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Spironolactone is contraindicated in pregnancy as it is well known to cause birth defects. I advise all my patients to stop spironolactone at least one month before trying to get pregnant.
Being on spironolactone while planning and trying to get pregnant is not advisable, It is known to cause all kinds of side effects to the baby.
No, this tablet is not safe in pregnancy. For acne treatment in pregnancy a combination of light - LED, clindatech, or erythromycin topically plus natural supplements is the safest. Don't forget to eat well, and use good skin care. See a dermatologist for advice. All the best, Dr Davin Lim. Brisbane. Australia.