User Reviews for Spironolactone

Also known as: Aldactone

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39%(26)
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24%(16)
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14%(9)
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6%(4)
6
   
3%(2)
5
   
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9%(6)
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Spironolactone review summary

8.1/10 Average Rating

68 Ratings with 70 User Reviews

Compare all 445 medications used in the treatment of Acne.

Reviews for Spironolactone to treat Acne

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Review by middleagecystic: User Rating:  
   
9.0

spironolactone: It works for cystic hormonal acne. Took two months but IT WORKS!

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April 3, 2014 5:37 PM
Review by Gtrheroine (taken for 6 months to 1 year): User Rating:  
   
8.0

spironolactone: I would say I had a good experience with Aldactone. My skin did clear, although I do remember having a little bit of a break-out now and then. I started taking the medicine about 6 months before my wedding (I was age 29 then) and I stopped a couple months after the wedding. My skin looked very good and the breakouts diminished. I don't think I experienced any bad cystic type acne then. I used the highest dosage of Retin A (just a tiny bit) at night also along with a Cetaphil moisturizer. Since I was getting married, I was very cautious about weight gain and I don't think I gained weight from the medication, although I was going to the gym regularly and doing weight regimens. I think I'm going on it again. I will also go on Epiduo.

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March 13, 2014 7:26 PM
Review by Melba T (taken for less than 1 month): User Rating:  
   
5.0

spironolactone: Female, 33 years old, combination skin. Occasional mild face and chest acne and painful cystic back acne. This is my second try with Spironolactone. The first try did not work, but this was prior to completing a full six month Isotretinoin (Accutane) treatment. Isotretinoin did help with the acne with an occasional breakout every now and then, but a few years later and my back acne started to come back during my menstrual period and they were painful cysts. I would get like 3-6 of them. You might think this is nothing, but the scars all over my back will prove I have a real problem. Now, my dermatologist prescribed me Spironolactone again but 150mg (1/day with my birth control pill). She thinks that this might work now after Accutane. I'll update with progress.

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February 20, 2014 6:01 PM
Review by Anonymous (taken for 1 to 2 years): User Rating:  
   
10

Aldactone (spironolactone): I have been taking Aldactone for adult hormonal acne for almost 2 years and I cannot even put into words the HUGE difference it has made. In my early 20's, I began getting horrible cystic acne all over my chin and entire jaw line area. I had used every product available including Proactive, expensive designer dept store lines, Retin-A, birth controls etc...NOTHING helped! I'd have 5-15 painful nodules at once, each lasting 2-3 weeks and most scaring. My self-esteem was ruined, I was ashamed. Finally, at age 28, I went to a dermatologist and started on Aldactone 100mg/day. I saw noticeable improvement within a week and was totally clear in one month! Increased to 150mg/day after 3 months and have had flawless skin since. Truly a LIFESAVER medicine.

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February 6, 2014 9:24 PM
Review by Lobstermobster (taken for 2 to 5 years): User Rating:  
   
6.0

spironolactone: Been on spironolactone for probably 2 or 3 yrs now. We have always had a love/hate relationship. Rest assured, spironolactone will work for most people when it comes to combating acne (all acne is caused by hormones to some degree) but like any other medication, spironolactone is not without side effects! Over the years I have decreased my dosage and sometimes tried to completely stop taking it due to: weight gain (yes you initially lose it but just wait!), thinning hair, depression, dehydration (I believe this side effect is worse for me due to other medicines I take with it), slower metabolism/fatigue, and evidence that this medicine was totally prematurely aging my skin! Initially it was 25mgs 2x a day but now I just take 25mgs a day.

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February 6, 2014 7:31 PM
Review by Rizzoma: User Rating:  
   
8.0

spironolactone: I am 42yrs old and have always had problems with acne. I have been through a countless array of topical, laser and medication regimes 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 affect but have gained 12lbs since starting in late December.

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January 30, 2014 3:44 PM
Review by Violet40 (taken for 1 to 6 months): User Rating:  
   
9.0

spironolactone: I am a 40 year old woman who's been struggling with mild-moderate and cystic acne in varying degrees since I was 11. I've also had very oily skin. I've been prescribed all the usual medicines: antibiotics, birth control pills, various topical creams and really, nothing has made any significant improvement. When I turned 40, 4 months ago I decided after doing extensive research, to ask my doctor about spironolactone. Since I'm not looking to become pregnant, she thought we could give it a try. So I've been on 50mg once a day for 4 months and this medicine has completely changed my life. My skin is not oily anymore and my cystic acne in my back is gone. My face is clear of acne. No side effects. But why didn't any dr/dermatologist prescribe this for me years ago?

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January 27, 2014 4:32 PM
Review by Lishious123: User Rating:  
   
9.0

spironolactone: I have been on this medication for a little over a month and it has already been incredible. I took minocycline for over 2 years and though it did improve my acne a little, it did not solve the issue. When I went to my dermotologist, he recommended I add this medication and I was very hopeful! I see that many other women have had trouble with it working until at least 3 months in, but I started seeing results with-in two weeks. The cystic acne that I would get every month that was big and annoying, not only on my face but also on my back, was almost all gone and it has not come back at all if I am faithful to take it. I would absolutely recommend at least asking your doctor about it, because it has been a life saver for me.

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January 21, 2014 8:30 PM
Review by Jessica B.: User Rating:  
   
9.0

spironolactone: I was diagnosed with PCOS when I was 17 (I'm 22 now) and my acne had never been very bad until I came down with it. We are talking awful breakouts: face, chest, back... everywhere. My Dr. put me on metformin (1000mg) and spironolactone (150mg) and I did get the IB but it wasn't too horrible. I took spiro for 4 yrs up until this past summer when my refills ran out and my doctor told me I needed to find a new primary care doctor so I went a good 6 mo off it. Basically my skin has gone back to its original state, I started the spiro again 5 days ago and I am waiting for the initial breakout again but the worst has just been a bunch of little additional blackheads. Hopefully I will not get the IB this time! Even so, totally worth the results!!

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January 19, 2014 2:47 PM
Review by lbglow: User Rating:  
   
10

spironolactone: I only wish I had started spironolactone sooner. It has completely stopped my hormonal cystic acne. I had suffered with large painful cysts about once monthly for the last few years (after ten acne-free years following Accutane in the 90s). After starting spironolactone I did have one really major cyst come up right next to my nose which lasted a good week or so. It arose after approximately 4 weeks on the medicine (it was so large it could have had its own zip code). Since then I have been completely acne-free for about three months. Scars are finally beginning to fade. I'm finally not facing that - "oh God, is this the start of a cyst?" trauma every month. I can plan my days without worry of my skin cycle. I am thrilled!

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January 14, 2014 9:44 PM
Review by Jess32 (taken for 1 to 2 years): User Rating:  
   
10

spironolactone: I am a 32 year old female who has suffered from mild acne for my whole life. As an adult I was able to keep it clear on my face, but my back was a different story. I would not wear bathing suits or backless shirts or cute sun dresses because of my backacne. I have been to many different doctors and dermatologistss that have prescribed all different meds and tropical creams. Nothing worked. I searched the internet on my own and called my doctor and asked if I could be put on spirolactone and Retin A. I was completely clear like completely around the 3rd month. I have been on it for a year and ran out not to long ago and sure enough I'm getting the dreadful zits back. I am so thankful I found this.

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January 2, 2014 8:30 PM
Review by emmar6: User Rating:  
   
8.0

spironolactone: 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 25mg dosage twice a day, moved up to 50mg after 3 months and just recently increased to 100mg. 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.

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December 10, 2013 4:53 PM
Review by Kirstie 26 years old: User Rating:  
   
4.0

spironolactone: I have been on this three month and one week. Boy am I frustrated. I am on 100mgs a day. I thought things were getting better yet here I am with cysts pimples and red marks. I'm also on Solodyn for almost 2 months and using Tazorac and I picked up benzoyl peroxide spot treatment. I just want to feel normal and pretty and not have huge painful ones just pop up on my neck and jaw line. Even when they go away I'm left with red marks. I've begged my Dermatologist to raise my spironolactone but he won't. I'm so confused on what to do. And I just thought I'd have better skin by now. Without make up all I want to do is hide and cry. And the pain from the big ones. I am 26 with a four year old and should be enjoying life and instead I feel depressed and defeated.

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December 8, 2013 8:11 PM
Review by Anonymous (taken for 1 to 6 months): User Rating:  
   
10

spironolactone: Update from 8/26/13 My 16 yr old has been on spironolactone for under 3 months. Bye- bye concealer and make up. Skin is now clear on face and having to wear make up is now an option verses a must. THANK GOD self esteem is back. She went off pill she had side effects. So far side effects from spironolactone are small. She is more tired than usual. Also has 2 periods a month. Dr said it should stabilize in next few months. Her skin is truly clear. Not just sort of but clear. Let it work and be patient. Can take 4 to 6 months to work.

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November 26, 2013 3:44 PM
Review by Jewelgirl222 (taken for 1 to 6 months):

spironolactone: 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.

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November 19, 2013 4:43 PM
Review by 123Nic (taken for 1 to 6 months): User Rating:  
   
10

spironolactone: I had never had a problem with acne until about one year ago, after giving birth to my daughter. I started to break out and it gradually got worse. I felt like I couldn't leave the house without makeup and I wanted to stay home whenever I had a bad breakout. It was starting to take over my life. I had tried some topical treatments prescribed by a dermatologist, but I was limited in what I could take as I was still breastfeeding. After weaning my daughter about 6 weeks ago, I started taking spironolactone. My skin is looking better and better and my confidence is starting to return. I did not have an initial breakout at all, which I had been worried about after reading other reviews. It has been great.

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November 12, 2013 10:56 PM
Review by Jan%: User Rating:  
   
7.0

spironolactone: BEAUTIFUL skin, but I experienced a 10 lb. weight gain that would not come off with diet and exercise! Ugh! Especially in the stomach and thigh area. I stopped taking it 7 days ago...

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November 7, 2013 5:16 PM
Review by thatdoghunts (taken for 1 to 2 years): User Rating:  
   
10

spironolactone: Love this stuff. Miraculous. I am 50 yeas old and have suffered with cystic acne since age 36. Nothing helped, and it left my once nice skin discoloredand scarred. I saw "the best" dermatologists in Dallas, Los Angles and New York, spent a fortune and nothing helped. Finally, I met a dermatologist from a small town completely by chance and he urged me to try spironolactone. Within one month my skin was clear and still is. One caveat: when I first started taking, I was dizzy and nauseated, so I stopped taking it. The doctor told me to try again with half the dosage, and it worked like a charm.

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November 5, 2013 10:55 AM
Review by AnonymousNYC (taken for 6 months to 1 year): User Rating:  
   
10

spironolactone: When I was a teenager I had *mild* cystic acne---mild meaning I would only get one or two cysts a month, but the ones I did get were huge, red, painful, ugly, and often left a scar. Years later, approaching the age of 30 and having exhausted every treatment under the sun, it was not getting any better. My dermatologist suggested Spironolactone (100mg/day)... My skin got worse for the first few weeks, almost like my body was expelling everything... but I stuck with it and it's been a MIRACLE!! My skin is smooth and acne-free. The only side effect is I'm groggy for a few hours so I take it at night. Don't give up on it if things get worse initially, it is a hormonal treatment and might take a while for your body to adjust. I LOVE it!!

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October 31, 2013 10:32 AM
Review by Anonymous (taken for 1 to 6 months): User Rating:  
   
7.0

spironolactone: I started taking this medication about four months ago combined with minocycline for my hormonal cystic acne. The first month I saw no improvement in my skin and abnormally lost 5 pounds. Now three months later my skin is finally completely clear but I'm facing a new problem: the medicine has caused me to gain 10 pounds in my thighs, butt, tummy, and breasts and has given me a yeast infection that has been on and off (mainly on) for the last four months.

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October 3, 2013 12:42 PM
Review by AnonymGermany: User Rating:  
   
9.0

spironolactone: I am a physician and tried really everything on my acne, which last now for 24 years. It started during puberty and has been hormonal since then. I have been once put on anti-androgen medication, which was quiet bad considering me being a very young women. But since than nothing helped. Spironolactone was well known to me as diuretic, but not as acne medication (off-label use). But I gave it a try, was quiet concerned about the potassium retention, but what do I have to say: Acne almost gone, no water retention before my menstrual bleeding (gained always about 2-3 kg) and something I would not have thought: no further cramps in my legs, which sometimes woke me up at night. I am very happy about taking Spironolactone.

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October 1, 2013 9:07 AM
Review by Anonymous (taken for less than 1 month): User Rating:  
   
3.0

spironolactone: I have been using spirolactone for the past week and I am having crazy side effects such as dizziness, headaches, peeing too much and tummy upset. Wondering whether to still go on using it but I at least don't have any pimples popping up.

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September 18, 2013 5:02 PM
Review by Researching for answer (taken for less than 1 month): User Rating:  
   
9.0

spironolactone: I have a 16 year old daughter that just started struggling with acne over the last year. She is an elite athlete and I have watched her confidence diminish greatly. We have tried homeopathic treatments, over the counter, prescription topicals and antibiotics with no results only her acne getting worse. We decided to give birth control pills a shot. She has been on them 2 months no change yet. We just added spironolactone into the mix and in 8 days I have seen her skin change. Her acne is already better. Now it's not clear but can see the change happening. A study of birth control pills and spironolactone for hormonal acne 85% of women have a clearing of acne. Think she started to clear fast because she was already on Birth control pills for 2 months.

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August 26, 2013 3:49 PM
Review by Anonymous: User Rating:  
   
9.0

spironolactone: I'm 30 years old. I started having really bad skin about 2 years ago from maybe stress in my life. But, I tried EVERYTHING to get rid of it and it just got worse. I finally went to a dermatologist and she put me on spironolactone. My skin started getting better in about two weeks. I LOVED it. I've been taking it for about 6 months and I get compliments from Makeup artist and models (I'm a hairstylist) about how good my skin is. Another plus for me is my breasts went from a small B to a C! I decided to stop taking it for a week and my breasts went small again and my skin is getting a little oily. So I'm going back on. I only take one a day.

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August 21, 2013 10:24 PM
Review by Sweeeeet: User Rating:  
   
1.0

spironolactone: Does somebody experiences itching? I feel awful after taking Spironolactone once a day. My period came after 2 weeks, my breast is sore and I cannot sleep.

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August 9, 2013 1:21 AM
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