My dermatologist gave me doxycycline, spironolactone and birth control to help with my moderate hormonal acne. Anyone have experience with this? Is this combination safe or too much?

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I would say it is safe if both a doctor approved it and a pharmacist approved it to be filled...

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It was neither snarky nor unhelpful. You asked if it was safe?

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I’ve tried all three as well! I thought doxy worked the best for me personally when used for a short period of time. I went off of birth control because it caused melasma to form on my face, which is nearly impossible to reverse and is worse than any acne I had before! Or is at least more frustrating. I would suggest getting a blood test with a hormone panel and then focusing on that. What I didn’t like with these pills (other than melasma) is that you obviously can’t take those when trying to get pregnant, and while I’m not trying right now, I will eventually and didn’t want to have this rebound effect once I came off of them. I slowly weaned myself off of them and started trying to address the underlying causes instead which has worked great!

What did you do to address the underlying causes?

I was put on all. I was prescribed yaz but I don’t think it helped much. I still had cystic breakouts with both spiro and doxy (not at the same time) but was much less than if I didn’t take them. Plus I didn’t want to keep taking them long term. My last resort was accutane which made my face clear. I wished I’d taken them sooner because the side effects weren’t that bad for me - dry eyes/skin/lips and some muscle aches. Skin has been pretty clear, except for some occasional zits, since I last took it 2 years ago.

I was put on doxy 6 months ago and cleared up immediately but then it slowly started coming back. My derma then a month ago put me on birth control and now that’s working wonders. Hoping these results last!

IMHO and experience look at your diet first - western medicine docs operate in a silo and always go drugs first and functional medicine will help you get to the root of the problem. Though it won’t likely be covered by insurance, you’re better off long term.

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