Should I increase my dosage after only 1.5 weeks?
I’ve been on tretinoin and clindamycin topical for about 3 years and my skin had been clear up until last year. I have been experiencing horrible hormonal acne for about a year. I tried doxycycline for 3 or 4 months which made my acne significantly worse. I stopped doxycycline and continued on my tretinoin and clindamycin topical but I keep getting deep cystic acne every couple days.
My dermatologist recently increased my tretinoin to 0.50% and started me on spironolactone 50 mg once a day for two weeks, and then told me to increase to 100mg. I think my skin is slowly clearing up, but not enough. I’ve been reading a lot of reviews on how their skin only started clearing on 100mg. My two weeks on 50mg will be in 5 days.
My question is, my derm recommended me to start 100mg two weeks after I’ve been on 50mg. Is it a bad idea to increase my dose before I was instructed to do so?