I'm 19 year old female currently on my second month of Spironolactone and my acne is worse now, what do I do?

I'm 19 year old female suffering from severe hair loss (TE ) and severe cystic acne since 5 years. I have tried everything , and now I'm on spironolactone 50mg per day. It's my second month on this medicine and my acne has got worse. There are big cystic acne all around my face , specially my mouth and chin. I am really confused whether I should stop eating it or increase the dosage. Nothing is helping my acne. Please help me.