<p>LasMa, does your D have acne related to hormones? If so, Accutane is not actually recommended … D has a fabulous dermatologist (Chicago) who explained this to her. D finally has found a combination that works for her: Birth control (tri-phase), Spironolactone (medium dosage - this drug is an anti-androgen & binds the free testosterone ), Retin A, and Panoxyl. This link explains a bit about hormonal acne: [Spironolactone</a> for Hormonal Acne](<a href=“http://acne.about.com/od/acnetreatments/a/spironolactone.htm]Spironolactone”>http://acne.about.com/od/acnetreatments/a/spironolactone.htm).</p>
<p>D’s acne had been under control with Benzaclin, but it suddenly got worse awhile back … guess the hormones were going nuts in her early 20’s. She also finds that nutrition and exercise are helpful from the standpoint of stress - her earlier acne issues were stress-related, so she has to watch that aspect in addition to the hormonal aspect.</p>