[acne] Ways to prevent an initial spironolactone breakout? Also, best practices? (What do you wish you'd known?)

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Hi, my doc just put me on spiro (starting at 50mg and then ramping up to 100mg in a week or two if well-tolerated). It seems that some people have an initial breakout and some people don't (it doesn't seem to be as nearly-universal as using retinols, etc). I'm wondering if there's anything I can do to lessen/prevent probability of an initial breakout. Because ugh.Also, if you've been on it, what are the best practices that make it work best for you? Totally down with drinking lots of water, avoiding potassium...but beyond that, I figure I'll just stick to my normal routine which works ok but doesn't fully ever get rid of my hormonal acne, and just see what happens with the addition of spiro.Thanks!!
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Submitted by chirple