"i have suffered from moderate to severe acne for years. i have always had bad breakouts that coincided with my cycle in my teen years. i assumed this would go away once i got older. however, it seemed to get worse throughout my mid-twenties. i am now 28. i would get cystic acne mostly around my mouth &amp; chin area. i always had 4 or 5 huge red pimples.  not only unsightly, they were painful &amp; would last for weeks.  i tried everything - cleansers, masks, creams, toners, diet, antibiotics, &amp; bc (10 ). accutane was the last on the list...until spironolactone appeared. my doc prescribed me the min 25mg dose per day. the 1st week i noticed a change! my skin cleared right up &amp; i have had one pimple in the past 3 weeks.  i am amazed.  highly recommend!"