"i am almost 46 and for 30 years have tried everything for chronic hormonal acne (antibiotics, accutane, all the skin care lines, retin a).  this medication has been a miracle for me.  i still get little blackheads / small pimples around my menses, but are barely noticeable. i continue on with my retin a treatment which helps that. i haven&#039;t noticed any side effects.  i do watch my potassium intake (no bananas)."