acne
"At 24 I started breaking out worse after discontinuing the pill and switching to an IUD (I love it, btw). I had cystic acne along my jawline and on my neck, so I went to a derm and she prescribed me 25 mg daily for 2 weeks, then 50 mg daily. I broke out badly at the 2 week mark and again at the 4 week mark. I went back to the derm after 6 weeks of being on spiro and I was upped to 100 mg daily. I'm finally starting to see results. I'm on week 8 of being on spiro, and while my skin isn't completely clear, I definitely see a difference. I should also note I'm using Retin-A topically. I do experience side effects on spiro like increased thirst, breast tenderness, spotting, some cramping, & increased urination, but I'm willing to deal with this"