"i&#039;ve been having painful nodular cystic acne for the past 1 year. i&#039;ve had polycystic ovarian syndrome for some time, but for some reason, the acne became a problem this year. so far, i have been on the spironolactone for 1 month, and i broke out again after my period as expected, but it&#039;s much less. smaller nodules, barely noticeable, and not painful. 

i&#039;m at a 50 mg/day dose now. hopefully the acne should improve if i&#039;m patient, but so far the acne is definitely less severe. 

side effects: some weight loss, which is probably all the urine i&#039;m peeing out as this is a diuretic; some dryness of the skin, nothing a moisturizer can&#039;t help with. 

"