Spironlactone: For adult women the best acne treatment is the anti-androgen spironolactone. Usually 100mg orally. Expect clearing in 3 months. Not if pregnant or in kidney failure. If very severe acne and insufficient response to spironolactone, 5 months of oral isotretinoin, probably at 80mg a day, will rescue you. Not if pregnant. Acne is related to hormones, menstrual cycles, genetics. Not diet or hygiene or
Answered 7/30/2016
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