"i&#039;m a 25 year old female and i suffered terrible acne for a long time, then it went away for a few years. suddenly back in september 2016 i started to break out again in those painful cysts around my jawline, where i had never broke out before. spiro helped me many years before so i started taking it again. first week 25 mg and then 50 mg. had the notorious &quot;initial breakout&quot; but after that cleared up (took 2 months) i&#039;ve been good ever since! it&#039;s nice not waking up each morning to find new painful cysts under my chin! love it. it has caused some dizziness but i&#039;ll take that over a pimply, painful face any day. be patient, this drug takes a while. worth it though."