Acne didn’t take hold of JJ Boparai’s skin until she was in her late 20s. “I’d never had acne like this, my face was just covered,” said the 31-year-old from Metuchen, New Jersey, adding that experiencing acne as an adult was “horrible psychologically.” Boparai’s breakouts — which she described as “very cystic, like a lot of under the skin, big, painful, ones, a lot on my chin and cheeks” — were stubborn.
“If we could use more spironolactone, that might help us use less antibiotics,” said Barbieri, who also co-chairs the group’s acne guidelines work group. “That’s going to create less antibiotic resistance in the community, and less antibiotic-associated complications for patients, like disrupting the microbiome.” Is spironolactone safe for acne treatment? Spironolactone isn’t approved by the Food and Drug Administration for acne and is prescribed off-label.