"i have dealt with acne on my face and back for years. i was on birth control pills for a time that cleared my skin up completely, but i hated how the pills made me feel. i then got the skyla iud which didn&#039;t mess with my head, but didn&#039;t do anything for my acne. big surprise: it all came back. on my face and especially on my back. i went to the derm and they put me on spiro 100mg a day. it has taken at least 4 months to see my results. i will occasionally get a zit on my face and back, but its nothing like it was before. they are just a red bump that lasts only a couple of days. i wish i started this medication from the beginning instead of spending so much money on literally every otc product out there."