Is it normal for acne to get worse before getting better with Spironolatone? 1 week post op.

Hello and thank you for your question. Spironolactone when used for acne (off label) can take at least 3 months for effect to take place. Side effects typically do not include acne flare, so there may be other causes for the breakouts. There are many other modalities for acne treatment, including topical medications and aesthetic procedures. It is difficult to adequately assess your skin through this type of forum, and thus I recommend a consultation by a board certified dermatologist for evaluation of your skin and discussion of appropriate treatment. Best of luck