Dermatology Questions? Ask an Online Dermatologist.
Hello and welcome I'm Dr Chip
I fully understand your concern here
I have several patients on spironolactone for their acne long term
I assure you it doesn't lose its effectiveness but sometimes the dosage does need to be increased.
But once I got my patients up to the 100 mg level, they were fine and the medication remained totally effective
Please let me know if you need any more information
They did just fine once we got to the 100mg point and so will you
Please remember to rate my service to you so I can get credit for my time
No to any significant weight gain
Omega 3 fatty acids can exacerbate a skin oil problem
Entirely my pleasure