PMS supplements have varying evidence. Some have reasonable support for symptom reduction. Best supplements for pms includes options that may help. For severe PMS or PMDD (premenstrual dysphoric disorder), prescription treatments are often more effective.
Supplements with evidence
Calcium: Some evidence for PMS symptom reduction. 1000-1200 mg daily total intake.
Vitamin B6: Some evidence for mood and physical symptoms. 50-100 mg daily.
Magnesium: Some evidence for bloating, mood. 200-400 mg daily.
Vitamin E: Some evidence for breast tenderness.
Chasteberry (vitex): Some evidence for PMS overall.
For PMDD specifically
PMDD is more severe than PMS. SSRIs (sertraline, fluoxetine) have substantial evidence and are first-line. Hormonal contraceptives also helpful.
Lifestyle factors
- Regular exercise
- Adequate sleep
- Limiting caffeine, alcohol, salt before period
- Stress management
Frequently Asked Questions
What’s most evidence-based for PMS?
Calcium, B6, magnesium. SSRIs for severe PMS/PMDD.
Should I take vitex (chasteberry)?
Some evidence. Don’t combine with hormonal contraceptives without consultation.
Is PMS the same as PMDD?
PMDD is more severe with significant functional impact. Different treatment approach.
How long until supplements help PMS?
2-3 cycles typically.
What about evening primrose oil?
Limited evidence. Some patients use for breast tenderness.
The bottom line on PMS supplements
Calcium, B6, magnesium have reasonable evidence. For severe PMS/PMDD, SSRIs or hormonal contraceptives more effective. Discuss with gynecologist.