"i have struggled with severe acne on my face, chest, and back since i was 14 and i am now 22. i had cystic acne that was so painful and embarrassing that i would often cancel plans so i wouldn&#039;t have to go in public. i have seen multiple doctors and dermatologists and nothing has worked for me. i have tried everything but accutane because i&#039;m too scared about the side effects. i wanted to try spiro because my sister who had acne worse than me is taking spiro and it completely cleared her acne. i started at 50mg per day in april and it did cause an initial flare up but after the flare up subsided i didn&#039;t get anymore cystic acne. i still got smaller spots of acne but no more painful cysts. now i am at 75mg per day and i hardly ever get acne!"