Mood: Because some women may feel very depressed for a time during their cycle, an antidepressant might be prescribed. Unlike antidepressants for chronic depression, some of these medications are only started when you get the symptoms and then stopped once the symptoms go away.13 Fluoxetine and sertraline are examples of antidepressants that can be used for PMS.12
Bloating: If you need birth control and you have problems with bloating the doctor can prescribe you birth control pills with an ingredient that helps relieve bloating. If you don’t need birth control then your doctor can consider a drug called spirinolactone which helps get rid of excess water in your body, which will get rid of your bloating12. Talk to your doctor to see if either of these are options for you.
For Acne: Most birth control pills can help reduce or prevent acne.14
You can combine non-prescription medication, natural health products or prescription medication options with lifestyle changes for better control over PMS symptoms.
Myth: Most people think that PMS products such as Midol® are great for PMS symptoms
PMS products should not be used because their ingredients are either not strong enough to have any effect or are have not been proven to have the effect they claim. The ingredients they contain include acetaminophen for pain relief, pamabrom for bloating and pyralimine. First of all, they claim that they will help with irritability but it has no ingredients that help with mood. Second, it contains acetaminophen which is not as good as ibuprofen or naproxen for muscle aches caused by PMS. And finally, pamabrom is not good for bloating and it’s not even clear what pyralimine does.18 These medications are not harmful but it is not recommended because it’s not as good as other types of medications.12