Several. There are over the counter medications that can diminish some of the physical symptoms. However, these are not effective in treating the emotional symptoms. Individuals with pmdd experience significant emotional changes at the end of their monthly cycle that significantly effects their level of functioning. Prozac, zoloft and Paxil (paroxetine) are fda approved to treat these symptoms in pmdd.
Add ssri for PMDD. 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.