"i was 18 going on 19 when literally over two nights i broke out with horrible hormonal cystic painful acne covering my face. it was a nightmare. the doctors finally recommended spironolactone and i started on 50mg. things started to get better but still bad. they then moved me up to 100mg. my face just about completely cleared up in about two and a half months with a few small breakouts during my cycle. it cleared my face but i experienced two side effects. one was extreme fatigue to the point where all i could think about was laying down and was exhausted every hour of the day. even when i got a lot of sleep.ssecond was i would get super dizzy when i stood up. i am extremely active, &amp; work two jobs, and am a college student i can&#039;t stay on it"