I've been on spiro for about a year. I take 50mg a day.
I also have low blood pressure, but it dosen't seem to
affect it. My gyno said that taking 50mg a day is not
strong enough to do anything, maybe that's why it took a year to finally work. You also have to go for blood
work every couple of months. I noticed that my skin is
less oily and I always use alot of oil free moisturizer. I've tried accutane twice, once for about
3 months and then a few years later for about 2 months, but it made me feel strange so I stopped taking it. Give the spiro a chance, but make sure you go for the blood work. I can't really say that I've had any side effects from it except frequent trips to the bathroom. Good Luck I hope it works for you.