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Randomised trial, 2005

Does paroxetine taken only during the luteal phase help premenstrual dysphoric disorder?

Yes. Both doses of paroxetine CR (12.5 mg and 25 mg) taken during the luteal phase were significantly better than placebo.

Strong study design 373 women with premenstrual dysphoric disorder (multicenter study)

What they did

Randomized controlled trial across multiple centers. 373 women with PMDD were randomly assigned to one of three groups: placebo, 12.5 mg paroxetine CR, or 25 mg paroxetine CR, all taken only during the luteal phase, for three cycles.

What they found

Both paroxetine CR doses significantly improved mood during the luteal phase compared to placebo. Both doses also improved most measures of symptom severity and functioning. The medication was generally well tolerated.

What it means for you

Paroxetine CR taken during only the luteal phase is an effective treatment for PMDD. Both doses tested work well. Like sertraline, you do not take this medication every day, which may reduce side effects and costs compared to daily treatment.

373

Participants

2

Paroxetine doses tested

About the study

Original title
Luteal phase dosing with paroxetine controlled release (CR) in the treatment of premenstrual dysphoric disorder
Authors
Steiner M, Hirschberg AL, Bergeron R et al.
Journal
American journal of obstetrics and gynecology
Year
2005
Study design
Randomised trial
What was tested
Paroxetine CR 12.5 mg or 25 mg daily during luteal phase, versus placebo

Topics