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Paxil joins ranks of SSRIs for PMDD: controlled release.(News)

OB GYN News

| October 01, 2003 | Mechcatie, Elizabeth | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The controlled-release formulation of paroxetine was approved by the Food and Drug Administration for treating premenstrual dysphoric disorder, based on data in more than 1,000 women who met the DSM-IV criteria for the disorder.

This is the third drug (and the third selective serotonin reuptake inhibitor) approved for PMDD. Fluoxetine, marketed as Sarafem for this indication, and sertraline (Zoloft) have been approved previously. Both can be taken daffy throughout the cycle or during the luteal phase only.

The dosing schedule approved for controlled-release paroxerine, marketed as Paxil CE by GlaxoSmithKline, is a daily dose taken continuously throughout the cycle, but the company said that the intermittent dosing for PMDD is under review at the FDA. The recommended initial dose is 12.5 mg per day

In the trials, which together included 1,030 women with PMDD, those randomized to receive 12.5 mg or 25 mg per day for three menstrual cycles had statistically and clinically significant responses to treatment, compared with those who took a placebo.

One of the lead investigators, Dr. Kimberley Yonkers of the department of psychiatry at Yale University, New Haven, said that the treatment had a "robust" effect and that the lower dose was almost as ...

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