I will defenitely keep taking it since it seemes like it starts working after month 3. Im also having the Smooth Beam laser done every month. I had my first treatment last month so I'll wait to see how things work all together. I was thinking about getting a prescription for Yaz since I will need the birth control.
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September 26, 2007

Pros:

* Affordable (with insurance)
* I've experienced relatively few side-effects.
* Helps with hirsutism (excess hair growth) and scalp hair loss in women.

Cons:

* Sometimes I feel easily fatigued and weaker than usual.
* Potential for birth defects in a male fetus should pregnancy occur.
* Drug interactions and need to monitor potassium intake.

Although I don't take spiro for acne, I stumbled open this website and thought I'd share my experience for those who do suffer with skin issues. I get the occasional hormone induced breakout, usually on the cheek or forehead. My skin is extremely oily though and has been since before puberty. I've been on spiro for 16 days and have yet to experience any new breakouts. After examining my skin this morning, I realized it looked dryer than normal, even flaky in some parts. We've had temperatures in the 70s and 80s here with high humidity so I can't even attribute this difference to a change in weather. My skin looks clearer over all and I tend to scar easily from breakouts, yet those areas seem to be fading fairly quickly. I'm just amazed in the improvements to my skin in such a short amount of time. I think it also may be worth noting that I also get occasional breakouts on my upper arms, which have not resurfaced in the past two weeks.
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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.