When I started taking spironolactone, I didn’t see immediate results, after about two months, I noticed a massive improvement in my oil production and active acne lesions, after 3 ½ / 4 months, my skin had completely cleared up. Results vary for everyone, some people may see results after a month or two or even a few weeks. Others may see results after 6 months, but dermatologists recommend sticking with it for at least 6 months. YES. You need to continue taking spironolactone to reap the benefits, get regular blood checks to monitor your potassium levels. ( at least two-four times a year) I do this at least twice a year.
Speaking from my personal experience, I was filled with joy when my skin cleared up and stayed clear for over 8 months, but at a point, I decided to wean my self off it to see if my skin could manage on its own. BIG MISTAKE. The acne came back with a vengeance, I went back on spironolactone, and this time, it took a longer period for my skin to clear up, but it eventually did! Lastly, it is important to use a good brand, I only use Teva or Actavis brands. Aldactone for some reason does not work for me. I interchange between 150mg – 200 mg daily, so my body does not get used to a particular dosage. ( Be sure to get a go-ahead from your Doctor), as this is what works for ME.
Spironolactone for me was life-changing, out of all the birth control pills I took, antibiotics, ACCUTANE, Spironolactone made the biggest impact with the least side effect.
If you have used Spiro, Let us know your experience in the comments below!!!