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Southaven, MS
A 17-year-old female asked:

what can i use to help severe menstrual cramping? normal pain relievers like advil and aleve (naproxen) don't work for me.

2 doctor answers3 doctors weighed in
Dr. Gregory Lewis
Urology 44 years experience
See answer: One should use non-pharmacological measures as an adjunct to any otc and prescription drugs to maximize chance of relief: use a heating pad; drink warm beverages; massage lower abdomen; eat frequent light meals; avoid sugar, alcohol and caffeine, etc. Starting Ibuprofen 400-600 mg 3x/day several days before period onset maximizes its efficacy. Stronger pain meds, anti-depressants, bcps may help.
Dr. Heidi Fowler
Psychiatry 25 years experience
Agree w Dr. Lewis: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain. Ginger helps w nausea.

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Last updated Feb 17, 2015
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