Spironolactone

Has anyone taken spironolactone for HS? I don’t think clindamycin cream + antibiotics is sustainable. I’m in school with no regular access to a derm, so I will be making a telehealth appointment to discuss this. But is it worth it? Is it better than the cream + antibiotics combo? I’m actually desperate for any recommendations. My flare ups occur mostly on my labia majora and the crease between my inner thighs and vag. It’s incredibly uncomfortable to walk and I start classes in 5 days.

On the bright side it seems the flare ups have split between bursting, or just slowly decreasing in size until it’s gone. Either way I can’t live in my bed with no pants on at school lol.