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Survey study, 2000

Why do women stop taking antidepressants prescribed for PMS?

Most women who stop do so because of side effects, especially sexual dysfunction. 54% continued treatment for more than 6 months, but 13% never started.

Early or limited evidence 202 women prescribed SSRIs or tricyclic antidepressants for premenstrual symptoms at three gynecologic practices, 1994-1997

What they did

Sent questionnaires to 202 women who were prescribed SSRIs or tricyclic antidepressants for premenstrual symptoms at three gynecologic practices between 1994 and 1997. 84.2% responded.

What they found

13% never started treatment. 54% continued for more than 6 months. Of those who stopped, reasons included: negative side effects (43%), other reasons (29%), wanting to handle it naturally (23%), not wanting to take drugs (20%), fear of dependence (19%), and wanting to see if symptoms had ended (18%). Sexual dysfunction was the most common side effect.

What it means for you

Side effects, especially sexual dysfunction, are a major reason women stop antidepressants for PMS. Doctors need better education of patients and closer monitoring during early treatment. The study looked at one time period and location.

84.2%

responded to questionnaire

54%

continued treatment for more than 6 months

43%

stopped due to negative side effects

About the study

Original title
Compliance to antidepressant drug therapy for treatment of premenstrual syndrome
Authors
Sundström-Poromaa I, Bixo M, Björn I et al.
Journal
Journal of psychosomatic obstetrics and gynaecology
Year
2000
Study design
Survey study
Participants
202
What was tested
SSRIs or tricyclic antidepressants

Topics