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.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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