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For many women, simple changes to diet and lifestyle, reducing alcohol and caffeine intake and cutting down on cigarettes will make the monthly symptoms more bearable. Your GP can give you guidance in this. A suitable diet sheet is available via the National Association for Premenstrual Syndrome (NAPS) at www.pms.org.uk. Non-hormonal treatments Vitamin B6 This is also known as pyridoxine. It is commonly recommended for mood swings and irritability. There is some scientific support for its use for mild symptoms, but you need to be careful not to take too high a dose. It is advisable to consult your doctor before starting treatment. Evening primrose oil (EPO) Capsules of EPO can be helpful in alleviating premenstrual breast pain in some women. However, the evidence in favour of its effect is slight and it has been withdrawn from NHS prescription for this reason.
