This archived forum used to be called 'Peatarian' (in reference to Ray Peat).

What do You Think About Spironolactone For Acne?

I am starting to think this diet is making my skin worse! I thought I was just getting my usual PMS breakouts but they're not going away and I think they correlate with the increased dairy, sugar and caffeine - NONE of which I used to eat. These pimples are more cystic and painful and they are taking forever to heal. My face also seems more blotchy and red looking.

I refuse to take the pill, but was wondering what the verdict is on spironolactone.

I know it's an anti-androgen, but I'm confused at whether it's anti or pro estrogenic. When I took it very briefly a few years ago my skin was 100% flawless.

Aside from my Retin-A which helps a bit, nothing topical seems to work with this type of acne so I feel like I need an internal solution. I have been supplementing with Nutrisorb A for almost a month - up to 20-30 drops daily but it's done nothing. Also started with Progest-E.

I like this diet a lot but I am getting rather desperate for a solution to the skin issues...

asked Mar 13, 2013 by ilovethesea
reshown Mar 7, 2014 by ilovethesea
Do you eat oysters? liver? Too much vitamin A can give you acne as well as not enough.
Ray Peat: "Acne remedies – thyroid and vitamin A. Skin and intestine are very closely connected, so don’t eat any foods that aren’t well digested. These can contribute to inflammation and problems with excreting fats, which cause intestinal irritation"

3 Answers

I've never used spironolactone so I can't advise. I think it is anti-androgenic. I would give the progesterone at least a cycle or two before deciding.

How much PUFAs have you consumed in the last few years? That is definitely a factor. Are you using coconut oil and aspirin to block the effects?

For the redness and blotchiness you might try red or blue LED light, possibly both, and some products to calm your skin. Something that contains niacianamide and n-acetyl glucosamine might be useful once your skin clears up to get rid of scars:

I recommend NCN Rhassoul soap also; it is made with good oils like palm and coconut oil and is one of the best things I've ever used on my face.

Bathing in Epsom salt and baking soda might also help as well as radically increasing your salt intake. Double the amount you are using, it will help relieve stress.

answered Mar 13, 2013 by darth mall
I think blue light is toxic.
Thanks for the info on blue light; I wondered about it.

How's your metabolism? Raw carrot salads, aspirin, baking soda could help. I would ask Ray Peat for advice on use of spironolactone, though I'd be surprised if he thinks it's fine.

answered Mar 13, 2013 by anonymous

maybe you should stop taking vit A.

answered Mar 14, 2013 by Nemesis