7.1.6 Premenstrual syndrome
| Choice | Drug |
|---|
| All women with PMS | Offer lifestyle advice and treat predominant symptoms |
| |
| Moderate PMS symptoms | New generation COC
e.g. Gedarel® 30/150 (desogestrel 150 micrograms, ethinylestradiol 30 micrograms) |
| Severe PMS symptoms | Fluoxetine 20mg capsules |
| |
Prescribing Notes
- For more information refer to CKS guidance: Premenstrual syndrome.
- The COC can be used cyclically or continuously for PMS although current data suggest continuous rather than cyclical use.
- Fluoxetine can be considered for women with severe PMS (off-label use), to be taken continuously or just during the luteal phase.
Cautions
