"when i started taking a hormonal birth control pill my skin broke out worse than it ever had before. i tried antibiotics, switching birth control pills, but nothing worked. then finally after about 7 or 8 months, my dermatologist prescribed me spironolactone (two 25 mg pills in the morning and one at night), and after a few months my skin was completely clear. i use prescription topical creams for my acne as well, but i can definitely say that spironolactone has made a world of difference for my skin. i don&#039;t ever want to stop taking it! the only minor side effects i noticed were increased thirst and slight dryness in my normally oily skin, but after taking it for about a month they went away!"