well I have tried erythromycin, tetracycline, minocycline, birth control pills, retin a, metrogel, clindagel, duac, not too mention all the over the counter meds....benzoyl peroxide, sulphur, etc...well I have been on spironolactone for 1 year now and my skin is nearly perfect. I do have spots from scarring, but nothing big. I am a 32 year old female, acne got worse with each pregnancy, so I think my acne was mostly hormonal maybe. But anyway I am on 100 mg a day, and it's not too expensive at all...$15 co-pay for me!

Hello: The best thing to tell you is get the doctor to lab test the acne to
find out what the acne reacts to the best. That's the medication, soap, cream etc that will work the best. We were lucky & my sons doctor did that
and also informed us of why etc. End result, most commonly first medicine
given, tetracycline, would have done nothing for my sons acne. Because it
was not acne. It was a staph infection. Looked like acne, acted like acne and left scars like acne. I believe a lab test is the first thing everyone ought to
ask the doctor for and if he won't do it because he just knows these things, get another doctor. Save yourself time & money. Good luck.