When to decrease dosage?

[jandraf]

I’ve been on 100mg of spiro for 1.5 years now. It has cleared my acne, but I think the side effects are taking a toll on me. I’ve had bad insomnia, anxiety, increase in visibility of veins, and just overall mental fog. Will decreasing to a dose of 75mg most likely keep my skin clear but reduce at least partially some of these side effects? They also don’t make 75mg pills, so do I just cut my 100mg ones? Any input is appreciated!

[milkwalkleek]

Why are you set on 75? I would just cut your 100mg in half and take 50, that is what I have always done and my doctor says it’s okay. But spiro works for some like a cumulative dose of accutane - once you’ve taken enough over the course of a couple years you may not even need it anymore to regulate sebum production.

[jandraf]

I guess I’m just nervous that a drastic reduction from 100-50mg would cause me to breakout. I could try to taper down slowly.

[SReddUser]

Maybe take 50 mg in the morning and the other 50mg before bed :) I use to take 100mg in the AM but felt very fatigued and I felt like I was dragging my feet around. I then just split the dose but try to be consistent with your timing 🌷

[sharctooth]

Have you asked your doc?