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Review: selective serotonin reuptake inhibitors reduce symptoms in premenstrual syndrome

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 QUESTION: In women with severe premenstrual syndrome (PMS), are selective serotonin reuptake inhibitors (SSRIs) effective?

Data sources

Studies were identified by searching Medline (1966–99), EMBASE/Excerpta Medica (1988–98), PsycLIT (1974–97), CINAHL (1982–99), and the Cochrane Controlled Trials Register database; scanning the reference lists of identified articles; and contacting the manufacturers of SSRIs.

Study selection

Studies were selected if they were randomised, double blind, placebo controlled trials investigating SSRIs in the management of PMS.

Data extraction

Data were independently extracted in duplicate on study design, patient characteristics, drug type and dose, outcome measures (primary outcome measure was reduction in overall PMS symptoms), and side effects.

Main results

15 studies met the selection criteria and involved 904 women (570 allocated …

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