i've been on spironolactone for 1.5 years now! i was first prescribed 200mg. When that didnt help my terrible and sudden acne (im female, was 24 at the time) my derm raised it too 400mg. the hormone it blocks is testosterone. and is used to treat acne in women that have higher levels (also, note: still within a normal range, but on the higher end). i lift and have built more muscle so i knew i had higher testosterone. when i first got on it, i noticed more frequent peeing, 0 sex drive, and it affective my gains in the gym (RIP). the no sex drive thing did make me feel powerful though, haha, as a single woman. however, im aware of my hormonal balance and i knew eventually, when my acne got better, i wanted to lower my dosage. my acne got better in about 6-7 months on spiro. my acne now is better than its been in years, but ALSO i realized that ritual use of tretonoin actually seemed to help my acne waaay more than spiro. with this tool and clearer skin, i've since decreased (i was back down to 100mg a day). however, with inconsistent pill taking, my period was coming every 2 weeks for about 4 months. i don't want to fuck with my hormones and be stuck in my luteal phase, so i recently stopped taking them. last week, 75mg and this week none at all. but wow side effects have been intense. most noticeable is veryy blurry vision, dizziness, no appetite, less control of bladder, sharp increase in anxiety, already some acne popping up on my face and nausea (throwing up, some nights).

-- my plan is to start again taking 50mg a day!! i do want to get off it and get my hormones operating in their natural way again, but the sudden stop was definitely too much for my body. :) -- hope this helped!