Well: The most common premenstrual symptom for those who suffer is fatigue, 93%. This lowers the stress threshold and if anxiety makes you nauseated then whala. You could target sleepiness directly with a drug called modafanil or do a standard low dose ssri. Mirtazapine may help at night in that it helps nausea, sleep and mood, read about these. With pms, sometimes tx for a short time in month helps.
Answered 6/30/2014
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4 doctors weighed in across 2 answers
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