"i&#039;m 18 (almost 19) and i just started college two weeks ago. ever since i was about 14 years old i&#039;ve suffered from mild-servere acne. i&#039;ve tried every topical cream known to man and none seemed clear up my acne. i started taking birth control to level out my hormones but it barley did anything. about 2 1/2 weeks ago i went to my dermatologist begging her to put me on something stronger. i was perscribed spironolactone. i went home and researched everything and saw that an initial breakout is most likely to happen. about a week into taking the medication i had a severe breakout on my chin and cheeks. after a week it started to clear up. i&#039;m not fully in the clear but i see improvement which i&#039;m excited for!"