should i give up on spiro?
have a derm appointment next week and I’ve been on spiro since September. started at 25mg, then 50mg, 100mg, and now 125mg, and I’m still breaking out.
my acne has never been super severe, but it’s been very persistent. I get around 2–3 pimples every few days, and they clear fairly fast but always leave behind scars/hyperpigmentation.
I’m also on a topical retinoid and azelaic acid, but I haven’t really seen much improvement in my skin texture or pigmentation from them either. my derm is suggesting accutane, but I’m honestly really nervous about the side effects. I asked about going up to 150mg of spiro first, but she said if I’m not improving on 125mg, 150mg probably won’t make a big difference.
it’s frustrating because my acne isn’t severe, and yet it feels so persistent compared to people with worse acne who seem to get results faster.
I honestly just feel a bit stuck because it feels like I’ve tried a lot and nothing fully works for me.
has anyone been in a similar situation? any advice would be appreciated