Wanted to give an update- 6 months in. I have Zero pimples. Zero cysts. Zero acne! What!?! This stuff is amazing. Downfall: periods somewhat irregular but not any heavier-went two months without one then have two in one month. I hear BC helps control that though. I am not complaining - the miracles it has done for my skin are worth it!
I took this prescription drug for 6 months and while it did clear up my hormonal acne, the side effects were just too much for me. I started on a rather low dosage (50mg/day) and my TOtM was arriving sporadically about every 12-14 days. Ugh. I thought my body just needed to get used to the medication. I suffered thru this for three months. After discussions with my dermatologist, we cut the dosage in half... down to 25mg/day... and then my TOtM was arriving sporadically every 40-45 days. Ugh. Sure, my skin was looking nice and clear but getting this "surprise" TOtM was not worth it. After 6 months, I went off of Spironolactone completely. Luckily my TOtM went back to a normal monthly cycle. This was the only medication I've ever taken in my life that caused side effects. Yes, it did clear my skin and keep it clear but it was not the right drug for me.
This is the best pill for acne. I use 100 mgs and I haven't had a pimple in two years, this is from someone who had new pimples almost every day and little bumps under my skin. Way better than acutane! No side effects for me from it. I use this and Ziana which is very expensive but it works, if you have insurance get it.
I am only 2 weeks in using Spironolactone which is why I have given a 3 so far. Why a 3?.... Well I'm only 2 weeks in and seeing results already. The peach fuzz I had above my top lip left almost immediately! i went to my dermatologist with complaints of hormonal acne and increase in chin hairs since turning 40. I never suffered with acne before until I turned 40 (a year ago). I get large nodules that are very painful, blackheads and whiteheads. Since I have never experienced acne before, I opted for several over the counter remedies that didn't work EXCEPT one very unlikely remedy that's not suppose to be used for acne....Vicks Vapor Rub!!! I read online that it works on the nodules and decided to try it, it was unbelievable, it really worked to decrease the size and pain literally overnight. This was cool but what about the chin hairs, so I wondered if there was something that could tackle both. As usual I Googled and learned about Spiro, my dermatologist confirmed that this med would be the one for me because it would also help with my high blood pressure. I was already using a water pill for my blood pressure which caused me to urinate frequently so I'm already use to that. But now, I don't need to take my current water pill since Spiro is a diuretic as well.
In some reviews, some people spoke of hair growth, well I welcome that! For years I wore very, very long dreadlocks that eventually thinned my hair out around my edges because of the weight of the locks. I cut my locks off 3 years ago and tried everything to get my edges back, nothing has worked, including cortisone injections into my scalp by my derm. So I am looking forward to seeing if my edges will thicken on this medication.
My cycle is due any day now, this is when I get my acne issues. So far, one small nodule has appeared, glad it's not huge like they usually are. For some odd reason, they form around my eyebrow area. My derm put me on 50mg once a day, I think I'm going to increase to 100mg during cycle time.
I will come back on and give another update next month when my cycle is approaching to see if I get any nodules or chin hairs.
I had perfect skin until I got Mirena IUD Birth Control.. two weeks after insertion I started getting bad acne on me cheeks that would actually distort my face. They got big an very inflamed! I went to a dermatologist because I was so confused as to why it was happening. She said Mirena might be the cause, even though my gyno ensured me it would not cause this kind of problem. My dermatologist gave me an antibiotic I took for a couple months. It helped a little. I decided to have my Mirena removed to help. The acne was not as bad, but still there. I went back to the dermatologist and she put me on Spiro. I have a fear of blood tests so I freaked when she said that I had to get tested a month after, but i was so determined to get my clear skin back I tried it. She started me out at 50mg per day. Im at the end of my 5th month and it has helped alot but im SOOO DRY. My face constantly feels dry and tight. I never have any relief unless im under the water in the shower. It really sucks. Im glad this pill helps but I am disappointed that my acne is completely cleared and my face is so so soooo dry :/
This is my first review ever, but seeing how well this medicine has worked for me...I couldn't not share my results. I am now 25, going on 26, and I have dealt with bad skin since I was 13. I mean awful skin. Painful cysts and scarring from the cysts, blotchy red skin, bad skin texture...all the standard complaints. I have gone through stages where it would seem to be under control, only to have another major outbreak. Last year, I had a hormonal breakout that was huge cysts all along my jawline (mainly on the left side) and on my chin and cheeks. These didn't go away! Nothing would make the disappear or even decrease in size, really. I want back to my derm after reading about spiro. I was so excited to try it. Previously I'd tried pretty mug every anti-biotic and even accutane a couple times. So my derm put me on spiro (I asked for 200mg/day) as well as ampicillin in addition to my bc (Apri). So going into this I had very high hopes--these we're crushed in the first month. I had a huge purge and broke out worse than before. I felt awful and I was devastated that it had worked so well for others and nothing for me. But I stuck with it and around the 2 month mark, my skin just suddenly was getting better. Cysts were disappearing and I wasn't getting any new ones. Before I would have at least 2 new pimples everyday. I still have a few pimples, right now I have 3 that are healing, which is awesome for me! Oh forgot to mention my wonderful topical Aczone in combination with bp! So I have great hopes of what my skin will look like after another month or so. I encourage everyone to stick with it and you won't be sorry! Good luck!
I started on 100mg Spironolactone about 6 months ago. My derm told me it could take 3 months to see results. I was still having hormonal cystic acne for 3 full months, but I held on and by the end of the 4th month I was totally clear. I did, however, have a very bad breakout during the first two months which has left scars. Those are just now beginning to fade (my worst acne spots usually scar and take 6 months or so to fade). My skin looks and feels great, and I have switched to a light coverage foundation, just to achieve an even look.
Now, over 6 months in, I am starting to notice other effects -- mostly good. My hair is not as oily -- for the first time in my life I am able to shower at night and style my hair after it has been slept on. I also have no problem skipping shampoos. I have been shampooing every other day but can probably go even longer if the progress keeps up. Also, the hair on my upper lip is now a short blonde peach fuzz (I have dark hair). It was never that big of a deal, but it did need to be waxed every three months or so. Now it requires no maintenance whatsoever.
I have had some issues with dry skin and scalp. I have had to use Neutrogena t-gel for some issues with very dry and itchy scalp. My skin has been dryer than usual and can get itchy or painful if I do not moisturize every day. However, I have only been taking spiro during the fall and winter months when my skin would be dryer anyway.
I'm really pleased with my results, but the ultimate test for me will be the summer. I have usually had acne in the summer due to sweat and sunscreen. If the spiro continues these great results over the summer, I will consider switching down to 50mg (per my derm's advice) and see if that still works.
Overall, I highly recommend spiro if you have not tried it. Like anything, it doesn't work for everybody. I tried pretty much every topical treatment and had no results. I didn't want to try the harsh Accutane, and didn't really have bad enough acne for it. Just make sure your derm talks to you about Spiro and its side effects (my derm didn't talk much, I will actually not be returning to her -- i had to do the research on spiro and the potentially dangerous potassium-related side effects on my own).
Awesome for acne, especially cystic and hormonal acne. It definitely controls oil, depending on how many milligrams you take. I take 150 mg and it works really well for me. This will definitely lower the androgens and testosterone in your body which will in turn decrease acne and excessive oil. This is a miracle pill for me after trying everything else for my acne which did not help.
Gabbyik - I had a very similar experience as you -- my acne really cleared up the first two weeks, now I'm at the end of week four (spironolactone 100mg every day) and it's bad again. I'm not getting the large, more cystic acne, but getting small superficial little whiteheads. Annoying!
I'm also seeing strange wrinkles, like you mentioned.
However, I'm going to try to stick it out to around month four, like the other readers suggest, just in case! I'm also applying Dapsone cream in the morning and Retin-A micro at night! Why, at 35, do we struggle with acne!!!?? Here's to hoping.
i started spironolactone almost 2 months ago (1 month and 3 weeks). i'm on 50mg a day for hormonal cystic acne on my chin. it was so strange, i felt like the first 2 weeks my skin cleared right up, i was beyond happy, but then my acne flared up again. i would say that it's better than before i started the medicine, but far from great. i do feel it has decreased my lip and chin hair, which is good, but the downside is i'm a lot more tired and moody. also, before the spiro i would clear up a bit when i was having my period - now, it's the opposite, it gets worse around my period and better the rest of the month. i'm sure when i go back to the derm she will want to up my dosage, but due to the tiredness and moodiness, i will decline. my next strategy is to stay on the meds - see if i can get over the sluggishness. i'm going to keep a journal of what i eat, what time i take the meds, how i feel, how much sleep i get, how much water i consume, etc. to see if that answers any questions to the mystery of my acne! i'm 34, healthy weight and started this terrible battle about 6 years ago, every year it's getting gradually worse. UPDATE: the strangest thing, before taking this medicine i had no wrinkles (lines) on my forehead, after being on spiro for almost 2 months, i have so many lines across my forehead - for this reason and the moodiness/sluggishness, i am goingto slowly stop taking spiro ... if anyone else got new wrinkles when on spiro, please let me know