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Does anyone alternate/change doses of Sarafem throughout the month for PMDD?

By July 25, 2008 - 5:32am
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Untreated, PMDD has the potential to destroy lives and relationships--I know this to be true. Had I not recently, and finally, found a woman doctor who prescribed Sarafem/prozac for severe PMDD (complicated by perimenopause--ugh!), I would probably be in divorce court. I hate my behavior during the 2-weeks of living hell and as I approached menopause, things were getting much worse. I have been on 10 mg of sarafem daily for 4 months now, and notice that the meds do not seem to be working quite as well during the 2-week PMDD timeframe. I am wondering if it is reasonable/safe to increase the does to 20 mg for the two weeks and then back off to the 10 on the other days, since it seems to be helping me overall...all the time. Anyone have experience with alternating this medication?

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EmpowHER Guest

Hi Nancy,

This is a great question.

As a matter of fact, I have - with my doctor's permission - increased my dose of Sarafem during the two weeks prior to my period. I also have experimented with not taking any medication whatsoever during the first two weeks of my cycle, and then began the medication during the final two weeks. Both options have worked out great for me. I suggest that you speak with your physician prior to doing so, but if she seems unaware of this option please seek additional assistance. When I first approached my doctor with this question she didn't seem to know if it was okay to "play" with the medicine, but later told me that she received additional information stating that this was indeed a good alternative, and was recommended within the medical community.

Good luck, Nancy!

July 25, 2008 - 7:22am
(reply to Anonymous)

Thank you!

July 25, 2008 - 8:48am
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