Is there an initial breakout when starting Spironolactone?

Hello! It is not out of the ordinary to get a breakout but Spironolactone does not usually cause this. We us this medicine as a common treatment of hormonal acne in adult female patients.  Remember, that it may take up to 2-3 months to find the right dose for you and your situation.  I would advise to see your provider as they may suggest other treatments with this such as skin pen, INFINI, and/or retinoids.  

Hello!  Spironolactone is a wonderful choice for the treatment of hormonal acne in adult female patients.  I counsel my patients that it make take up to two months on the correct dose before they start to see clearance.  While most do not experience an initial flare, it certainly isn't unheard of if it occurs.  For these reasons, I will often start treatment with an oral antibiotic so that the patient can see faster improvement without worsening of the acne.  Of course, a complete acne regiment should also consist of topical retinoid therapy as well.