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Re: PMDD - Premenstrual Dysphoric Disorder

Posted by SLS on November 18, 2000, at 17:54:47

In reply to Re: PMDD - Premenstrual Dysphoric Disorder, posted by Doug Anderson on November 18, 2000, at 11:47:22

Dear Doug,

Thanks for responding.

It is refreshing to see an algorithm that does not include drugs.


- Scott


> > Hi.
> >
> > I'm sorry if I am repeating something already covered, but I really have a hard time reading through entire threads.
> >
> > I'm sure you all know that Lilly has released a re-packaged and renamed version of Prozac (fluoxetine) named Serafem that is marketed specifically for PMDD.
> >
> > Has anyone used one of the SSRIs successfully for PMDD?
> >
> > - Prozac, Serafem = fluoxetine
> > - Zoloft = sertraline
> > - Luvox = fluvoxamine
> > - Celexa = Citalopram
> >
> > How about Effexor or Nardil?
> >
> > What is the current first-line treatment for PMDD?
> >
> > Are these drugs to be taken continually or cyclically?
> >
> > Again, I apologize if these questions are redundant.
> >
> >
> > - Scott
> Dear Scott,
> Diet and exercise are the first line of treatment. Some use hormone replacement such as progesterone gel. The ssri's are a drastic step. They can cause more depression and decrease sexual response. These drugs are used for bipolar disorder and carry a stigma too. That can be psychologically detrimental. Look to natures way first. Love and patience are primary .Plan diet and exercise together along with other activities around her cycle. Saying I love you every day, even if she is at her worst will show support. She will feel better about herself when she gets back to normal. Again, drugs are the last resort. Good luck. Doug

 

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