"i used to have really severe cystic acne that was unresponsive to anything else. i was too scared to take accutane and spiro was like my last resort. i have a olive/tan skin tone, so i&#039;m prone to hyper pigmentation/scarring. i&#039;ve been taking 50 mg consistently and i&#039;ve noticed a dramatic difference in my skin. the only side effect that remained was increased urgency to pee and my cycle shortened (although i&#039;m still regular). you really have to be patient with this drug. i noticed a dramatic difference in my acne straightaway. also when i do get a pimple now, it goes away a lot faster. my skin isn&#039;t 100% perfect, but it&#039;s so much better. i&#039;ve wanted to increase the dose, but i think i&#039;m happy with my skin as it is now."