32 Years Old and Have Exhausted All Other Options....including Accutane. - Englewood, NJ

Make sure your cream blush and other makeup is relatively new. I had a face. Check rash from very old. Cream blush

Hey girl, don't give up
I too was an accutane and spiro my acne is a struggle as well. Especially because my skin is sensitive as well. Try different routines and see what works best for your skin and implement routine exfoliation and extraction. Hope you see a positive change soon. God bless

I took Spiro a few years ago too. It was wonderful for acne but it made my hair fall out in clumps as well. I stopped taking it and my hair stopped falling out.

I was on varying dosages of Spiro over the years. Ive noticed that any adjustments, weather increasing or decreasing, caused breakouts or hair shedding. This happened to me until it was sort of stabilized. I'm not sure if it is just my sensitive body, but any adjustments were definitely noticeable. It takes a few months for it to stabilize. My optimal dosage was 150/day. It took a while to get there , but worth it

Spiro has been great for me… I am taking 100 mg and have been for about six years now but in conjunction with a low estrogen oral contraceptive. I didn’t notice any marked hair loss — I do recommend taking a hair gummy maybe twice a day… it doesn’t hurt to take a loading dose of biotin or folic acid combination every week. I hope you will stick with spiro for a while if you can and maybe add on a vitamin. I always recommend prescription retin-a with this regimen but alone I bet would work great for you as well! If you can stick to it and tolerate building up to .01% or so. Cheers!! You are beautiful!!

I took spiro for adult acne after I turned 40. It was a Gods send. A pharmacist had told me about it when I inquired about some odd ingredient in some over priced acne product I was considering purchasing. A dermatologist told me it could help with reducing the male hormone that caused some adult acne when the female hormones began decreasing. I did not take spiro daily though. Sometimes I took it for a week then I would skip some days. My dosage was not as high as yours though. I was only using 25mg. After the acne was gone I stopped taking it but then if I felt a pimple coming, I would take it for a few days then stop. The pimples usually had gone away. I never experienced pimples growing up until I turned 40 and when I did get them at this point, they were large and painful. I would get them on my neck, behind me ear... on my chin. Ask your doctor about skipping days and or reducing the dosage. I believe thyroid issues could also be a factor. Good Luck!

Thank you all for your comments . According to my endo, it is not a thyroid issue (we did blood work ). My derm suspects telegenic effluvium . My periods are back on track thank God but hair is still falling out . Reduction in dosage is the logical next step.

EDIT: I've been on 200 mg since November 3rd - can't believe it's been that long!

I was on accurate twice. I can’t tell you how many facials and other meds I was on. However, What finally worked for me at 38 is Spironolactone and Minocyline together. I started off on a high dose and my maintenance was slowly decreased. I would highly recommend. It’s the only thing that cleared my phase.

I have the same problems. Also took spironolactone. Didnt work. Ketogenic diet wa she one solved my acne issues. Probably because of eliminating the bad stuff. Anyways, good luck. Might work for me even though it didn't for me :)

Please read before taking it I took and it caused breast pain. it can cause breast cancer

Ask your dermatologist about clindamycin gel and a sulfur face wash ! I also was on spiro a very high dosage then lowered for years . It’s the only thing that ever worked for me as I also struggled with acne in my whole life. I’m 35 . I stoped taking it because I’m trying to get pregnant. 2 weeks after I stopped my massive cystic acne came back . she prescribed that gel and 2 weeks later my skin was totally clear . I use it every night and it keeps my skin under control . I’m in shock after 17 years of chemical peels 2 doses of accutane antibiotics spiro ect ect . The gel in combination with the wash is amazing !