On 8/31/2017 at 5:56 PM, destinyreanne said:

Hi everyone, I have been on 50mg once a day since April of 2016. It seriously worked like a miracle from April 2016 to June 2017. The past couple of months I have been breaking out inconsistently. Sometimes multiple breakouts a day, sometimes once a week.
My dermatologist suggested upping my dosage to 50mg twice a day (so 100mg total) and she thinks that will get my skin back in order.
When I first started last April I was breaking out a little more but the acne would show up and go away in the same day. I did not have any severe cysts and by August my skin was nearly perfect with no scarring and just a breakout here and there. From September to June I may have had a pimple twice it was incredible.
My question is for anyone who has increased your dosage what was your skin's initial reaction? Did you break out more and if so how long did it take to clear up?
I asked my doctor about my skin flaring up with the increased dosage and she stated that spiro is not a medication that causes acne to come to the surface and purge and that I should see positive results immediately.

Any comments and personal stories you could share I would really appreciate it!

Hi there! I wanted to share my experience. I have been on Spiro for almost 4 years now and have changed my dose a few times. I am at the highest dose I've been at 125mg/day. When I changed last winter, I did break out for a few months. Not as bad as the first breakout, but it was during winter and I do think my dry skin/lotion that I was using did not help. once I stopped using the Cerave and switched to the acne.org glycolic AHA moisturizer my skin cleared up. I also used the makeupartistchoice home peels to help. Honestly, doctors don't really know how you will react, it is hormonal and it takes 2-3 months for your hormones to balance out. Did you get your hormones tested to see what was going on, if anything changes in the last year? Dairy and sugar free help keep me free and clear on Spiro and highly recommend to anyone as well. Let me know if I can offer any other support or experience.