A diuretic used for high blood pressure, spironolactone is an effective treatment for hormonally-caused acne. This oral medication (which also goes by the brand name Aldactone) delivers visible acne improvement in two to three weeks.
Spironolactone works by blocking the male hormone receptors within the skin with very little side effects, although menstrual irregularities and breast tenderness are possible, and many doctors like to monitor bloodwork during treatment. Taken long-term to manage acne symptoms, it works differently than birth control pills, but with similar results.
Spironolactone is best prescribed by a doctor who has used it extensively for acne, and it will only work if there’s a legitimate hormonal cause for your breakouts.
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