Does acne get worse before it gets better on spironolactone?
“Most women should expect it to take around 3 months for the benefits to start showing. In my experience of prescribing the drug, it is not uncommon for spots to flare up initially before starting to settle. For this reason I typically prescribe a low dose for the first few weeks and gradually build it up over time.”
Why am I still breaking out on spironolactone?
The reason spironolactone is still fairly unheard of by acne sufferers is likely due to its main use: treating high blood pressure and heart failure. While I’d taken the birth control pill since I was a teenager in an effort to combat period-induced breakouts, spironolactone works a bit more aggressively.
Does skin purge with spironolactone?
In our experience, this “purging” phase with spironolactone does not typically improve with continued treatment, necessitating the discontinuation of spironolactone and transitioning to an alternate treatment.
Should I drink a lot of water with spironolactone?
In some cases, people who take spironolactone can become dehydrated. Be sure to drink adequate water while taking spironolactone. Watch for signs of dehydration, including: excessive thirst.
How effective is spironolactone for acne?
Studies have also shown spironolactone to be effective. Improvement ranges from a 50% to 100% reduction in acne. Before taking spironolactone, it’s important to know that this medication is a diuretic, so you’ll find yourself urinating more often. If this could be a problem, let your dermatologist know.
Will my acne come back after Spironolactone?
Spironolactone only works while you are taking it. This means your acne may come back when you stop. Women may be on Spironolactone for 1 or 2 years or sometimes for several years.
Does hormonal acne ever go away?
Hormonal acne can range from mild to severe. Mild acne is usually characterized by non-painful whiteheads and blackheads that occur in smaller outbreaks. Most of the time, this type of hormonal acne resolves itself with no need for medication.
Can Spironolactone cause weight gain?
Is weight loss or weight gain a side effect of spironolactone? Weight loss and weight gain weren‘t reported in people who took spironolactone during clinical studies. Spironolactone helps your body to get rid of excess fluid. And this can sometimes lead to weight loss.
How much spironolactone should I take for acne?
DOSAGES. The dosage of spironolactone for acne is 25-200 mg/day in one to two divided doses. A study that used 50 mg spironolactone twice a day on Days 5 through 21 of women’s menstrual cycle had a high rate of success with low incidence of side effects (Harper, 2006).
Does spironolactone make your breasts bigger?
Enlarged breasts: This drug may cause you to have enlarged breasts (gynecomastia). This can happen in both men and women. If this happens, your doctor may stop your treatment with this drug. This symptom usually goes away once you stop taking this drug.
How long can you stay on spironolactone?
Most women find that their acne starts to improve after about 3 months of treatment. Hair complaints take longer, and treatment usually needs to be continued for up to six months before the benefit can be seen.