"i suffered with acne as a teen and young adult. after trying literally everything from oils to natural astringents, to otc meds and more i finally decided to see a dermatologist. he prescribed me spironolactone and tretinoin (retin a cream). i was told to be patient, it could take up to three months to see results. well during that three month period my acne got so much worse. i was so depressed, and my face hurt so bad. but i stuck with the meds. after exactly three months of use (august) everything cleared up, completely. it&#039;s been 7 months since august and i&#039;ve gotten maybe 3 small 24hr pimples and my blackheads are gone. patience is key but this was a lifesaver"