Is it normal to occasionally break out on Spironolactone or should you be 100% clear?

Thank you for your question about Spironolactone. First I would encourage you not to change medication dosages without talking to your provider.  Occasionally patients will need to increase the dosage after being on the medication for an extended period of time.  It is also common to have additional breakouts around your menstrual cycle.  You may need to be on additional treatment to prevent breakouts during those times.  One safe and easy treatment we recommend to all of our patients are our Koji Pads.  Kojic acid along with Arbutase work well for brightening the skin and preventing blemishes.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

Sometimes that happens especially around the time of your period. Many people will experience that, it is completely normal. I would consult with your doctor, maybe to get some peels every now and then or to inject some of your pimples just to make them go away quicker but otherwise everything seems okay.