Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Spironolactone For Acne REVIEWS

Sprinolactone for Hormonal Acne -Fullerton, CA

ORIGINAL POST

It seems like I have battled acne since I was 16...

User Avatar
JennaN
$17
It seems like I have battled acne since I was 16 years old, now I am 26, so a good ten years now (confined to my jaw and chin).I remember breaking out pretty bad as a freshman in High school but then I went on birth control and while I was on it, I don't really remember having any acne. Maybe a small zit here and there. Nothing crazy though. For some un known reason I went of birth control when I started college. I don't remember how long after that, but I would break out pretty bad. ONLY on my chin/jaw area. I dealt with it for a year or so and went back to birth control. But a different brand since my insurance had changed. I was still breaking out! Not nearly has bad but I was still getting cysts in that area. I would go to derms and they would put me on topicals and oral antibiotics. The topicals made my sensitive and fair skin worse! So I would stop those. Antibiotics would definitely help, but once I stopped, the acne came right back!
About 6 months ago, I woke up with 3 HUGE cysts on my chin. I ran out to get antibiotics from my derm again. At this point, I feel as though antibiotics still help a bit but are not nearly as effective. I got to a point where I knew it was my hormones. I had blood work done, sure enough, slightly elevated testosterone. My derm told me to see an endocrinologist. I felt that was a bit excessive. So I went to see another derm (dr. Sires office in Fullerton ca). I derm I spoke to said sprinolactone would be a good fit for me. I just started my first dose last night. I am only on 25mg at twice a day. However, I still am on antibiotics as I am worried about an initial breakout from the sprino and truthfully I am scared to go off the antibiotics. I will keep updating !

JennaN's provider

David J. Sire, MD

David J. Sire, MD

Dermatologic Surgeon, Board Certified in Dermatology

JennaN

JennaN rating for Dr. Sire:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Replies (4)

User Avatar
August 10, 2013
I am on spiranolactone as well. I needed a higher dose to see results. I think you are on right path with that medicine. If it is indeed your hormones, I would definitely consider seeing an endocrinologist. (holistic would be ideal) If your hormones are out of whack there is something going on internally that needs to be addressed. Antibiotics as far as I am concerned only work for so long and really it's only a band-aid on a problem. Have you been tested for PCOS (polycystic ovarian syndrome)? What does your diet look like? You could have some food sensitivities that could cause break outs. For example, I do have PCOS which if you look up can cause a lot of other health issues like insulin resistance. When I eat a lot of sugar or carbs, not only do I break out but I also gain weight very easily. What products are you using on your skin?
User Avatar
August 11, 2013
Cbeckely- I just started Sprio not even a week ago. My derm will most likely increase my dose when I go for a follow up in 4 weeks. I'm not sure if I really need to see an endocrinologist. I had my thyroid tested again and everything was normal. So at this point I think it's just the testosterone that's an issue. Ive never had severe acne. At most, 2-3 cysts at one time. And I agree, antibiotics just cover up whatever is going on. I've never been tested for PCOS. How do they test for that? I have never had irregular periods because I've been on the pill for about 10 years now. What are other symptoms of PCOS? I don't think I have any food related allergies. I am slightly sensitive to dairy. But not too bad. I do eat pretty healthy. My skin: benev cleanser, benev hylauronic moisturizer, and SPF daily. I do chemical peels and hydro Derms every 3-4 weeks.
User Avatar
August 15, 2013
Here is a link to info on Pcos http://women.webmd.com/tc/polycystic-ovary-syndrome-pcos-symptoms The dr. can do a vaginal ultrasound along with a fasting blood test to diagnose PCOS. Most western medicine docs look at "lab ranges" when testing for most issues. The problem with that is that the ranges are very wide, what you want is to have your testing read at a functional level which is where more naturopathic or holistic specialist look at. It is easier to pinpoint what may be an issue. A lot of times dr's will say that your ranges are normal but you are still having symptoms. Doesn't make sense, right? So, holistic practitioners say let's find the root cause and they look at things on a smaller scale to pinpoint an issue. Totally makes sense to me rather than drugging someone up with out knowing where the problem is coming from. If you have dairy issues, it is likely that you also have gluten issues or sensitivities. Dairy and gluten often go hand in hand. Where I work, it is my main goal is to help my clients figure out what is going on inside that is causing the acne, we address that and then I continue to help them with their skin care needs. Sounds like you are on the right track. A lot of what I am saying may sound foreign... I would look up info for yourself regarding lab ranges vs functional ranges. There are so many things that you can do holistically that is affordable and way more effective (not to mention safer) than drugging up our bodies to only realize the ramifications years later. (class action lawsuits against drug makers)
User Avatar
August 11, 2013
Cbeckley- did you experience an initial breakout with the Sprio? Also, my weight has never been an issue. I am 5'6 and weighed 125 as a teen ager and now I'm about 135.
UPDATED FROM JennaN
6 days post

Update

User Avatar
JennaN
So it's been almost a week since I started the sprinolactone.
I was feeling great (except being a little more thirsty) until today. I have a slight dull headache which I think is due to the fact that I didn't drink enough water today. After work I had to run errands and after about an hour I could tell I was getting a little dehydrated. A little more tired than usual today too.
I have no yet experienced an initial breakout out and I'm praying that I don't. My face is starting to actually look a little better so I really don't want it to get worse. I have noticed a slight decrease in the amount of blackheads on my nose. Not sure if its due to the sprinolactone or the new cleanser I purchased. The cleanser doesn't have any exfoliating agents in it, so maybe its is due to the sprino.
I also feel slightly less oily.

Replies (36)

August 15, 2013
I used to use this for my acne years ago. I really liked the effect and only stopped because I left Europe where it had been prescribed for me. Good luck. I hope it helps you like it did me.
User Avatar
August 15, 2013
Mommy yogi: how long did it take to see results? So you know what mg you were on?
August 15, 2013
I saw results almost immediately. It's great stuff. It really worked fast because my oil production slowed down significantly. I don't remember the dosage but will try to find it.
User Avatar
August 15, 2013
I THINK my oil production has diminished slightly but it's only been a week. I keep hearing that a bunch of women had a TERRIBLE initial breakout. Did you?
August 16, 2013
Could u plz let me know the name of the birth control that worked on your acne and the one that didn't? Many thanks.
User Avatar
August 16, 2013
I can't remember exactly which one but I do know it was either ortho tri cyclen or ortho tri cyclen Lo. I was in high school and at the time I was getting it from planned parenthood. I connected them to see exactly which one but they couldn't tell me because it was so long ago. I'm on ortho tri cyclen LO now. I'm not sure if its helping because I'm also on antibiotics along with the sprinolactone. I just started my 4th month of ortho tri cyclen lo and haven't had any issues with it.
User Avatar
August 16, 2013
Contacted*** not connected
User Avatar
August 16, 2013
I was put on the generic version of ortho tri cyclen when I had kaiser medical insurance. It was called Tri Sprintec. The ingredients are almost identical but one dermatologist I went to said that the generic version isn't as effective on acne.
August 16, 2013

Thank you so much for sharing that JennaN. I'm on generic ortho tri cyclin, and am now wondering if I shouldn't ask my doctor to switch me back to the regular one. I appreciate you sharing this!!

User Avatar
August 16, 2013
I would ask your doctor what his/her thoughts are. My old derm said that the name brand is better for acne but a nurse practitioner I know said there's not much difference. Who knows though. I did experience cysts while on the generic (tri sprintec)
August 16, 2013

I haven't had any cysts since being on it (thankfully!) but have still been having breakouts, so it would be worth it to me to switch, just to see. If things don't improve I could always switch back.

User Avatar
August 16, 2013
Oh that's great! Yeah talk to your doctor about it! I know the LO has less estrogen in it. Which is weird that they gave this to me since I have higher testosterone. Who knows anymore. Ugh so confusing
August 16, 2013

It truly is! But hey, at least we can bounce information off each other & try to figure out what will work for our unique little bodies. :)

User Avatar
August 16, 2013
Exactly!! When you started the sprinolactone (I know you weren't on it for long) did you experience any whiteheads? I don't know if its due to the sprinolactone or the new SPF I'm using, but I've been getting little tiny whiteheads. They clear in like 2 days though
August 16, 2013
JennaN, Thanks for replying. Ortho tri cyclen lo hasn't been approved for acne only ortho tri cyclen was. Not sure why your dr is having you use the wrong pill. You can call the manufacturer and verify this. Here's their details http://www.janssenpharmaceuticalsinc.com/
August 16, 2013
Hi Megan, Which one of the generics are you using? How long have you been on it? Is it helping? Many thanks.
August 16, 2013

Hmm, its hard to say because I did go through a "worse before better" stage with the Spironolactone, for sure. I will say that I have to be VERY careful with SPFs. They break me out horribly. :-/ Even the ones packaged as oil free, non-comedogenic. I try to stick to products that have it in a powder form. I seem to do ok with that.

User Avatar
August 16, 2013
I did notice that as I was doing research. I think different pills work with different anatomys though. I am going to speak to my new dermatologist regarding this when I see her again next month.
August 16, 2013

Cool, well keep us posted on what you find out. :)

August 16, 2013
Which sunscreens don't make you break out? I feel like all of them do for me!!
User Avatar
August 16, 2013
Ughhhh the dreaded "worse before better". I'm TERRIFIED of that! Im hoping the minocycline will help with that :-/
User Avatar
August 16, 2013
I'm using the Elta Clear SPF 46. It's for acne, rosacea and hyperpigmention
August 16, 2013

I use ColorScience makeup that has a 30 SPF in it (powder). Might have to look into this Elta Clear JennaN talks about though - would love to have something I'm not freaked out to put on when I run.

User Avatar
August 16, 2013
Megan p: I really like it. It goes on really light. I read the reviews before I bought it and the majority for users didn't have an issue with it
August 16, 2013

Where did you buy it? Can I check it out at Sephora? I always hate buying things online because I tend to not return them if I don't like them, whereas if I can buy them at Nordstrom or Sephora I don't worry about trying them as much because its so much easier to return them if need be.

UPDATED FROM JennaN
12 days post

Almost 2 week update

User Avatar
JennaN
So I've been feeling pretty good from the sprionolactone. A little bit tired. I might ask my doctor if I can take both 25mg at night. Even if I get 8 or 9 hours, I'm still tired. And I have been drinking a tonnnnn of water.
I did have a pretty deep pimple surface but I've seen it lurking on my skin for a few weeks now. So I don't think it was brought on by the sprionolactone. I popped it Friday night and now I'm still left with nasty reddness around the area. Lucky me. I just want my skin to go back to normal. :-(

Replies (0)