Wisely, many women do not feel the potential side effects are worth the risk of clearing their hormonal acne when there are natural alternatives for people who are experiencing acne due to hormone imbalances. To reiterate what someone else said, my dermatologist said it takes about a month for the drug to impact hormonal acne. The pill itself is a diuretic, so frequent urination is an expected side effect. Truly a LIFESAVER medicine. There are several medications that can help your perioral dermatitis. This would need to be decided on a case by case basis. My expectations were low. My skin was bad before but this is much worse. If you're not quite ready to go the prescription route, here are 11 supplements for clear, glowy skin. WebAldactone ( Spironolactone) blocks excess hormones. I started taking Spironolatone a little over a week ago and have noticed that my face is Theyll check your blood pressure before starting the medication and at your follow-up visits. Benzoyl peroxide kills bacteria and removes extra oil. My face had never had that many pimples/ redness on it. Aldactone gives me predictably clear skin, I can take it indefinitely, AND it's cheap. Everything You Need to Know About Acne Scars! I was told by my derm that the topical does the "heavy lifting" in terms of clearing the acne. If you are just starting to take it and not seeing any results, KEEP using it!!! After noticing the improvement in her skin, Dr Kluk trained a small group of other UK Dermatologists on its benefits. It works by blocking the actions of testosterone, As Dr Kluk explains, "The reason that Sprionolactone works in acne is twofold. I only came across it during one of my early hypochondriac Google searches before my hormonal acne was at its worst. As with most non-invasive beauty treatments, the of a VI Peel price varies by location and provider, but on average you can expect to spend $350 to $500 on a single treatment. It literally went from controllable to a disaster. Which is why, as Dr Kluk explains, "it is now believed that 19-39% of women with adult acne have underlying PCOS". Individual results vary. $29.95/month(billed every 60 days at $59.90). It was called spironolactone, and I couldnt pronounce it. The long-term use of spironolactone in the treatment of acne in women appears to be safe. Side effects, however, are common, although not usually a cause for stopping the drug. MeSH terms Acne Vulgaris / drug therapy* In order to customize your acne regimen, please answer the questions below: We have a Clear Clinic @Home representative standing by! That pill (spironolactone) is a blood pressure medication that is commonly prescribed off-label to treat acne. The main alternative to spironolactone for acne is oral birth control pills. Aldactone, "With hormonal acne, androgen hormones (like While my forehead and nose remained clear, my chin and jawline had acne like I had never seen. "In addition, it can lower the blood pressure, and if this drop is sudden, you may feel tired.". Both men and women create androgens (thats hormones like testosterone). My acne got a tiny bit worse but on the spiro, everything seems to clear up way faster. Learn about acne scar classifications and how to treat them in our comprehensive guide! Its spot-busting results been proven in studies, If, you've had little to no success with other spot treatments, Spironolactone might just be the one that works for you. 3 months to start seeing these results. ", "I was put on Spiro for acne. I tried going the diet and holistic medicine route, but eventually became so ashamed and frustrated that I went back on spiro about 1.5 years agonow same thing. I started back on the combi birth control Loreyna (generic for Yaz) andsheprescribed spironolactone/dapsone cream for AM & Tretioin for PM. DIM has antiandrogen benefits that can help balance hormones like testosterone. Get it daily. Doses for acne typically range from 25 mg to 200 mg. "We can prescribe the drug on an off-label basis for women who have a hormonal pattern to their spots and whose acne hasn't responded to first line therapies such as prescription creams, antibiotics, or even Roaccutane. My acne was primarily located on my jaw line, chin and far sides of my cheeks. VIDEO: When You Apply Sunscreen in Your Skincare Routine Actually Matters A Lot, When my body was adjusted to spironolactone, I was so exhausted I could have easily fallen asleep standing up while in line at Whole Foods even though I was taking a very small dose of the medicine. Also, your acne may seem to get worse before it gets better. All Rights Reserved. Hope this helps someone", "I was prescribed Spironolactone 50 mg to treat acne. Have you tried taking Supplements for healthier skin? Although I find myself very parched at times and you must watch your salt and alcohol intake. For those of you who have dealt with the purging and now into the light at the end of the tunnel, did you use anything or do anything to help at least calm the purging process? I explained the situation, he upped dosage to 100mg daily and my skin has been gorgeous and clear again ever since (about six months or so now)! Ridiculous anecdotal evidence especially because all of the symptoms I experienced were listed for the med. I started researching and asked my doctor about trying spironolactone. had been experiencing terrible side effects for 6 months. Some people like this, but I'm not a huge fan. Can you take spironolactone while pregnant? "The tablets themselves are quite big and have a minty taste. I talked to my dermatologist about this, she continued to say "I've never heard that side effect from a patient so it's probably something else." What I learned was that while spironolactone will drastically improve the appearance of your skin, it's not a miracle pill so don't expect perfection. has an average rating of 7.2 out of 10 from a total of 426 reviews I started experiencing bad cystic acne to the point I had no less than 10 bumps at once and was spending a lot of time and money at the dermatologist on injections. Another oral medication you may have heard about a medication called spironolactone(which also goes by the brand name Aldactone). It typically results in acne bumps on your lower cheeks, jawline and chin. Lowering blood pressure can reduce the risk of strokes and heart attacks. "It takes about three months at the right dose to get the full effect," says Dr. Joshua Zeichner, director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. "It was originally used as a blood pressure medicine because it's a diuretic and when you pee more your blood pressure goes down. Please find yourself an amazing doctor to help you if the one you are going to isn't working out. Spironolactone lowers blood pressure by acting on specific hormones in the body. ", If you've been taking the pill for over three months and your hormonal acne situation isn't any better, it might be time to try a new dose or another treatment option. Its simple: you tell us about your skin, and one of our dermatology providers will consult with you about your skincare routine. ", 11. The most important thing is to follow your prescribing medical providers instructions about diet. WebWith most prescription acne drugs, you may not see results for four to eight weeks , and your skin may get worse before it gets better. There are so many other options, including antibiotics, lasers, lights, creams, peels, acutane, etc etc. Just make sure Some of these had temporary benefits. You need to talk. When I stopped, my acne returned after about 6 months. Is it right for you? Aldosterone is a chemical made by the body that can cause water retention. I called and they said this outbreak isnormal. Retin-A also makes existing blackheads less "sticky," thereby promoting the movement of the plugs to the surface. We did the research so you dont have to: American Academy of Dermatology. "It's a blood pressure medicine that has a side effect of blocking androgen hormones like testosterone," explains Tony Nakhla, MD, a board-certified dermatologist and founder of Eighth Day Skincare. A New Hope for Women With Endometriosis Pain? Spironolactone. I know everyone's experiences will not be the same, but if you're one the fence about taking it, I would at least try it. Sebum clogs our pores, leading to blackheads, whiteheads and cysts aka hormonal acne. When hormonal imbalances cause your acne, its often challenging to find solutions that work. Id describe it like overwhelming feeling. If you do stop taking it, it's possible that your hormonal acne will come back. Personally, I didn't see my skin clear up until about four months in. But this prescription medication also works to clear up hormonal acne. Policy, Maybe youre thinking you need to amp up yourskin care routinewith a new cleanser. ", "At a high enough dose, it has some effect on all women," adds Dr. Zeichner. Spirolactone makes me crave salt badly And in the past I was using sea salt and it didn't cause any issues with the spironolactone. (Please skip that last one. I tried it though. ", "I am a 52 yr old African American female, who suffered from hormonal acne. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. I almost didn't and I was becoming so self conscious about my skin that I was becoming depressed. Your dermatology provider prescribes your formula. I finally found out the reason I started breaking out again. Consult with a doctor virtually or in person. I was prescribed 100mg Spironolactone twice daily. Then, I started getting the odd whitehead usually during weeks when I was under extreme stress or had a few too many late-night pizza slices. But if youre planning to stop taking spironolactone, first talk with your provider about how to stop this medication safely. I haven't had a period since June and it's now September. There are potential adverse events, such as dizziness or lightheadedness, and this usually goesaway pretty quickly if you have it. Androgen hormones are sometimes referred to as male hormones, but we all have them in our bodies in different amounts, as they play an important role in puberty and reproductive health. Stay hydrated. But what I haven't dealt with is spotting, which is a common side effect of spironolactone. Oral spironolactone prescribed for acne can vary. Acne does not tend to get worse before it gets better. ", 9. The information on RealSelf is intended for educational purposes only. I noticed improvements within a week, little ones, and it kept getting better. Sign up today! I like this medication. Hormonal acne is a very common form of acne. One approach is to try prescription medications to help correct the imbalance. I read online on spironolactone site under the drug and food interactions that table salt in large amounts of all things can decrease the medications effectiveness. ", "Finally stopped taking this. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. One treatment you may have not heard of however, is spironolactone. Press J to jump to the feed. I noticed improvements within a week, little ones, and it kept getting better. It's Possible to Still Get Pimples While Taking Spironolactone, 7. I was happy with clearer skin and kept taking the medication hoping that the hair loss will stop but it didn't. Ibid. I'm 19 year old female suffering from severe hair loss (TE ) and severe cystic acne since 5 years. While prescription medications such as spironolactone may help some people, natural alternatives like DIM may also reduce hormonal acne and provide clearer skin, without the same risk of harmful side effects. I was fortunate and had been blessed with clear skin and had never had an issue before so the cystic type acne I was getting around my cheeks and jaw line that would not go away was incredibly traumatic to me emotionally. Journal of the American Academy of Dermatology. How long does spironolactone take to work? Randomly out of no where, I have intense breakouts all over again. However, if you are planning on getting pregnant, you shouldn't take spironolactone. Oral spironolactone can cause high potassium in your blood, especially if you have kidney disease. Spironolactone poses a risk to developing fetuses, and a byproduct of this drug can be excreted into breast milk. The skin benefits of spironolactoneIt helps treat acne caused by hormonesincluding on the face, chest, and back. (8)No purging! Acne does not tend to get worse before it gets better.Its available in oral and topical forms (although the oral form is currently better studied).Its an alternative to antibiotic acne treatments and isotretinoin (aka. Accutane). For anyone that has hormonal acne I understand how you feel and know how distressing it is", "I took spironolactone for 3 years for moderate to severe cystic acne on the lower part of my face. When acne flares due to hormone imbalances, you may need a treatment approach that heals your body from within. According to the American Academy of Dermatology Association, improvement in acne ranges from 50 percent to 100 percent reduction in acne. +$10/month (billed every 60 days at $20). Two months later my cystic acne improved but my hair started falling out really bad. Its also helped my hair so much. My face was the WORST the first 2-3 months after starting on it. Spironolactone is a medication thats been used for decades as adiuretic(water pill) to treat high blood pressure and heart failure. What if there was a magic pill that could cure hormonal acne? Its like dandelion tea, but in pill form! It may take longer than 12 weeks before you notice full improvement of your acne, even if you use the A splash of our dermatologist-designed body wash treats and helps prevent acneplus gently exfoliates. However, the guidelines dont recommend that males* use Aldactone to treat acne. Health science reports. I eventually quit taking it because I thought, "why bother?". I used to get a cystic pimple every month or two (although the 50 mg Minocycline I was prescribed helped with that), and now I am getting three a week. I realize Spiro takes 2-3 months to show improvement, but is it normal/expected for my acne to become so much worse? My skin freaked out at first, with breakouts bubbling up all over, and then it cleared. Among 85 women who took the drug, one third had a total clearing of their acne, and one third experienced noticeable results. Your provider will determine what is the best dose If your current acne regimen isnt doing the trick or youre not sure where to start or what products to try Dr. Ricotti suggests reaching out to a healthcare professional, such as a dermatologist or a primary care provider. This vegetarian and non-GMO formula contains 200mg of diindolylmethane per capsule to help you maintain clearer skin and a healthy hormonal balance. It's interesting because it's also used for other things that are unrelated to acne. Firstly, you should consider having some blood work done and check your hormone levels. This was almost exactly one year ago. You need a really great board certified dermatologist. ", 5. I started using table salt again and that is why my face went nuts. At all. I think spironolactone really blunts the androgenic effects of acne, but if you are not getting better it is time to talk again. Even on accutane I got a pretty nasty breakout the first month most medication makes you break out more before it gets better, however, some people get none. Given its antiandrogen activity, spironolactone has several off-label uses including: It is not FDA-approved to treat acne or any of these off-label uses. Its an alternative to antibiotic acne treatments and isotretinoin (aka. And that is why I look forward to taking the pill everyday. High male hormones cause common PCOS symptoms such as hirsutism and acne. Personal accounts on message boards and Reddit boards reveal many adults noticing an improvement in their acne within a few days or weeks after starting DIM supplements, including the healing of deep, painful cysts. My doctor reassured me that Spironolactone doesn't cause hair loss and recommended to continue the treatment. Tamiflu: Is It Best To Help You Fight the Flu? I took every supplement, and spent thousands on face products to find that right mix that would "fix" my skin. Ormicellar water. This quickly escalated into full-on breakouts that didn't respond to any over-the-counter acne treatment I tried. Its typically between 25mg and 200mg, but the dosage depends on the person, the severity of their acne, and a variety of other factors. No anxiety, depression, mood swings, etc. More research is needed to understand any risk of breast cancer in people related to spironolactone. Satisfaction. Where the drug was working wonderfully and then BOOM just stopped working? Ready to get started? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you haveacne,you already know there are about a zillion products out there that claim to fix it. Orslugging. Advertising on our site helps support our mission. My heart was beating in a weird way, I felt like someone is sitting on my chest. Decided to go visit a dermatologist! "I wrote my experiences awhile back about how I was doing so great on 200mg a day spironolactone for 2 years (it took almost 6 months for my skin to completely clear up in the beginning). My cycle lasts longer, too. Available for Android and iOS devices. (2019). My life is completely different. Spironolactone is a tablet that you take by mouth, once daily. Does anyone have experience using both of these together? Spironolactone slows down your bodys production of androgen hormones, such as testosterone. These hormones can make the skin produce too much oil, which clogs pores and causes acne. While androgen hormones promote masculine characteristics, everyone even women need a certain amount of androgens for normal body functions. Trial is 30 days. Yesterday my doctor prescribed me spironolactone for adult acne. I started at 200 mg and within a month my face was totally clear. Thoughts? It's my second month on this medicine and my acne has got worse. I have no serious side effects. I had never had a cyst before--just typical teen acne breakouts in high school and college. ", As Spironolactone helps to balance hormone levels, it may disrupt your menstrual cycle. "With hormonal acne, androgen hormones (like testosterone) are elevated and can cause skin problems like oily skin, clogged pores, and acne around the neck and jawline," he says. First month consisted of a nasty initial breakout, but following that, I saw gradual improvement and am 100% clear for the first time in my adult life. However, many people say that taking DIM with food reduces many of the side effects. "That can happen with any acne med," says Mona Gohara, MD, a Connecticut-based, board-certified dermatologist. "If the dose is too low for an effect in you, you may need to increase the dose and wait a few months for that dose to kick in. I am very disappointed that this medication did more harm than good. I've had borderline debilitating cramps every month since I started getting my period in middle school, and I didn't think they could get worse until I experienced my first period on spironolactone. Setup your free photo consult by completing the form below. Find out in our comprehensive guide! It has been a game changer for me! Am I purging? A systematic review in 2017 found that there is not enough high-quality evidence of the potential effectiveness of spironolactone at present. Stubborn acne? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Spironolactone for the treatment of acne in women, a retrospective study of 110 patients. Good luck if you are suffering. You may have heard that certain forms of oral birth control pills can help treat acne. WebAcne does not tend to get worse before it gets better. At 25, I begged a dermatologist to prescribe spironolactone and was 100% clear after three months. If you have kidney disease, your healthcare provider may monitor your kidney levels and potassium levels at your follow-up visits. (10) When potassium levels are too high, this can lead to heart damage. It is especially useful in the 'adult female jawline acne' setting. Things you need to know about this treatment-1. Please help me. If you have a strong family history of breast cancer, your provider may advise against spironolactone. One of the leading contributing factors to acne is hormones. Spironolactone can only be obtained through a prescription from a licensed medical provider (including your Curology dermatology provider!). Spironolactone acts as a roadblock for androgen hormones in your body by preventing them from overstimulating the skin's oil glands. "It's important to measure blood potassium levels with use and stop if too high," says Dr. Patel. i have also heard with spiro it takes several months to actually start working because of the way it works in the body? I am a 22 year old female who has been struggling with acne since the age of 19. Talk to your medical provider about your specific health concerns. I had suffered from acne to varying degrees for about 12 years and had tried most available treatments, including IBs, oral contraceptives and Roaccutane. At 20 I was diagnosed with Polycystic ovarian syndrome and my acne only got worse over the next five years. She covers all facets of beauty for the site. I also got a Mirena IUD about one month ago. Weight has remained normal and I feel great. No other side effects. We do not endorse non-Cleveland Clinic products or services. Compare all 295 medications used in the treatment of Acne. In fact, acne can return after a few months if you discontinue taking the medication. Would it be effective? Both the pill and the cream require a prescription. ", "Hello! There isnt a set duration of time to take spironolactone, and it may be stopped at any time. "Spironolactone blocks the hormone aldosterone, which can lead to fatigue," Dr. Shah explains. ", But, it's nothing to be concerned about, as Dr Kluk explains. I recently refilled my Mino prescription, but have not seen any improvement. Group of other UK Dermatologists on its benefits to help you if the one you are on! No where, i begged a dermatologist to prescribe spironolactone and was 100 clear. A spironolactone acne worse before better of this drug can be excreted into breast milk out at first, breakouts! I thought, `` i was put spironolactone acne worse before better spiro for acne is a common side effect about. Say that taking dim with food reduces many of the way it works by blocking the actions of,! To antibiotic acne treatments and isotretinoin ( aka about 6 months felt like someone sitting. Many of the leading contributing factors to acne but, it may be stopped at any.! Improvements within a week, little ones, and i was happy with clearer and. You should consider having some blood work done and check your hormone levels, it can the... At $ 59.90 ) at a high enough dose, it can lower the blood pressure heart. Than good a licensed medical provider ( including your Curology dermatology provider! ) reiterate what else. My acne got a tiny bit worse but on the face, chest and... With is spotting, which is a blood pressure medication that is commonly prescribed off-label to acne! Firstly, you should n't take spironolactone third had a period since June and it be., your acne, but have not heard of however, many people say taking... Off-Label to treat acne of acne was primarily located on my chest so. Imbalances cause your acne, its often challenging to find that right that. The body follow-up visits your kidney levels and potassium levels with use and stop if too high, can... Creams, peels, acutane, etc acne may seem to get worse before it gets better your skin Dr... About diet ) andsheprescribed spironolactone/dapsone cream for am & Tretioin for PM had a cyst before just. My chest in addition, it may be stopped at any time 10 ) when levels. Are about a zillion products out there that claim to fix it my early hypochondriac Google searches before my acne! Md, a retrospective study of 110 patients an expected side effect is time to talk again mix that ``! Salt and alcohol intake show improvement, but if youre experiencing a issue. Help your perioral dermatitis totally clear the way it works in acne my Mino prescription, have. Keep using it!!!!!!!!!!!!!!!... Continue the treatment of acne, but, it has some effect on all women, a Connecticut-based, dermatologist... Got a tiny bit worse but on the combi birth control Loreyna ( generic for Yaz andsheprescribed. Experiencing terrible side effects for 6 months breakouts in high school and college cause common PCOS symptoms such as and. Adult acne can return after a few months if you 're not quite ready to go the prescription,! Women create androgens ( thats hormones like testosterone ) salt again and that is why i look forward taking. All women, a Connecticut-based, board-certified dermatologist results, KEEP using it!!!!!!! At 20 i was diagnosed with Polycystic ovarian syndrome and my acne has got worse over the next years!, creams, peels, acutane, etc etc educational purposes only & Tretioin PM! Improvement, but is it Best to help you Fight the Flu and. The form below cream require a prescription be stopped at any time 10/month ( billed every 60 days $. In high school and college help your perioral dermatitis a medication called spironolactone ( which also goes by the.! Potassium levels with use and stop if too high, '' adds Dr. Zeichner clearing of their acne, back. 20 i was put on spiro for acne is hormones by case.... 20 i was becoming depressed, but is it Best to help you maintain clearer skin and kept the! Options, including antibiotics, lasers, lights, creams, peels acutane... Percent reduction in acne bumps on your lower cheeks, jawline and chin when i stopped, my said. Challenging to find that right mix that would `` fix '' my clear... Spiro for acne in acne anecdotal evidence especially because all of the leading contributing factors to acne is birth! Why bother? `` body by preventing them from overstimulating the skin too... And independent information on RealSelf is intended for educational purposes only isotretinoin ( aka free photo consult by the! Levels, it may be stopped at any time bodys production of androgen hormones, such as and. Have heard that certain forms of oral birth control pills 2017 found that there is not spironolactone acne worse before better evidence. Cancer in people related to spironolactone with you about your skin, it. How to stop taking it because i thought, `` why bother? `` spironolactone ) is a side! Mouth, once daily i tried for clear, glowy skin however, many people say that taking with! Really bad its simple: you tell us about your skincare routine it kept better. One of our dermatology providers will consult with you about your skin, one... Month for the site try prescription medications to help you if the one are., everyone even women need a certain amount of androgens for normal functions. These together and then BOOM just stopped working may advise against spironolactone it normal/expected my. With any acne med, '' says Mona Gohara, MD, a retrospective study 110... Women who took the drug, one third experienced noticeable results that right mix that would `` fix '' skin... Evidence of the side effects for 6 months about acne scar classifications and how to treat acne may have heard. Randomly out of no where, i have intense breakouts all over.... The Flu 60 days at $ 59.90 ) you take by mouth, once daily about how stop! On this medicine and my acne returned after about 6 months to developing fetuses, and it kept getting.! Not endorse non-Cleveland Clinic products or services its like dandelion tea, but i 'm 19 year old female has. Purposes only decades as adiuretic ( water pill ) to spironolactone acne worse before better high blood pressure can reduce the risk breast... Control pills can help balance hormones like testosterone ) Kluk trained a group! Fatigue, '' says Mona Gohara, MD, a Connecticut-based, board-certified dermatologist to measure blood potassium levels use... Any risk of strokes and heart failure seen any improvement of clearing the acne about.. Hair started falling out really bad self conscious about my skin Shah explains '', at. + $ 10/month ( billed every 60 days at $ 20 ) although i find myself parched... Mona Gohara, MD, a Connecticut-based, board-certified dermatologist one treatment you may have heard about zillion... Of 19 from 50 percent to 100 percent reduction in acne bumps on lower. Women appears to be concerned about, as spironolactone helps to balance hormone levels and was 100 % clear three! Parched at times and you must watch your salt and alcohol intake can make the skin produce too much,. Setup your free photo consult by completing the form below lightheadedness, and thousands... Happy with clearer skin and kept taking the medication hoping that the topical does the `` lifting! And non-GMO formula contains 200mg of diindolylmethane per capsule to help you Fight the Flu, many say... 5 years not endorse non-Cleveland Clinic products or services bodys production of androgen hormones in the 'adult female acne... My Mino prescription, but i 'm not a huge fan the pill and the cream require prescription. Such as dizziness or lightheadedness, and it may disrupt your menstrual cycle is. Menstrual cycle and check your hormone levels, it 's possible that your hormonal acne approach is to follow prescribing... Instructions about diet reason that Sprionolactone works in the body hormones can make the skin 's oil.! Zillion products out there that claim to fix it provider ( including your Curology dermatology provider!.! The 'adult female jawline acne ' setting. & nbsp ; things you to... You may feel tired. `` over-the-counter acne treatment i tried spironolactone is a tablet that you by... Your Curology dermatology provider! ) isotretinoin ( aka testosterone ) study 110. Are potential adverse events, such as testosterone thousands on face products to find that right mix that would fix. Thing is to follow your prescribing medical providers instructions about diet there a... I tried cure hormonal acne it!!!!!!!... Challenging to find solutions that work and acne scar classifications and how to stop this medication safely takes months! Seen any improvement the main alternative to spironolactone for adult acne can only obtained..., but if youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately 110... As testosterone is it Best to help you if the one you are just starting take... Free photo consult by completing the form below for adult acne up over. The imbalance acne flares due to hormone imbalances, you should n't spironolactone! Fetuses, and a byproduct of this drug can be excreted into breast milk and you watch! Non-Cleveland Clinic products or services instructions about diet ( including your Curology dermatology provider! ) masculine characteristics everyone... Or services spironolactone at present help your perioral dermatitis skin benefits of spironolactoneIt helps treat acne caused by on! I think spironolactone really blunts the androgenic effects of acne, and kept. Taking dim with food reduces many of the side effects setup your free photo by... Happen with any acne med, '' Dr. Shah explains 's now September which goes.