Spironolactone for Acne User Reviews (Page 3)

• Jen...
• Taken for 1 to 6 months
• November 29, 2019

"Had I found spironolactone years earlier, I would have saved thousands and thousands of dollars on facials, every new acne product at Sephora, etc. In my late thirties, I started getting hormonal acne on my chin and neck. It went away for a while and then got crazy bad in my early forties. It sucked so much. Nothing like getting wrinkles and huge zits at the same time. Tried everything, and then my sister told me about spironolactone. Went to my dermatologist, who said yes, that is what I should be on, and now my hormonal acne is gone. Why it took my sister so long to tell me her secret, no idea. But thank goodness she finally told me."

• Sta...
• Taken for 1 to 6 months
• November 23, 2016

"Like a couple of other users have mentioned, I started out on a small dose, and this drug cleared my acne within two weeks. I am 43 and have been on this medication for 4 months, after 20+ years of failure to control my acne. I have tried everything. I had moderate acne with constant blemishes and cyclical nodular breakouts. I was also always red and so oily that my face would look wet. Now my skin looks like I've never had a pimple. I take 50 mg a day and recommend talking to your doctor about starting on a low dose like this. I have had zero side effects and am nothing short of thrilled with the results."

• Anonymous
• May 14, 2014

"It may take a month or so to really notice the results of spironolactone, but if you have oily skin that gets worse depending on your menstrual cycle, this will probably do the trick. My skin is very clear right now, clearer than it ever got with doxycycline or minocycline. I'm very pleased with this medication."

• ead...
• June 11, 2015

"I'm a 28-year-old woman who switched from oral birth control to the Mirena IUD. That is the only change I can associate with a horrible bout of hormonal acne that started about 6 months after I made the switch. I had embarrassing, painful acne along my jawline down onto my neck. My skin was greasier than normal, and products that would typically keep my breakouts at bay didn't touch the cysts on my jawline and neck. I've been taking 100mg of Spironolactone for about 6 weeks now, and I've already seen great improvement. My skin isn't 100% yet, but it's obviously improving, and I assume it will get even better with time. I haven't experienced any side effects, no weight gain, dizziness, or breakout period."

• nor...
• Taken for 2 to 5 years
• September 10, 2019

"This drug spironolactone basically cured my hormonal acne. Took a few months for it to take effect. Once it did, my acne went away. The best part, though, is that after a couple of years of taking the drug, my dermatologist suggested I try a lower dose. I did so, and it continued to work, so I decided to lower again and again until I tried without, and my acne NEVER came back! I personally never had a single side effect from the medication, but it exceeded all expectations for me. I even recommended it to my friend who has cystic acne, and it has helped her tremendously."

• Lor...
• November 28, 2014

"I have been taking spironolactone for about 4 months now. My skin is clearer and I have many fewer breakouts. When I first started taking it, I had pretty bad orthostatic hypotension, I experienced excessive urination (mainly right after I took the medication). My acne got worse, and it took at least a month for my face to improve. My breasts continue to be sore, I am still lightheaded, and I have lost weight. Mind you, I was losing weight before I started taking this medication. I have noticed that my skin is really dry and becoming more wrinkled (although I'm only 21, so not that wrinkly). My skin has also been itchy, but I’m not sure if that is only related to the dryness. This medicine works for acne, but there are definite side effects."

• Jew...
• Taken for 1 to 6 months
• November 19, 2013

"My doctor prescribed spironolactone (50 mg per day). It seemed to work rather quickly, and I was thrilled. However, I have gained 11 lbs in one month, my hair seems to be thinning, always tired, double cycle in one month! So I have stopped as of 3 weeks ago, now my face is breaking out again, but I have lost 9 lbs and seem to have more energy. I am so frustrated! I am 45 and should not have to deal with this cystic acne."

• Anonymous
• Taken for 1 to 6 months
• September 10, 2012

"I'm currently in my 6th week of this medication and couldn't be more pleased. For the first time since puberty, I have skin that isn't excessively oily. This in itself is a miracle, and my skin and scalp look fresh. I'm 28 and have experienced severe cystic acne for over 12 years, and no combination of OTC or prescribed treatments has ever worked for me. I can't believe I wasn't prescribed this sooner. I'm still in shock that something is actually working to clear my skin. If you have hormonal acne, please try this - you won't be sorry."

• Riz...
• January 30, 2014

"I am 42 years old and have always had problems with acne. I have been through a countless array of topical, laser, and medication regimens, and this is the only thing that has worked. My skin is clear and no more oil slick. The only thing I am concerned about is the rapid weight gain... It is not a listed side effect, but I have gained 12 lbs since starting in late December."

• emm...
• December 10, 2013

"I have been taking Spiro for about 5 1/2 months and am only now seeing and experiencing results-so be patient! I started out on a 25 mg dosage twice a day, moved up to 50 mg after 3 months, and just recently increased to 100 mg. Do not be discouraged by the initial outbreaks. I pair it with Differin, which is a topical cream that helps with scarring, but my face has finally started becoming incredibly clear for the first time ever. The side effects that I've experienced got more dramatic as I increased the dosage but were never severe enough to quit: irregular period (sometimes twice a month, sometimes not at all, but will regulate itself after a while), shortness of breath when exercising, and I have lost about 6 pounds in the last 2 months."

• Anonymous
• Taken for less than 1 month
• December 14, 2022

"This drug made me go from a normal, energetic, happy-go-getter to a person who couldn't get off the couch, couldn't parent, couldn't function, had extreme fatigue, had severe depression, and complete hopelessness. I was crying constantly. That's not who I am or have ever been, ever. Symptoms completely resolved after 1 week of stopping, even though the dermatologist said it is unrelated."

• Fat...
• January 27, 2015

"I have tried everything, even asked my dermatologist for Accutane after reading the horrible reviews, that's how desperate I was. She prescribed spironolactone, and after 3 months, my skin is clear! I did gain about 15 lbs, but hey, I can lose weight, whereas I couldn't clear up my skin on my own! I noticed a slight feeling of depression in the first little while, but that's gone. Also, I started out with 50 mg and went up to 100. I think if I would have waited a bit longer, I wouldn't have needed to, and that may have helped the weight gain. But I'd do it all over again!"

• spi...
• Taken for 5 to 10 years
• November 27, 2019

"Just so everyone knows-your acne will get worse on spironolactone before it gets better, especially if you're upping your dose fast. I was on spironolactone for 5 years, and let me tell you-it was amazing. It made a tremendous difference in my skin and balanced my hormones. It's like birth control 2.0 (although it does not prevent pregnancy, of course). I highly recommend it to those struggling with hormonal acne, just increase the dose slowly. Spironolactone is a diuretic, and your body really needs time to get used to it. You also really have to watch your potassium. Some derms may tell you to increase your spironolactone dose quickly, or they may tell you to start out on 50 mg twice daily-but trust me, this is not a good idea. It will be hard on your body and hard on your skin for several months. Start on 25 mg twice daily. Stay on this for 3-6 months, then increase to 50 mg twice daily if needed."

• Nic...
• Taken for 1 to 6 months
• February 28, 2020

"Was prescribed for hormonal acne a few months ago. I would get cystic acne so bad on my chin, I was receiving steroid shots monthly. My doctor finally switched me to spironolactone 150 mg daily, and I couldn't be happier with the results. My acne is about 99% cleared up, my menstrual cycles are rare and very light when they do occur. I notice no side effects, and I'm loving my freedom from acne."

• Ext...
• Taken for 6 months to 1 year
• December 26, 2014

"Late 30s - Moderate to severe acne since puberty - hormonal and whiteheads. Tried this after problems with antibiotics and before conceding to Accutane. It took 5 months before I saw results from this medicine. The current results are fantastic. I'm so glad I stayed with it. I'm on month 7 now and have minor breakouts. Will resume Aczone and tretinoin to supplement treatment."

• Hap...
• December 29, 2011

"I have had acne since I was 13 (now 42), and though I have had clear periods within this time frame (after Accutane), it always ended up creeping back. I am a master at covering a pimple but was so tired of a new pimple on the horizon! The dermatologist said, 'Accutane would not be my choice for you,' and prescribed 100 mg of spironolactone. I am in my 9th week of medicine, and WOW, what a difference. My skin is clear, feels smooth, pores have shrunk, and no more grease! Well worth the patience. Wish I had been prescribed this years ago!"

• Ano...
• Taken for 1 to 6 months
• August 5, 2013

"Give this medication time to work. I have been suffering with acne since I was 12 years old, and I am 39 now. I started spironolactone 8 weeks ago. I would say that the bumpiness in my skin improved within the first week. But the breakout during the 2nd week and the residual mess during week 3 had me wearing turtlenecks. But after that, I saw nothing but improvement. Less and less acne, skin smoothing out, less oiliness. Now I am about 95% clear, and I only expect it to get even better!"

• Unb...
• January 10, 2011

"Let me start off by saying this drug is the #1 medicine, in my opinion, for the treatment of severe cystic acne! I'm currently 51, and when I was 13, I experienced acne, but it worsened into cystic acne at age 16 through to age 30. (NOTE: I took all dermatologist-prescribed creams and antibiotics.) AFTER my two children were born, I took several rounds of treatment with Accutane. Accutane finally rid me of my problem at the end of the treatments, but a year or so later, acne returned, but not as severe, and when I was in my mid to late 30s, I told my thyroid doctor of my battle and treatments with acne. My thyroid doctor 'shocked' me when he said that he could stop my acne within 2 to 3 weeks with a maintenance drug named 'Aldactone.' Acne GONE."

• Boo...
• Taken for 6 months to 1 year
• January 21, 2015

"Was prescribed this medication for hormonal acne and started at 100 mg daily. This did nothing for me, so at my 3-month check-up, the dermatologist switched me to 150 mg daily. This immediately made a huge difference in my skin, and within 2 weeks, I noticed a reduction in breakouts. I used to break out a lot during my monthly cycle, and now I get maybe 1 pimple a month. I also started using a Clarisonic brush to cleanse my skin better. You have to be patient with this medication, as not everyone reacts the same to the same dosage. You and your doctor may have to try different doses before you get it right, but once you do, it is worth the wait!"

• Rel...
• Taken for 1 to 6 months
• December 9, 2018

"I had tried nearly everything when my derm gave me two options: Accutane or spironolactone. I was undecided at first, but after reading a scientific journal about the higher rate of acne relapse of Accutane users who have hormonal acne, I decided on the Spiro. I was so anxious taking that first pill. I started on Oct. 9th, 2018, 100 mg a day. I was expecting a wait of up to 6 months before progress. It is now Dec. 9th, 2018, and I am acne free. I no longer get painful cysts on the jawline before my period. The relief is amazing. And my hair is much thicker now! Everyone comments and asks what I’ve been using on it! But it's just the Spiro. It’s truly insane how unbalanced hormones can negatively affect your body. I know everyone will have a different experience, but if you have hormonal acne, Spiro is definitely worth a shot."

• Mir...
• Taken for 1 to 6 months
• December 4, 2014

"Spironolactone cured my acne! I started getting pretty severe acne this year, and after trying minocycline and doxycycline, which did not work for me, my dermatologist recommended spironolactone. After just three weeks, my acne started to calm down, and I am currently nearing my second month of spironolactone, and my face is acne-free. Although I have oily skin, spironolactone really dried up my face and lips, so I have to moisturize constantly throughout the day. This medicine took some time to see drastic improvements, but it is definitely worth the try!"

• Han...
• December 9, 2014

"This past summer, I experienced the worst breakout I've ever had all over my entire face. Never before had that happened- I just had a few cystic nodules around my mouth. For a month, I tried everything- a very strict diet and stayed away from bad carbs and sugars. Nothing worked. After seeing my dermatologist and gynecologist and doing research of my own, I presented them with what I believed to be Polycystic Ovarian Syndrome. They did blood work and confirmed. The dermatologist wanted to put me on Accutane, but I didn't feel good about it. I did more research, found out about spironolactone and asked him if this could be a good alternative, he agreed, and I've been on 100 mg for about two months now. It has changed my life. Gave me back confidence."

• Meg...
• December 6, 2015

"I've struggled with moderate acne since the age of 11 or 12, and I'm now 26. I've tried benzoyl peroxide solutions, salicylic acid, tretinoin cream, doxycycline oral antibiotic on numerous occasions, clindamycin cream, and the list goes on and on. Nothing ever worked, and I learned to live with acne - I learned how to cover it to the best of my abilities and to try to act like it didn't bother me. But honestly, at any given point, I had at least 8-10 pimples. By the time I turned 24, I had started with horrific large pimples on my chin and cheeks, and I pleaded with my dermatologist to start me on something different because I had just had enough. Spironolactone was the best thing to ever happen to my skin!!! I started at 50 mg daily, then after 2 weeks, it was increased to 100 mg daily. I noticed within 4-6 weeks that my skin was clearing up and I no longer was getting new breakouts. I've been on it now for 10 months, and honestly, I don't think I've even had one pimple in the past 2 or 3 months. This stuff is simply amazing. If you struggle with acne, I would recommend at least trying this. I never thought I would ever have clear skin, and I now have completely clear, smooth skin. It's incredible. The only side effect I've had is fatigue, so I do take it at night before bedtime, and I wake up very well-rested. In addition, I pee a lot more often, as is to be expected from a diuretic, so I drink tons of water to make up for it. Also, as a side note, I've lost about 10 pounds since starting it, which is also a plus.:)"

• RPh...
• Taken for 1 to 2 years
• December 28, 2016

"After turning 30, I started getting severe, red, painful cysts along my jawline, cheeks, and forehead. They would last forever and would not go down with any topical treatments. I had my androgen levels checked, and they were 3x the normal limit. Around this time, I was also having trouble maintaining my weight (5'4'', around 120 lb), my skin became really oily, and I felt fatigued all the time. I'm very active and eat very healthy, so something was going on. I started spironolactone 25 mg - 2 tablets twice daily (three times daily around the time of my cycle), and it's as if I am a new person. The initial breakouts took about 3 months to completely go away, but now I have energy, no weight issues, and no acne!"

• San...
• Taken for 1 to 2 years
• February 23, 2021

"Spiro ruined my life. I had the worst side effects after my derm recommended increasing my dosage. I was at 150 mg when I experienced extreme anxiety, panic attacks, insomnia, depression, loss of appetite, and fatigue. I went up to 200 mg in January 2021, and the panic attacks and trouble sleeping increased. I got off of it cold turkey, and soon enough, I was back to normal. All the side effects are gone. I will never take this again. I told my derm that this drug caused anxiety, and he said, 'that's the last thing it will do.' I'm very upset that he was not well informed of the side effects of this drug. I make sure to notify everyone not to take this. It is dangerous to your mental health."