"i am 29 i started getting cystic acne when i was 21 right out of the blue! i had tried everthing you can think of every home remedy everything! literally! finally my derm prescribed spirolactone 50 mg a day. after two months my skin was perfect and i went from ugly cystic pimples too nothing. after a year i stopped taking it biggest mistake of my life. 8 months later my cystic acne is full blown ...i&#039;m back on spirolactone 100 mg a day and my face is a mess i have to start all over i highly recommend that once you start this medication do not stop!!!! i&#039;ll give another update in a month but right now i hate my face and can not deal with it i do not know what to do"