I have had moderate to severe acne for about five years. For the past year I was taking spironolactone, 50 mg a day, and it worked fantastically well. I was actually getting compliments on my skin and could go out without makeup for the first time I can remember. About two months ago my doctor thought 25 mg would be just as effective....wrong. Within a week my skin was the worst I can remember. Now I am up to 75 mg but my skin hasnt improved at all. Not only am I severely broken out everyday, but my skin is painfully dry, irritated and bright red. Its a catch 22 because I'm broken out, but topical acne medication irritates my skin, and heavy mosturizers make me break out more. I feel hopeless, my self confidence is gone, and I will try anything! I even tried putting visine on my face to decrease redness (which surprisingly worked a little, but that may be in my head...).

I would really appreciate any responses. I'm feeling a little hopeless at this point and have no one to talk to about this, since all of my friends are blissfully unaware of what it means to have bad skin. Please respond with any advise or suggestions!!