Skip to content

Randomised trial, 2002

Does citalopram help women with PMS who did not respond to other antidepressants?

Yes. 76% of women had significant symptom improvement and 41% experienced complete symptom remission, though this was a small study without blinding or a control group.

Early or limited evidence 17 women with PMS who had not improved with previous SSRI treatment

What they did

17 women who had not improved after treatment with other SSRIs were given citalopram (20-40 mg daily) in an open-label design. 11 women took it only during the luteal phase (the two weeks before their period) and 6 took it all month for one menstrual cycle.

What they found

Total premenstrual symptom scores improved significantly. 76% of women had a 50% or greater reduction in symptoms from baseline. 41% experienced complete symptom remission, meaning their symptoms returned to levels seen after their period.

What it means for you

Citalopram may help women whose other SSRI treatments failed. However, this is a small study without blinding or a control group, so results should be viewed as preliminary.

17

women studied

76%

with 50% or greater improvement

41%

with complete remission

About the study

Original title
Citalopram in PMS patients with prior SSRI treatment failure: a preliminary study
Authors
Freeman EW, Jabara S, Sondheimer SJ et al.
Journal
Journal of women's health & gender-based medicine
Year
2002
Study design
Randomised trial
Participants
6
What was tested
Citalopram 20-40 mg daily (luteal phase only or full-cycle)

Topics