I got cystic acne after I stopped taking birth control pills and I've tried antibiotics, benzoyl peroxide 10%, salicylic acid 10% creams and cleansers, glycolic acid cleansers, retinols and nothing is helping. My dermatologist prescribed me spironolactone but I'm afraid to give it a try if the acne will come back worse when I stop taking it.
December 12, 2018
Answer: Spironolactone for acne Don't be afraid! Absolutely start the spirno--if the acne is hormonal in nature it will help immensely. When stopping birth control pills it can often take a awhile for your body to normalize its hormonal status (we're talking months). The skin, being an organ with hormone receptors, will freak out accordingly until things settle down (like my official medical terminology?). The spirno can help you bridge that gap and get through until the hormones regulate. Often my patients will not let me take them off of the spirno because it works so well. In these cases I have a compounding pharmacy create a topical cream with spirno in it. That way you can use it long term with much less systemic effects. Do not fear the spironolactone! Best of luck to you, Dr. Amy
Helpful 1 person found this helpful
December 12, 2018
Answer: Spironolactone for acne Don't be afraid! Absolutely start the spirno--if the acne is hormonal in nature it will help immensely. When stopping birth control pills it can often take a awhile for your body to normalize its hormonal status (we're talking months). The skin, being an organ with hormone receptors, will freak out accordingly until things settle down (like my official medical terminology?). The spirno can help you bridge that gap and get through until the hormones regulate. Often my patients will not let me take them off of the spirno because it works so well. In these cases I have a compounding pharmacy create a topical cream with spirno in it. That way you can use it long term with much less systemic effects. Do not fear the spironolactone! Best of luck to you, Dr. Amy
Helpful 1 person found this helpful