"i am 29 and have suffered from acne most of my life. i would have random flare ups. some months wouldn&#039;t be that bad and others would be the under the skin painful bumps only around my jawbone and chin area. the older i got the most frequently and worse my acne got. i went to a derm. and he immediately said it was hormonal acne. he put me on 50mgs twice a day. i have been on spiro. for about a year and it has done wonders for me. the only thing is it makes me incredibly thirsty, but i don&#039;t consider that a bad thing. i haven&#039;t had any side effects other than that."