It took me about 3-4 months to see results. I am currently taking 75mg, but will move up to 100mg in a few weeks. I THINK i had an initial breakout but it's hard to tell what caused what. But there was a point where my skin got really really bad and I was wondering if it was the spiro. I use Jane Iredale makeup ... which is the BEST! It's all natural and actually can be helpful with acne. Go to that website and read about it. As for cleansing, I simply use cetaphil and then dermalogica microfoliant like every three days.
Good luck everyone!!!
Stay with aldactone....don't give up too early.
My Derm. told me that in most cases when you see a pimple on the surface of your face, that started growing 3 months ago....HARD to believe, huh?