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Posts Tagged ‘PMS’

Great. Women in the UK who have PMS are being offered anti-depressants. The linked article seems to take a pretty balanced look at the issue.

Anti-depressants are recommended by the current UK guidelines:

Guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG) currently recommend antidepressants, specifically SSRIs such as Prozac, to treat severe PMS. They also seem to work on some of the other symptoms of PMS such as the abdominal cramps, not just the depression.

But the guidelines also make clear they’re not supposed to be the frontline of defence:

The RCOG guidelines say that doctors should first give advice about exercise, diet (caffeine-free, high in complex carbohydrates and low in sugar is best) and stress reduction before reaching for prescription pads. They suggest talking therapies such as cognitive behavioural therapy, which aims to make people feel better about life events, and hormone treatment such as the contraceptive pill. [my emphasis]

The problem is, however, that GPs just don’t seem to know what to do:

Many doctors do not know that guidelines exist.

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