"love this stuff. miraculous. i am  50 yeas old and have suffered with cystic acne since age 36. nothing helped, and it left my once nice skin discoloredand scarred. i saw &quot;the best&quot; dermatologists in dallas, los angles and new york, spent a fortune and nothing helped. finally, i met a dermatologist from a small town completely by chance and he urged me to try spironolactone. within one month my skin was clear and still is.  one caveat: when i first started taking, i was dizzy and nauseated, so i stopped taking it.  the  doctor told me to try again with half the dosage, and it worked like a charm."