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
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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June 13, 2008

Pros:

works in a unique way

Cons:

Did not improve my complexion, but gave me lots of side effects: a lot of breast tenderness and irregular periods (every 2 weeks!)

I was only on the therapy for about 6 weeks because i couldnt tolerate the side effects. During the time i was on it, i didnt see an improvement in my oily skin and/or acne.
May 17, 2008

Pros:

lost water weight, skin was producing less oil

Cons:

Had severe allergic reaction and ended up in the ER.

My dermatologist recommended this to me last fall after years of failed treatments - retin-a, differen, azelex, mino + tetracycline, clindamicyn, etc., and I hesitated for a bit but decided to try it out this spring after reading the reviews on the message boards. 10 days after starting Spiro, I started developing these red bumps on my arms. The next morning, I woke up itching all over - they had spread and were even on my lips, which were red and misshapen. Even worse, my throat was tight and I had difficulty breathing. I ended up in the ER for six hours and received an IV treatment of benadryl and prednisone. I also had to continue benadryl and prednisone for five days to help clear the reaction out of my system. I'm lucky it wasn't worse. I think the allergic reaction is rare as I haven't seen anything on these boards, and my dermatologist said that she's only had one patient in 20 years that had a reaction to the Spiro. But I just wanted to post it as an FYI.
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February 6, 2008
Just another thought - work outs will reduce testosterone too. Instead of a pharmacueticaly, try this daily first. That, as well as a healthy diet, few carbs and sweets if any, and 50grams of lean protein a day mixed with as many fruits and veggies! It sounds like a lot - but the reason our hormones are high to begin with is because we are usually too sedentary, don't eat right, and are overly stressed. Why not correct these things, and then go to drugs if it doesn't work?

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.