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Review, 2003

Does taking sertraline only during the luteal phase work for PMDD?

Yes. The FDA has approved sertraline taken only during the luteal phase for PMDD. It works within days and produces no significant discontinuation side effects when stopped each cycle.

Moderate study design Women with PMDD (5-8% of women of reproductive age)

What they did

Expert review article. The authors reviewed evidence for sertraline, an SSRI antidepressant, as a treatment for PMDD when dosed only in the luteal phase. PMDD is a severe form of PMS affecting 5-8% of women of reproductive age.

What they found

Sertraline is effective for PMDD at luteal-phase dosing with clinical response within several days. No significant discontinuation side effects were reported despite repeated stopping and restarting cycles. Luteal-phase dosing minimizes side effects while reducing the burden of continuous medication.

What it means for you

If you have PMDD, taking an antidepressant only during the week before your period can work well. You avoid daily medication and ongoing side effects. This is an established FDA-approved treatment. This is a review article summarizing existing evidence, not a new research study.

5-8%

Women with PMDD

About the study

Original title
Treatment of premenstrual dysphoric disorder with luteal phase dosing of sertraline
Authors
Halbreich U, Kahn LS
Journal
Expert opinion on pharmacotherapy
Year
2003
Study design
Review
What was tested
Sertraline at luteal phase dosing

Topics