Managing PMDD with Supplements
Introduction:
At Philadelphia Integrative Psychiatry, we pride ourselves on our commitment to providing the most current, research-backed treatments for conditions like Premenstrual Dysphoric Disorder (PMDD). Our approach is holistic, considering not just the symptoms but the whole person. This includes staying abreast of the latest research on supplements that can aid in the management of PMDD. This following guide focuses on various supplements, including Chasteberry, that have shown promise in alleviating PMDD symptoms, based on comprehensive reviews and studies from sources like Femma, Rupa Health, WebMD, and Mount Sinai. Please check with your healthcare provider before starting any supplements, as they can have their own side effects and interactions with medications.
Supplement Recommendations and Insights:
Chasteberry: One of the most well studied and efficacious supplements for PMDD; it compares favorably to medications and hormonal treatments. Normal dosing is 400mg daily but read this blog on chasteberry for PMDD for more details.
Kami-shoyo-san: A traditional Japanese herbal medicine, recommended at a dosage of 2.5g three times per day. It's used for a variety of gynecological issues, including PMDD symptoms like mood swings and irritability.
Saffron (Crocus sativus): Known for its mood-enhancing properties, the starting dose of saffron is recommended at 15mg twice daily. Studies suggest it may help alleviate depression and anxiety symptoms associated with PMDD. There is also evidence for saffron in treating ADHD, read our blog for more on dosing and side effects of saffron for ADHD.
Hypericum perforatum (St. John's Wort): At a dosage of 600mg daily, this herb has been shown to help with depression and anxiety, common symptoms of PMDD. However, it's important to note potential interactions with other medications including antidepressants that work on serotonin.
Chamomile: Recommended at 100mg to 400mg daily, chamomile can help with sleep disturbances and anxiety, providing a calming effect.
Vitamin B6 (Pyridoxine): At 50mg to 100mg daily, Vitamin B6 is crucial for neurotransmitter synthesis, which can influence mood and overall brain health. It's particularly effective when taken as part of a B-complex vitamin.
Vitamin D3: Essential for mood regulation and overall health, the specific dosing of Vitamin D3 should be determined in consultation with a healthcare provider, as needs can vary greatly among individuals. Read our blog on Vitamin D3 dosing, side effects, and implications in mental health.
Calcium: At 500mg to 1200mg daily during the luteal phase, calcium has been shown to alleviate symptoms of PMDD, including fatigue, appetite changes, and depression.
Zinc (Elemental): Recommended at 30mg to 50mg daily, zinc plays a role in hormonal balance and neurotransmitter function.
Magnesium: At 250mg daily, magnesium can help with the physical symptoms of PMDD, such as cramps and breast tenderness, by relaxing smooth muscle and reducing cortisol levels. Read our blog here for more on the best type of magnesium to purchase.
Omega-3 Fatty Acids: With a recommended dosage of 500mg to 2000mg daily, omega-3s can help reduce inflammation and improve mood symptoms associated with PMDD. Read our blog here on the many important functions omega 3’s play in mental health.
Myo-inositol: Effective at reducing depression and anxiety symptoms, the specific dosing should be determined with a healthcare provider's guidance. Visit this blog for more details on inositol and its benefits in OCD.
Proprietary Blends (Femal and Femi Comfort): These blends have shown promise in managing PMDD symptoms, though individual results may vary, and further research is needed.
Conclusion:
This comprehensive look at supplements for PMDD underscores our holistic approach at Philadelphia Integrative Psychiatry. By integrating these supplements into our treatment plans, we aim to provide our patients with a broad spectrum of options to manage their symptoms effectively. Our dedication to research-backed care allows us to offer personalized, holistic treatment plans that address the physical, emotional, and lifestyle needs of our patients, treating the whole person, not just the diagnosis.
Citations:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491313/
https://www.mountsinai.org/health-library/condition/premenstrual-syndrome
https://www.webmd.com/women/pms/supplements-help-with-pms
https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-treating-pmdd
https://www.femma.com.au/journal/supplements-for-premenstrual-dysphoric-disorder-pmdd/
