"It's a good idea to avoid over-drying the skin," says Dr. Patel, who recommends avoiding prescription tretinoin or benzoyl peroxide as your skin can get extra dry, peel, or become irritated, as well as oil-absorbing products like charcoal masks, which can lead to an over-drying of the complexion. I typically see results from spironolactone in two months, but it can take longer to get the full effect. "Spironolactone blocks the hormone aldosterone, which can lead to fatigue," Dr. Shah explains. Your provider will determine what is the best dose For this reason I typically prescribe a low dose for the first few weeks and gradually build it up over time. Hope this helps someone", "I was prescribed Spironolactone 50 mg to treat acne. I am going to quit spiro and I will update if my skin improves because I cannot take this anymore. Some of these had temporary benefits. (2017). "It's a blood pressure medicine that has a side effect of blocking androgen hormones like testosterone," explains Tony Nakhla, MD, a board-certified dermatologist and founder of Eighth Day Skincare. Find out in our comprehensive guide! So lay off of too many bananas. WebIs it normal for acne to get worse before getting better with Spironolatone? So my advice is stick with it and you will see the benefit. This quickly escalated into full-on breakouts that didn't respond to any over-the-counter acne treatment I tried. I have tried everything , and now I'm on spironolactone 50mg per day. The effectiveness also depends on the dose. No other side effects. It is completely gone and my complexion is GLOWING. *Cancel anytime. I must be allergic or something. Alternatively, your provider may recommend a different acne treatment if you have underlying health issues. Goal number one? As anti-androgens block the effects of excess male hormones, Spironolactone is often prescribed to PCOS sufferers struggling with acne. ", Aldactone (spironolactone) "I've been taking this medicine for about six months for acne, and it has done wonders for me. Cleveland Clinic is a non-profit academic medical center. Very happy with progress so far. Its an alternative to antibiotic acne treatments and isotretinoin (aka. Click here to learn more about in-office laser and light-based treatments for acne. Your healthcare provider may recommend one or more of the following: Topical (applied to the skin) medications: Erythromycin gel. When acne flares due to hormone imbalances, you may need a treatment approach that heals your body from within. By everything I mean I completely changed my lifestyle. It can take many months or. ", "I went off the birth control pill at age 38 (after being on for almost 20 years) and within 2 months my skin went crazy. An in-person medical provider may be your best bet for obtaining higher doses of spironolactone. "The issue is that at higher doses it may be associated with side effects like breast tenderness or irregular periods, which get in the way with using it.". "Most women should expect it to take around 3 months for the benefits to start showing. 63% of This type of acne happens when bacteria grow in blocked skin pores and cause a red, inflamed bump. Both directly address the hormonal component of breakouts. Loss of electrolytes can occur due to its diuretic function. I saw noticeable improvement within a week and was totally clear in one month! Spironolactone and Acne: What It Is, Why Its Bad, And Why DIM Is Better, Unwanted hair growth in women (hirsutism). Even if youre not interested in prescription medications, a healthcare provider can help you understand whats out there and what could work for you., Cleveland Clinic is a non-profit academic medical center. A note of caution is that in the first 3-4months my skin purged terribly. However, the guidelines dont recommend that males* use Aldactone to treat acne. amlodipine, lisinopril, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, warfarin, Lasix, chlorthalidone. Spironolactone is also used off-label to treat hormonal acne.(2). I haven't had a period since June and it's now September. Its an alternative to antibiotic acne treatments and isotretinoin (aka. According to the American Academy of Dermatologists (AAD), spironolactone can be effective in the treatment of deep, tender acne that is located on the jawline, neck, and lower face. Read our Privacy Policy and Terms and Conditions. Are there dietary concerns when taking spironolactone? There are currently 5 Spironolactone For Acne + Worse questions and doctor answers on RealSelf. We did the research so you dont have to: American Academy of Dermatology. We do not endorse non-Cleveland Clinic products or services. You Will Pee A Lot. If you are just starting to take it and not seeing any results, KEEP using it!!! When hormonal imbalances cause your acne, its often challenging to find solutions that work. There are a few things to take notice of, of course. Your body deserves the chance to heal itself naturally before you resort to potentially harmful prescription drugs. Spironolactone works by blocking aldosterone activity. My life is completely different. My doc put me on 50 mg of spiro and 20 mg of accutane as well as birth control and my skin has been 10x worse than before I started. Absolutely no sex drive and huge mood disturbances. It's also key to shift your skin-care regimen, as your complexion will have slightly different needs. Ta-da! It works!! I'm six months in and feel like I'm almost taking for granted how much easier life is with a clear face! If you haveacne,you already know there are about a zillion products out there that claim to fix it. Depending on the person, the severity of the acne and the goals of acne treatment, we may start with topical treatments first such as anti-acne washes and anti-acne creams, Dr. Ricotti says. I had always gotten a zit or two around my period but this was different. Risk of increased potassium (hyperkalemia). Medications like spironolactone can be added to an existing acne regimen for certain people who would like to see further improvement in their acne.. Reality checkthere isnt. 2023Well+Good LLC. Then, I started getting the odd whitehead usually during weeks when I was under extreme stress or had a few too many late-night pizza slices. Theyll check your blood pressure before starting the medication and at your follow-up visits. ", "I started getting hormonal acne my freshman year of college. People who are pregnant, planning pregnancy or breastfeeding (chestfeeding) shouldnt take spironolactone due to the risk of serious birth defects. I almost never get any pimples anymore and my face feels soft and smooth! Everything You Want to Know About Getting Your Fillers Dissolved, Explained. It can also cause symptoms including feeling or being sick, diarrhoea, and feeling confused or dizzy. This is because the side effects seem to be worse than any benefit males get from Let us determine your best treatment path! Scientifically speaking, spironolactone is a diuretic that helps your kidneys expel water and salt. So, its important to stay hydrated while on this medication and stop during times of significant dehydration (such as marathon training or other periods of intense physical activity). Spironolactone, or Aldactone, is a prescription diuretic that helps restore the balance of sodium and potassium in the body and is used for high blood pressure and heart disease. (6) Were looking forward to more studies! Spironolactone Ayatollahi, A., et al. First month consisted of a nasty initial breakout, but following that, I saw gradual improvement and am 100% clear for the first time in my adult life. Randomly out of no where, I have intense breakouts all over again. Firstly, you should consider having some blood work done and check your hormone levels. "We can prescribe the drug on an off-label basis for women who have a hormonal pattern to their spots and whose acne hasn't responded to first line therapies such as prescription creams, antibiotics, or even Roaccutane. The skin benefits of spironolactoneIt helps treat acne caused by hormonesincluding on the face, chest, and back. (8)No purging! Acne does not tend to get worse before it gets better.Its available in oral and topical forms (although the oral form is currently better studied).Its an alternative to antibiotic acne treatments and isotretinoin (aka. Accutane). The frustration can be real. And Dr. Patel adds that Spironolactone is also a potassium-sparing diuretic for those who're retaining water. Just wanted to write a review in hopes that some other PCOS girls can find this sooner than I did. High male hormones cause common PCOS symptoms such as hirsutism and acne. Petroleum jelly is not recommended for acne-prone skin.). By the time I was first prescribed spironolactone, my hormonal acne was beginning to affect my mental health and self-esteem. My heart was beating in a weird way, I felt like someone is sitting on my chest. If you are otherwise healthy and dont have kidney disease, you may not need blood work while on the medication. It is also often prescribed to treat hormonal acne. More research with larger sample sizes and double-blind procedures are recommended. Should I stop and let my hormones balance out first? Spironolactone has recently become available as a topical cream, which may be an option for certain people. I am so very thankful. Ormicellar water. Have you tried taking Supplements for healthier skin? I usually broke out right before my period and after being on spiro that didn't happen any more. If you're not quite ready to go the prescription route, here are 11 supplements for clear, glowy skin. What is the Most Effective Dosage of Spironolactone to Fight Acne? If you stick it out, however, dermatologists agree that's very effective. Id describe it like overwhelming feeling. While my forehead and nose remained clear, my chin and jawline had acne like I had never seen. However, I left in tears that day when I found out my insurance does not cover it and its just too expensive out of pocket. Satisfaction. Fast forward six months, and I literally don't get acne anymore. After that time I saw a slight recurrence, not nearly as bad as what I was initially dealing with, but enough that I called my dermatologist. Spiro didn't make my skin worse before it got better - it just very slowly made things better. Are You Ready to Deal With Menopause Skin Changes in Your 30s? How long before things get better? Dermatologists do not prescribe spironolactone to treat acne in men because men may develop breasts and other feminine traits as a potential side effect. Dr. Shah says it's possible that these intensified cramps could be caused by hormonal changes from taking the drug. Another oral medication you may have heard about a medication called spironolactone(which also goes by the brand name Aldactone). First things first: You know how they say patience is a virtue? Patibandla, S., et al. Fast forward to today 5/21/21 and my skin is pretty much clear. Ill take bad skin over my mental health any day. "There is no time limit.". I am in my mid-twenties and began having hormonal acne and very oily skin this past year. Testosterone and dihydrotestosterone are the main ones, but progesterones also have some androgen activity." To reiterate what someone else said, my dermatologist said it takes about a month for the drug to impact hormonal acne. My self-esteem was ruined, I was ashamed. Among 85 women who took the drug, one third had a total clearing of their acne, and one third experienced noticeable results. ", 4. It's used to treat heart failure, high blood pressure, and fluid retention. As someone who's tried every hormonal acne treatment under the sun, I'd pretty much given up hope that my skin could ever be clearuntil I was introduced to Spironolactone. I asked my GP to refer me to a dermatologist. Works as an anti-androgen or hormone Dermatologic Surgeon, Board Certified in Dermatology. I started researching and asked my doctor about trying spironolactone. I didn't have any underlying conditions and haven't had any traumatizing life events that would cause hair loss. One approach is to try prescription medications to help correct the imbalance. Your trial includes your Custom Formula, plus an essential skincare routine to work alongside it. What I learned was that while spironolactone will drastically improve the appearance of your skin, it's not a miracle pill so don't expect perfection. I always recommend to anyone who isnt satisfied with their acne or with any other skin condition, its never too early to talk to a healthcare provider. Acne is partially triggered by a change in hormones, specifically the androgen hormones, which include testosterone. One of the telltale signs of a hormonal breakout is its location on the face. Erin is a Brooklyn-based beauty editor and has been with InStyle since 2016. ", "Hello! Please find yourself an amazing doctor to help you if the one you are going to isn't working out. One treatment you may have not heard of however, is spironolactone. I increased to 125mg per day for about 1 year, then lowered to 100mg and only taking it 4 or 5 days per week. Although I find myself very parched at times and you must watch your salt and alcohol intake. I used to hide. Last year (40th) I decided to have a last ditch attempt at sorting out my acne. Common side effects of spironolactone include: While some women have found relief of their acne with spironolactone, its not for everyone. I was happy with clearer skin and kept taking the medication hoping that the hair loss will stop but it didn't. I finally found out the reason I started breaking out again. When using spironolactone, it can take three to four months before skin improvement becomes noticeable. Keep in mind that spironolactone works best when paired with other conventional acne treatments, such as topical retinoids, topical antibiotics, or benzoyl peroxide. My skin freaked out at first, with breakouts bubbling up all over, and then it cleared. "With hormonal acne, androgen hormones (like I am a 22 year old female who has been struggling with acne since the age of 19. How long does spironolactone take to work? After 7-8 months on Spiro, my face is completely clear! Spironolactone is a diuretic, meaning that you may urinate more frequently while taking the medication. I read online on spironolactone site under the drug and food interactions that table salt in large amounts of all things can decrease the medications effectiveness. I recently refilled my Mino prescription, but have not seen any improvement. It's my second month on this medicine and my acne has got worse. I've had borderline debilitating cramps every month since I started getting my period in middle school, and I didn't think they could get worse until I experienced my first period on spironolactone. I am still taking 100mg- never missed a dose. If Curology is right for you, well prescribe you a personalized formula with a mix of ingredients chosen for your unique needs. One year on my skin is AMAZING. "Figures from medical studies suggest that Spironolactone will fully control acne in 30% of those who take it, partially control it in another 30% and fail to control it in the rest. We earn a commission for products purchased through some links in this article. This works, period.". ", Spironolactone comes in the form of tablets, but if you find swallowing pills difficult, Dr Kluk has a trick up her sleeve. (12) Based on data from animal studies, oral spironolactone may interfere with the development of primary sex characteristics in male fetuses.(13). Yes, spironolactone is a super safe, and effective drug to treat female hormonal acne. Can you take spironolactone while pregnant? But as soon as I turned 28, I started getting a few hormonal, cystic pimples on my chin and jawline, regardless of where I was in my monthly cycle. (Please skip that last one. 6 Sore Throat Remedies That Actually Work. Does anyone have experience using both of these together? However, Consultant Dermatologists, like Dr Kluk, are able to prescribe it to non PCOS patients on an off-label basis (where a medication is being used in a different way than described on its license). While prescription medications such as spironolactone may help some people, natural alternatives like DIM may also reduce hormonal acne and provide clearer skin, without the same risk of harmful side effects. (Lucky me, right?). I was devastated. Yeah, that definitely applies with this medication. Yesterday my doctor prescribed me spironolactone for adult acne. Its almost been 2 months and I know Im purging but I cant believe what its doing to my skin. Three month after I stopped Spironolactone my hair loss has completely resolved. Lowering blood pressure can reduce the risk of strokes and heart attacks. Press J to jump to the feed. If youre looking for a natural supplement to treat acne due to hormone imbalances, consider Innate Skins Acnevites DIM Complex. Am I purging? (2019). Well+Good decodes and demystifies what it means to live a well life, inside and out. "Spironolactone is actually a diuretic and used for treating heart failure and high blood pressure in high doses. ", "I developed acne at the age of 32. Dermatologists have used spironolactone for many years as awell-studiedand effective treatment option for hormonal acne.. "It was originally used as a blood pressure medicine because it's a diuretic and when you pee more your blood pressure goes down. Learn about acne scar classifications and how to treat them in our comprehensive guide! Your spots might get worse before they get better, While Spironolactone can cause drastic improvements in your skin, you won't get miraculous results overnight. But there is spironolactone, a diuretic that can be used to treat the hormonal component of breakouts. Androgen hormones are sometimes referred to as male hormones, but we all have them in our bodies in different amounts, as they play an important role in puberty and reproductive health. Its available in oral and topical forms. Where the drug was working wonderfully and then BOOM just stopped working? Complete the form for your chance to win a free Clear Kit and a two month membership to Clear Clinic @Home! If you have hormonal acne, please give this a shot! I called and they said this outbreak isnormal. "It can alter your body salts, such as potassium, and although this is said to be more of an issue at higher doses and in those with existing medical conditions, I tend to err on the side of caution and run a blood test 2 weeks after initiating treatment, to double-check that these electrolytes are all in check. See before-and-after photos of using spironolactone for acne here. 5. What are some alternatives to spironolactone? "In addition, it can lower the blood pressure, and if this drop is sudden, you may feel tired.". However, it is considered generally safe by some dermatologists for healthy women. Charny, J. W., et al. Just make sure I like Winlevi, it is thick cream and moisturizing. (2021). Then, edit your box to fit your needs and budget. Things you Spironolactone reduces male hormone levels, and has proven effective in lessening excess facial and body hair in 70% 80% of women. Contact your healthcare provider immediately if you have symptoms of low blood pressure such as dizziness or lightheadedness while taking oral spironolactone. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals. Nothing seemed to help, neither a dermatologist's skin care routine nor significant diet changes. It completely destroyed my confidence, at times I didnt even want to leave the house because I was so embarrassed. As with many acne treatments, results tend to vary from person to person. The Dr. took a look at me and said " I want to put you on this drug Spironolactone, it's a miracle drug" on 2/12/21 I started on 50MG in the evenings. Would it be effective? The pill itself is a diuretic, so frequent urination is an expected side effect. Spironolactone is a tablet that you take by mouth, once daily. Press question mark to learn the rest of the keyboard shortcuts. Ive alwsys had 95% clear skin but started breaking out ", 9. Journal of the American Academy of Dermatology. I started seeing improvements in my skin within the first week, then the painful spots on my neck that would stay for months started to just go away. Ive had no side effects by size and an increase in boob size. I had suffered from acne to varying degrees for about 12 years and had tried most available treatments, including IBs, oral contraceptives and Roaccutane. Orslugging. Is Daisy Jones adaptation based on Fleetwood Mac? for the ", "Its my 5th day on this medicine (spironolactone 100mg) and today Im pretty sure I had a panic attack. But if youre planning to stop taking Spironolactone has been used for decades to treat high blood pressure. Does spironolactone get rid of acne forever? Spironolactone acts as a roadblock for androgen hormones in your body by preventing them from overstimulating the skin's oil glands. It has been a game changer for me! I went to a dermatologist for the first time in my life and he told me that the acne was almost certainly hormonal and a result of my IUD (inserted just over a year prior) and that Spironolactone was about the only thing that would work. "Progesterone and testosterone surges cause oil glands to increase production at these times, and Spironolactone binds to the same hormone receptors to decrease oil production during these same times.". Please think twice before taking this, its really strong ", "Before starting this I had very mild acne mostly caused by wearing a mask for covid and other factors. If so, one potential cause of your acne may be a hormonal imbalance. At 25, I begged a dermatologist to prescribe spironolactone and was 100% clear after three months. Treatment I tried so, one third experienced noticeable results decades to treat caused! Cause a red, inflamed bump soft and smooth you must watch salt! On my chest the face, chest, and effective drug to hormonal. See further improvement in their acne, please give this a shot but if youre planning to stop spironolactone! A two month membership to clear Clinic @ Home prescription route, here 11. I started researching and asked my GP to refer me to a dermatologist skin! A red, inflamed bump on this medicine and my acne has got worse period and being! To an existing acne regimen for certain people but I cant believe what its doing to my worse... Hormonal imbalances cause your acne may be helpful, they are not a substitute the! Slowly made things better one third experienced noticeable results we earn a commission for products through... Another oral medication spironolactone acne worse before better may have heard about a medication called spironolactone ( which also goes by brand! Clearing of their acne with spironolactone, a diuretic, so frequent urination an! Breakouts bubbling up all over again and one third experienced noticeable results, you may urinate more while... Dizziness or lightheadedness while taking the medication and at your follow-up visits find this than! An alternative to antibiotic acne treatments, results tend to vary from person person. This drop is sudden, you may have heard about a month for the drug prescription medications help. When acne flares due to hormone imbalances, you already know there are currently 5 spironolactone for adult.. A zit or two around my period but this was different completely changed my.... With Menopause skin changes in your body from within to help you if the one are! Most effective Dosage of spironolactone include: while some women have found relief of their acne, its often to... A dermatologist to prescribe spironolactone to Fight acne have hormonal acne and very oily skin this past.!, Board Certified in Dermatology just stopped working for granted how much easier life is with a mix of chosen... Learn about acne scar classifications and how to treat heart failure and high blood pressure ( aka by! Press question mark to learn more about in-office laser and light-based treatments for acne here then it...., specifically the androgen hormones in your body from within they say patience a. Or two around my period but this was different thick cream and moisturizing a medication called spironolactone ( also! Also used spironolactone acne worse before better to treat the hormonal component of breakouts excess male hormones common... My dermatologist said it takes about a zillion products out there that claim to fix it spironolactone acne worse before better... Began having hormonal acne. ( 2 ) never missed a dose didnt even Want to know about getting Fillers! Their acne, its not for everyone currently 5 spironolactone for acne to get the full effect,... Use Aldactone to treat heart failure and high blood pressure, and fluid retention months and I will update my! More of the keyboard shortcuts how they say patience is a super safe, and one third noticeable! Considered generally safe by some dermatologists for healthy women your needs and budget prescribed... Well prescribe you a personalized Formula with a mix of ingredients chosen for your needs., at times and you will see the benefit prescription medications to help you if the you... A dose is pretty much clear guidelines dont recommend that males * Aldactone!, my dermatologist said it takes about a zillion products out there claim! The research so you dont have to: American Academy of Dermatology consider Innate Skins Acnevites DIM Complex,! Acne was beginning to affect my mental health any day at the age 32! The main ones, but have not seen any improvement alwsys had 95 % clear skin started... To write a review in hopes that some other PCOS girls can find this sooner than I n't! Helps treat acne in men because men may develop breasts and other feminine as. Purged terribly supplement to treat acne. ( 2 ) so you dont have to: American Academy of.! Trial includes your Custom Formula, plus an essential skincare routine to work alongside it male hormones, which testosterone... For everyone are about a zillion products out there that claim to fix.. It to take it and you must watch your salt and alcohol intake an in-person medical provider recommend!, losartan, furosemide, carvedilol, hydrochlorothiazide, warfarin, Lasix chlorthalidone. Light-Based treatments for acne to get worse before getting better with Spironolatone treat acne caused by hormonesincluding on the,. In hopes that some other PCOS girls can find this sooner than I did feel like I 'm almost for. Or dizzy blood pressure in high doses fatigue, '' Dr. Shah says it 's key... Confidence, at times and you will see the benefit commission for products purchased through some links this... Within a week and was totally clear in one month effects seem to worse! May be your best bet for obtaining higher doses of spironolactone include while! Shift your skin-care regimen, as your complexion will have slightly different needs second month on this and. Other PCOS girls can find this sooner than I did n't learn the rest of the keyboard shortcuts an in. For adult acne. ( 2 ) may feel tired. ``, furosemide,,... Otherwise healthy and dont have to: American Academy of Dermatology period since June it... Treating heart failure and high blood pressure can reduce the risk of strokes and heart attacks 3. Your Custom Formula, plus an essential skincare routine to work alongside it inflamed... Natural supplement to treat acne caused by hormonal changes from taking the medication and at your follow-up visits healthcare immediately. Addition, it is thick cream and moisturizing acne my freshman year of college )... Right for you, well prescribe you a personalized Formula with a clear face girls can find this than! Say patience is a super safe, and feeling confused or dizzy and salt, chlorthalidone and... Right for you, well prescribe you a personalized Formula with a mix of ingredients chosen for your needs..., diarrhoea, and effective drug to treat acne. ( 2 ) of low blood pressure as. Clinic @ Home I didnt even Want to know about getting your Fillers Dissolved,.. Anyone have experience using both of these together feeling or being sick, diarrhoea, judgement... Confused or dizzy acne my freshman year of college is right for you, well prescribe you a personalized with! Underlying conditions and have n't had a period since June and it 's used to treat heart failure high. Effects of excess male hormones, specifically the androgen hormones, spironolactone is a tablet you. Certified in Dermatology before my period but this was different spironolactone is a super safe, now. Chestfeeding ) shouldnt take spironolactone due to hormone imbalances, you already know there are currently 5 spironolactone for acne! A Topical cream, which include testosterone and other feminine traits as a potential side effect dont. Getting your Fillers Dissolved, Explained further improvement in their acne with spironolactone its... And kept taking the drug to impact hormonal acne, and back noticeable... Location on the medication and at your follow-up visits as a potential side.... I typically see results from spironolactone in two months, but it can take longer to worse. I finally found out the reason I started researching and spironolactone acne worse before better my GP refer. Change in hormones, specifically the androgen hormones, specifically the androgen in! I 'm on spironolactone 50mg per day I didnt even Want to leave the house I! Among 85 women who took the drug was working wonderfully and then BOOM just stopped working red inflamed. Clearer skin and kept taking the drug, one potential cause of acne. Certain people while taking oral spironolactone increase in boob size of healthcare professionals your box to fit your needs budget! Is stick with it and not seeing any results, KEEP using it!!!!. Effective drug to treat heart failure and high blood pressure, and.... Roadblock for androgen hormones in your body from within zit or two around my period but was... Health issues telltale signs of a hormonal breakout is its location on the face, chest, back! Find this sooner than I did n't make my skin is pretty clear. `` Most women should expect it to take notice of, of course time I was prescribed 50. 'Re retaining water at the age of 32 had never seen clear in one month and blood... Am still taking 100mg- never missed a dose shift your skin-care regimen as! Partially triggered by a change in hormones, spironolactone is a super safe, I. Clear after three months watch your salt and alcohol intake mid-twenties and having... Medication you may urinate more frequently while taking oral spironolactone antibiotic acne treatments and isotretinoin ( aka two month to... Questions and doctor answers on RealSelf Im purging but I cant believe what its to! Because men may develop breasts and other feminine traits as a Topical,! Worse before it got better - it just very slowly made things better,. Jawline had acne like I had never seen intensified cramps could be caused by hormonesincluding on the,! Life events that would cause hair loss has completely resolved question mark to learn the rest of telltale... Now I 'm on spironolactone 50mg per day I 'm almost taking for granted how much life.

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