RE: KathyH and Candi...regarding the
Terry:
you should probably go see your gynecologist and discuss this. What works for one woman in terms of hormonal treatments may not work ofr another. You may use mircette to good effect, or depening upon your health, size, etc, your gyne may suggest a diferent prescription. I think hormones are definitely worth trying before taking the prozac.
For example, I suffered terrible PMDD for 7 years and could take no more. I tried several different bc pills, and none of them helped, in fact they made it all worse with terrible bloating. A new gyne prescribed Nuvaring for me and it hs turned my mood swings around. It dispenses a continuous, LOW dose of hormones into the bloodstream for 3 weeks, so it cuts out the drastic highs and lows of my mood swings because my hormone levels never change. Something like Nuvaring may work for you too. And you never have to remember to swallow a pill on a daily basis! Check it out online (last time I looked, they had a coupon for a free Nuvaring up on their web page, I used it and got a free month's contraception, this could help you decide) and speak to your gyne about it. Some form of hormonal treatment could make all the difference, and make that Sarafem prescription redundant.
Note: If the doctor who prescribed the Sarafem to you has also suggested that you take it only for up to 15 days per month, I would say, be extra cautious. Doctors said this to me also regarding the antidepressant Celexa that I take for depression, and I cannot believe that method of dosing of an antidepressant could be good for anyone. These are powerful medications that can take up to 4-6 weeks to take effect in your system: so how can they take effect if you just take them for 15 days? Also, during those 4-6 weeks, you experience varying degrees of side effects. What happens to those side effects if you take the medication for 15 days, then not for 15 days, then start taking them again? Would you have to go through all the nasty side effects again from scratch? This would be too much to bear.
To my mind, having tried 5 or 6 different antidepressants and stopped and started the Celexa 3 times, I would never advocate the use of Prozac or any other antidepressant on the on-off schedule of dosing that doctors and advertisements recommend for treating PMS and PMDD.
Hope some of this helps,
Clare