Spironolactone
"I usually suffer from cystic acne on my cheeks, RARELY on my chin or forehead. I never really considered my acne to be hormonal because in the summer I have clear skin, but when I go back to college I break out. I've been on the same BC for about 4 years btw. I went to my dermatologist and she prescribed me 25 mg daily of spiro. I stuck with it for 7 weeks, but here I am at 7 weeks looking WORSE than ever before!! I have break outs in places I never had before. I would rather have dealt with my mild cystic acne on my cheeks than this stuff. I know it works for a lot of people, but clearly not for everyone. This past week I've been severely depressed due to just how terrible my skin looks. I'm discontinuing the use of spiro."