Spironolactone - Immunity and scars
Doctor Answers 1
Acne, immunity and spironolactone
Firstly, immunity is rare following spironolactone - you may have other hormones such as 17 OH progesterone, DHEAS, Prolactin etc... contributing to your acne, and not just androgens. Stress, diet, change of make up- products etc.. can also add to the picture, not to mention genetics. There is often a time lag between taking an increase dose of Spiro, and improvement, up to 3 months, so be patient. As for the red marks from acne (called macular erythema)- this can easily be treated with a vascular laser. See web ref. below. All the best, and be guided by your medical dermatologist. Dr Davin S. Lim. Laser and procedural dermatologist, Brisbane. Australia.