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Randomised trial, 2012

Does Vitex agnus castus work for PMS, and what dose is best?

Yes, Vitex at 20 mg daily significantly reduced PMS symptoms compared to placebo. A 30 mg dose did not work better, making 20 mg the optimal dose.

Strong study design 162 women aged 18-45 with PMS

What they did

Randomized, double-blind, placebo-controlled study of 162 women aged 18-45 with PMS. Women received placebo or Vitex at 8, 20, or 30 mg daily for 3 menstrual cycles. They rated their symptoms daily using visual scales.

What they found

The 20 mg dose significantly improved total symptom score compared to placebo and 8 mg. The 30 mg dose was no better than 20 mg. All treatments were well tolerated. Symptoms tracked were irritability, mood changes, anger, headache, bloating, and breast fullness.

What it means for you

If you try Vitex for PMS, 20 mg daily appears most effective. The study was well-designed but lasted only 3 months.

162

women in study

20 mg

most effective daily dose

3

menstrual cycles tested

About the study

Original title
Dose-dependent efficacy of the Vitex agnus castus extract Ze 440 in patients suffering from premenstrual syndrome
Authors
Schellenberg R, Zimmermann C, Drewe J et al.
Journal
Phytomedicine : international journal of phytotherapy and phytopharmacology
Year
2012
Study design
Randomised trial
Participants
440
What was tested
Vitex agnus castus extract at 8, 20, or 30 mg daily

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