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I Have Terrible PMDD. My Doctor Wants To Put Me

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Posted on Sun, 17 Jan 2021
Question: I have terrible PMDD. My doctor wants to put me on an SSRI to see if it will help me out.

Which do you suggest? And which dose? I am worried to gain weight.
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Answered by Dr. Aaron Branch (1 hour later)
Brief Answer:
Fluoxetine (Prozac) would be a reasonable choice

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. If you are not planning to get pregnant, an SSRI would be the recommended treatment for your disorder, especially if you are having severe symptoms. Of the SSRI medications, fluoxetine (Prozac) has not been shown to cause weight gain, and is the best SSRI for avoiding this. Typically I would start with a dose of 10mg, which can then be increased to 20mg/day over the first month, and then in a future menstrual cycle you could go up to 30mg a day if needed.

I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 1202 Questions

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I Have Terrible PMDD. My Doctor Wants To Put Me

Brief Answer: Fluoxetine (Prozac) would be a reasonable choice Detailed Answer: Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. If you are not planning to get pregnant, an SSRI would be the recommended treatment for your disorder, especially if you are having severe symptoms. Of the SSRI medications, fluoxetine (Prozac) has not been shown to cause weight gain, and is the best SSRI for avoiding this. Typically I would start with a dose of 10mg, which can then be increased to 20mg/day over the first month, and then in a future menstrual cycle you could go up to 30mg a day if needed. I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.