Spironolactone
"I have struggled with severe acne on my face, chest, and back since I was 14 and I am now 22. I had cystic acne that was so painful and embarrassing that I would often cancel plans so I wouldn't have to go in public. I have seen multiple doctors and dermatologists and nothing has worked for me. I have tried everything but accutane because I'm too scared about the side effects. I wanted to try spiro because my sister who had acne worse than me is taking spiro and it completely cleared her acne. I started at 50mg per day in April and it did cause an initial flare up but after the flare up subsided I didn't get anymore cystic acne. I still got smaller spots of acne but no more painful cysts. Now I am at 75mg per day and I hardly ever get acne!"