A derm refused to prescribe Accutane for my constant hormonal acne and gave me spironolactone instead, despite the fact that it's a diuretic and I have interstitial cystitis (I already urinate up to 100 times a day). Sure enough spironolactone had me running to the bathroom double my usual amount until I broke down and quit. What spironolactone alternatives (anti-androgens) can I try at this point that would be just as effective but won't have me getting up 50 times a night to urinate?
Answers (3)
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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...
I would say 3 months, but frequently patients report good outcomes after 4 weeks, especially on higher doses. I often combine spiro with a retinoid like adapelene or tazoretene, plus or minus a short course of antibiotics. Blue light (or blue and red) can also help, especially if you have...
There is no proof that Spironolactone can cause weight gain, I've heard more patients say they have lost weight on it due to the fact it is a diuretic, which would cause less bloating. As for the amount of time it takes to start working, that's case by case, but its generally...
