"started breaking out at 21yrs, been dealing with cystic acne for 4 years. i&#039;m now 25 and been on spiro100mg for 5 mths, best decision i ever made! i tried everything from topical creams, face wash, home remedies, was on other antibiotics that did not work! i did not want to take accutane because of the long term effects it has left some people with. within 2 months being on spiro i noticed a big difference! i have not experience yet any side effects and did not experience an initial breakout. my face is super clean, not perfect (redness) but acne free and i&#039;m more than fine with that. i&#039;m scared to discontinue spiro because it gave me my confidence back but i know eventually i have to discontinue and praying for the best. nothing neg to say"