Spironolactone for acne okay?
Small potatoes question, but has anyone here been cleared to use spironolactone (oral or topical) for acne? My new dermatologist has suggested trying the topical version (compounded, not Winlevi) for recurrent cystic acne on my cheeks and chin that tretinoin has not helped. I am aware that this medication acts as a hormone blocker and I don't know if that's a good idea for me to use. I am going to message my gyn onc and breast onc to see if they have an opinion, but I'm curious if anyone here has experience with this so I know if it's even a reasonable ask. :)
Background, I got my tubes out last year due to my BRIP1 mutation, and will keep my ovaries for about five or six more years. I'm having my PDMX in less than three months. No BRCA mutation, but high risk for BC due to extensive family history of TNBC.