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Non-randomised trial, 2008

Does duloxetine help PMDD symptoms?

In this small study, 78% of women had at least half their symptoms improve. But there was no comparison group, so we cannot be sure the improvement came from the drug rather than from attention or expectation.

Early or limited evidence 55 women with PMDD (50 completed)

What they did

55 women with PMDD took 60 mg per day of duloxetine for 2 menstrual cycles. Researchers measured their mood, anxiety, and overall symptoms using several rating scales.

What they found

50 women completed the study. All showed significant improvement in depression and anxiety. 39 women (78%) had a 50% or greater decrease in daily symptom scores. The improvement appeared in the first treatment cycle. Side effects like nausea, insomnia, and poor appetite were reported as low.

What it means for you

Duloxetine may help PMDD symptoms quickly and could be useful if confirmed in larger studies. However, this was an open-label pilot study without placebo control, so the results are preliminary and need confirmation.

50

Women completed study

39 (78%)

Had 50% or more symptom improvement

60 mg/day

Dose

About the study

Original title
Duloxetine for premenstrual dysphoric disorder: a pilot study
Authors
Mazza M, Harnic D, Catalano V et al.
Journal
Expert opinion on pharmacotherapy
Year
2008
Study design
Non-randomised trial
What was tested
Duloxetine 60 mg per day for 2 menstrual cycles

Topics