"nearly a year ago i broke out with hormonal acne, and it was horrible, but i finally got a dermatologist appointment two months ago and she put me on spiro starting at 25mgs a day, because she said for some people it can cause dizziness, and since i weigh a hundred pounds she wanted to start low. i&#039;m now on 50 mgs and i have no issues with dizziness, i might go up to 75 mgs but i&#039;ve been on it for two months and my skin is pretty clear and back to being my &#039;old skin&#039;. my only issue now is dealing with the discoloration from my acne, but my derm said that will clear up with time and gave me a retin-a to help. i hope this works for you, because i love it!!!"