How well does spironolactone work for acne?

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.

How long does it take spironolactone to clear acne?

Spironolactone is started at doses of 25-100mg per day and increased every 6 to 8 weeks until a dose that improves the acne is reached. There are many variations to this regime. Improvement in acne can take 3 to 6 months to be seen.

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.”

Does spironolactone get rid of acne forever?

Spironolactone is not a cure-all pill and won’t rid you of acne forever. It is prescribed to be taken daily but according to Dr Mahto, acne can return when it is discontinued. “Spironolactone can be safely taken for many years if necessary,” she adds.

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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.

Is there a 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.

Does 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.

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.

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.

What is inside of cystic acne?

Cysts and nodules — the most severe type of acne — are essentially just bigger, angrier, more irritated versions of papules and pustules, the American Academy of Dermatology (AAD) explains. Both are inflamed, painful, and lodged deep in the skin, but cysts contain pus.

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Does spironolactone make you feminine?

Feminizing hormone therapy often involves taking estrogen and anti-androgen hormones, such as estradiol or spironolactone. By taking these hormones, you may be able to achieve more traditionally feminine characteristics, including breast growth, body fat redistribution, and less facial hair.

What does spironolactone do to your hormones?

What is it? Spironolactone is an anti-male hormone (anti-androgen) medication. It blocks the male hormone receptor and reduces the level of the male hormones, testosterone and DHEAS. Spironolactone has a diuretic (“fluid tablet”) effect and increases urine production.