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Randomised trial, 1988

Does clonidine help women with PMS who have low endorphin levels?

Yes, clonidine significantly reduced PMS symptoms more than placebo in women with low beta-endorphin levels. However, this was a very small study in a specific subgroup, so we're less certain it applies to all women with PMS.

Early or limited evidence 24 women aged 19-41 with moderate to severe cyclic decreases in beta-endorphin

What they did

A double-blind crossover study where 24 women aged 19 to 41 with moderate to severe cyclic decreases in beta-endorphin (a hormone the body makes) received both clonidine and placebo over 4 menstrual cycles in random order. Women didn't know which was which.

What they found

Clonidine was significantly more effective than placebo in reducing symptoms in this group of women with low endorphin cycles.

What it means for you

Clonidine may help a specific subgroup of women with PMS who have low endorphin levels. The main limitations are the very small sample of only 24 women and the fact it was only tested in a specialized subgroup, so results may not apply to all women with PMS.

24

women in study

4

menstrual cycles studied

About the study

Original title
Clonidine in the treatment of premenstrual syndrome: a subgroup study
Authors
Giannini AJ, Sullivan B, Sarachene J et al.
Journal
The Journal of clinical psychiatry
Year
1988
Study design
Randomised trial
Participants
24
What was tested
Clonidine versus placebo in double-blind crossover trial

Topics