Premenstrual syndrome (PMS)

Question 1

Management of severe PMS:

Answer 1

fluoxetine (similar to menopause treatment, SSRI of choice)

Question 2

SEs associated with fluoxetine:

Answer 2

dizziness, drowsiness, constipation, cardiac arrythmias, galatorrhoea, serotonin syndrome, thrombocytopenia

Question 3

1st line treatment in moderate PMS:

Answer 3

COCP (trial of 3 months then review)

Question 4

management of severe PMS resistant to medication (not treatable in community)

Answer 4

referral to specialist clinic