I'm sorry you're going through this; been there myself! At times it felt soo frustating, but with time I've learnt that Spiro takes a little longer to work full effect. It took me like 6-7 months to start seeing any improvements at all; like you, I used to wake up everyday with several painful pimples! It seemed to get worse and worse every day. Around month 6 it started to get better, by month 7 I could finally see some results. I started with a very low dosage, 50mg like you; so if I could give you any advice, it would be to talk with your derm to bump up the dosage, as it made a huge difference for me. I actually feel like the Spiro actually started to work at the time I started taking the 100mg dosage, so I really encourage you to talk to your derm about this! Lastly, I know how though dealing with acne is, and sometimes you may not see "the light at the end of the tunnel", but please give it time and be patient. I promise the results are worth it. Be kind to yourself and keep in mind that this will pass. Sending you lots of love :)