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Posted underSpironolactone For Acne q&a

Can years of spironolactone cause sagging and or dehydrated skin? Can you it ruin your skin's barrier function?

cherplanAug 22, 2015
I was taking spironilactone 100 mg a day for about 15 years for jawline hormonal acne and extremely oily skin. I loved it but stopped taking it about 1 year ago. I am 41, using retin a nightly but still having some adult acne issues. I am wondering if I should start taking the spironolactone again but I am hestistant because of my age. Can it dehydrate my skin, ruin my skins barrier and or cause sagging skin?. I want to clear up my break outs but I don't want to loose any plumpness in my skin...

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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on Nov 16, 2016
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Davin Lim, MBBS, FACD - Account Suspended

This is the trade off with spiro vs Accutane, some patients will have period irregularities. We can not tell if this agrees with you or not. If you are getting problems, drop the dose, or seek advice for cyperterone acetate as another anti-androgen. All the bestDr Davin Lim Laser and...

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Estee Williams, MD

Oral contraceptive pills are useful in the treatment of hormonal acne, with or without spiro.  Regarding the frequent urination, please follow up with your primary care physician to get better control over your symptoms.  Be well.

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Davin Lim, MBBS, FACD - Account Suspended

OK, Accutane has more side effects, but it offers a long term cure. The chance of this working is in the order of 99%. I like Spironolactone, especially in treating adult female jawline hormonal acne. The dose is usually 100mg, and apart from checking potassium levels, side effects are rare...

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