"i usually suffer from cystic acne on my cheeks, rarely on my chin or forehead. i never really considered my acne to be hormonal because in the summer i have clear skin, but when i go back to college i break out. i&#039;ve been on the same bc for about 4 years btw. i went to my dermatologist and she prescribed me 25 mg daily of spiro. i stuck with it for 7 weeks, but here i am at 7 weeks looking worse than ever before!! i have break outs in places i never had before. i would rather have dealt with my mild cystic acne on my cheeks than this stuff. i know it works for a lot of people, but clearly not for everyone. this past week i&#039;ve been severely depressed due to just how terrible my skin looks. i&#039;m discontinuing the use of spiro."