Did spironolactone clear your acne?

When taken alone, spironolactone can be quite effective. In looking at the medical records of 85 women who took spironolactone, researchers found that 1/3 of the women had complete clearing and 1/3 had noticeably less acne. Only 7% saw no improvement.

Which topical medications are typically used to treat a client with acne vulgaris?

First-line and Alternative Treatment Options First-line treatment for mild acne vulgaris includes benzoyl peroxide or a topical retinoid, or a combination of topical medications consisting of benzoyl peroxide and an antibiotic (erythromycin or clindamycin), retinoid, or both.

How long does it take to treat acne vulgaris?

The usual minimum duration of therapy is 6–8 weeks but can be given up to 12–18 weeks and more. It is advisable to use the same antibiotic if retreatment is necessary and use benzoyl peroxide for a minimum of 5–7 days between antibiotic courses to reduce resistant organism.

Why am I still breaking out on spironolactone?

Spironolactone slows down your body’s production of androgen hormones, such as testosterone. These hormones can make the skin produce too much oil, which clogs pores and causes acne.

Does Spiro cause initial breakout?

“Most women should expect it to take around 3 months for the benefits to start showing. In my experience of prescribing the drug, it is not uncommon for spots to flare up initially before starting to settle. For this reason I typically prescribe a low dose for the first few weeks and gradually build it up over time.”

How long before spironolactone works for acne?

Spironolactone is started at doses of 25-100mg per day and increased every 6 to 8 weeks until a dose that improves the acne is reached. There are many variations to this regime. Improvement in acne can take 3 to 6 months to be seen. The usual dose for skin concerns is 50-150mg per day.

What is the first line treatment for acne?

First-line treatment for mild acne vulgaris includes benzoyl peroxide or a topical retinoid, or a combination of topical medications including topical antibiotics. Tetracyclines are the preferred oral antibiotic, and doxycycline and minocycline have been shown to be more effective than tetracycline.

What is recalcitrant acne?

Recalcitrant acne is a condition where acne does not respond to any of the common treatments. Acne is caused from an over production of oil (sebum). Sebum is produced by androgens, one of the hormones secreted by the ovaries, which also increases hair follicle production.

How long do you stay on spironolactone for acne?

You would require Spironolactone for as long as your acne is a problem. Most women will be on treatment for a year or two and some women may need treatment for several years. It is possible to reduce the dose and try without medication a year into treatment after the acne has been controlled fully.

What is the difference between acne and acne vulgaris?

Acne vulgaris (commonly referred to as acne) is a common skin disease in which hair follicles become clogged with dead skin and oils resulting in inflammation. Acne has a varied etiology which includes genetics, hormonal function, bacterial growth, and other causes.

Does spironolactone make your skin purge?