A generic high blood pressure drug has become the most commonly prescribed oral medication to treat acne in women, overtaking antibiotics and birth control pills, a new report from Epic Research shows. The report, conducted on behalf of NBC News, found that spironolactone made up 47% of all oral medications prescribed to women for acne in 2023, up from 27% in 2017. Prescriptions for oral antibiotics — previously the go-to pill for acne — decreased from 41% to 27% in the same time period.
Patricia Oyetakin, a dermatologist at Medical Dermatology Specialists in Atlanta, is among a younger generation of doctors who learned about spironolactone in medical school. “If it’s hormonal acne, I will always have the conversation about spironolactone,” she said. That patient, Oyetakin said, is typically “still having her menstrual cycles, late 20s and onwards in age and having the hormonal pattern acne.” Hormonal acne appears on the lower face, chin, jawline and neck, she said.
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