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 21, 2008

Pros:

not sure if there are any

Cons:

makes you need to pee more, tastes and smells strange

starting taking this for POS symptoms, hair loss & acne, my hair started to get thicker, and my skin as been clear ever since, but now my hair is starting to fall out again, and i have no sex drive at all which sucks and all the doctors i've seen don't know what to tell me.
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August 25, 2008

Pros:

Clearer skin and no longer losing hair on scalp!

Cons:

Tastes terrible; frequent boughts of urination; having to watch potassium levels; still having a bloated stomach

I'm 19 and though my androgen levels are normal, apparently my body is too sensitive to them and I have female pattern baldness...I was losing so much hair that I was afraid to go out. I'm not sure which particular part of my new regimen has saved my hair, but I can tell you that I no longer look down at my shower drain and see clumps! I haven't noticed a decrease in body hair but additionally my moderate-to-severe acne has almost completely ceased and I've only been on this a couple of weeks. I actually feel like a woman again now that I'm taking this. I'd reccommend it to anyone. I'm still extremely bloated but I am willing to give this a chance! I'm on 100 mg daily so I probably won't have my dosage increased any time soon.
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August 13, 2008

Pros:

Made my skin less oily, REALLY helped with my menstural cramps

Cons:

Takes a while to work

Been on this stuff about a month and havent seen any real improvement in my skin so it's frustrating. Got rid of my menstural cramps though! Everyone's different though. Give it a try!
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August 12, 2008

Pros:

Acne totally cleared up, hair & skin not oily anymore, shorter and pain-free period, lost water-weight, body hair grows slower, less sweating - no need for deodorant.

Cons:

Need to drink more water & pee more frequently, under-eye cicles (look tired), my veins are prominent all over my body

I take 200mg twice a day for the past year. I will continue using it because the pros outweight the cons for me personally.
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July 29, 2008

Pros:

LIGHTER SKIN, SMOOTHER SKIN, LESS OIL, DECREASED BREAKOUTS, IT REALLY WORKS!

Cons:

ONE OR TWO EXTRA TRIPS TO THE RESTROOM PER DAY, ESPECIALLY IF TAKEN AT NIGHT!

Since starting this medication, my skin has improved 100%. I immediatedly noticed the difference, and by the second week I was completely sold on the product. I found out about this medication from this website and was skeptical it would work for me. I felt compelled to leave a review as a thank you for introducing me to spironolactone. I am pleased and thrilled with my results. I have taken this medication for about two months.
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July 24, 2008

Pros:

I believe it has been a factor in clearing up my cystic acne on neck. Cheap with ins.

Cons:

Sore breasts, SWEAT ALOT!

I started getting cystic acne after my son was born in my early thirties. I am allergic to benzoyl peroxide so that eliminates alot of options for me. Accutane was not an option for me as I have a psych history. I simutaneosly started this med, having salycidic acid peels and using Differin all at the same time and the combo has really worked for me. I have considered going off it, as it seems to make me SWEAT more than I ever have. But the trade off for clear skin is worth it.
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June 23, 2008

Pros:

My skin seems to be less oily and it finally seems to be clearing.

Cons:

Developed a severe, cystic breakout on my cheeks and chin.

I've been fighting acne for about 8 years. I have tried almost everything under the sun, except Accutane. My dermatologist prescribed Spiro (100 mg daily) along with Minocycline(100 mg daily). I do hate taking so many pills (4 per day) though. I tried YAZ specifically for acne and ended up in the hospital intensive care unit for a week with a pulmonary (lung) blood clot. I'm 31, healthy, exercise regularly and don't smoke.. so be careful! Anyway, my face severely brok out with cystic acne about 4 weeks in. I wanted to quit and try Accutane by my dermatologist said to wait it out. My face is finally clearing. I just have 1 cyst left and scaring because I seem to get a scar with every pimple. I really hope this continues to clear my skin. I'm not sure how much more I can put my self esteem through. =( I'm assuming this is like many other medications where the acne is likely to get worse before it improves. =)
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June 14, 2008

Pros:

Never bloated, less oily, fewer cysts closer to the 2 month mark

Cons:

Irreregular period 2nd month, terrible outbreaks the 4-6 weeks, terrible peeling

I have been on spiro for 8 weeks now and am also using Tazarac at night. The first month was terrible because of outbreaks. Everyday I felt something new was forming. But it's been 8 weeks and I'm not breaking out as much and am now on Tazarac and Benzaclin so I think the whole combination is definitely improving my skin and I do feel better about it. I do peel because of the Tazarac so I have to remember to moisturize and exfoliate to get rid of the dead skin. But this is also helping with the scars . I hope the results continue!
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May 22, 2008

Pros:

Clear Skin!! No More Acne!! No more Oily Skin!! Smooth Skin!!Hairs on body growing slower and less coarser.

Cons:

Slight Dizziness and frequent urination for the first week or two.

I'm a 26 year old female. I've been using Spironolactone 200mg in combination with OrthCyclen(same amount of hormones in every single pill) not OrthoTriCyclen everyday for three weeks. After the first day of using the Spiro I noticed a difference. My skin was less oily. After a week I noticed I had less active pimples and there was a significant reduction in oil. After two and a half weeks no new pimples, skin is super smooth not only on my face but all over body as well. I have clear skin for the first time in like 10 years!! I love this stuff!!
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May 19, 2008

Pros:

no side effects (that i've noticed), 100% clear skin for the first time in my life. Oil control, no need to blot during the day. Smoother textured skin.

Cons:

may have to take this forever or wondering if my body will be able to overcome it.

I've had acne since i was 13 (I am 30 now) and have tried everything, including accutane which sorta worked but was too severe and such a pain to be on. After going off accutane, the breakouts started again. I wish I was on aldactone sooner! I noticed the results immediately. i also no need for drying products. i will get a little white head or a pimple, but it's not like an out of control pimple situation. It is cheap ($10 a month with my insurance) and I have noticed no side effects. Though I have had more frequent periods (more than once a month a few months back) and as long as that is not life threatening, I would recommend this.
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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.