![]() ![]() Her cycle is regular, with periods lasting 4 or 5 days, and is typically 28 to 30 days long. 1 If calcium and vitamin D do not help GG’s symptoms, she can try other OTC medications, such as magnesium pyrrolidone or pyridoxine.ĬASE 2: CHASTEBERRY FOR PMSQ: RM is a 29-year-old woman who says she feels bloated and has mood changes every month a few days before her period. The authors concluded that calcium supplementation is an effective symptom treatment for PMS. Results from one large clinical study showed a 48% reduction in total symptom scores from baseline compared with a 30% reduction in the placebo by 3 months. If GG is looking for something over the counter, she can try taking 1200 mg of elemental calcium divided into 2 doses and 600 IU of vitamin D daily. Nonpharmacologic approaches include cutting back on alcohol, caffeine, chocolate, and salt exercise and stress management. ![]() The goals of therapy for this condition are to allow patients to maintain their usual activities and decrease distress. What recommendations do you have?Ī: GG appears to be suffering from premenstrual syndrome (PMS). She does not take any other medications and is relatively healthy. Some of GG’s friends take OTC medications to prevent these symptoms, but she does not know what to take. She is looking for something to take monthly prior to her period to prevent these symptoms. Upon questioning, GG says that these symptoms affect her quality of life because she usually does not want to go out during this time. ![]() She says that her symptoms cause her distress but are mild. CASE 1: PREMENSTRUAL SYNDROMEQ: GG is a 23-year-old woman who says that every month, about 5 days before her period starts, she feels abdominal bloating, breast tenderness, and cramping. ![]()
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