Syndromal treatment

A. Nonpharmacologic remedies include calcium (600 mg bid) and magnesium (360 mg qd), possibly with the addition of vitamins.

B. SSRIs are appropriate for women with mood symptoms. Cyclical luteal phase administration of fluoxetine (Prozac), 20 mg, or sertraline (Zoloft), 25-50 mg, has shown efficacy. Initially, SSRIs should be restricted to the luteal phase of each cycle. If the patient's symptoms are not ameliorated after a trial of 2-3 months, SSRIs can be given throughout the cycle.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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