Spironolactone for chronic adult acne?

I have had various levels of acne for 20 years since age 11. 15 years of antibiotic rounds has provided intermittent marginal results as has a good topical routine but primarly lower face acne has proved stubborn. Not keen on trying BCP due to previous issues so would like to try spironolactone. I would appreciate any suggestions before I discuss further with my doctor. Thank you very much.

No doctor answers yet