AIMS: Several trials have proved the efficacy of selective serotonin re-uptake 
inhibitors (SSRI) in the treatment of premenstrual dysphoric disorder (PMDD) in 
Western society. The SSRI can be administered continuously throughout the entire 
cycle or intermittently from ovulation to the onset of menstruation (luteal 
phase). The purpose of the present study was to compare continuous and 
intermittent paroxetine treatment in oriental PMDD women during 6 months follow 
up.
METHODS: Thirty-six subjects were evaluated and drug free for two menstrual 
cycles, and they received daily paroxetine (20 mg) for two further full cycles. 
They were then randomly divided into continuous or intermittent treatment groups 
(n = 16, 14) over the next four cycles. Responses were assessed every 2 weeks. 
Outcome measures included scores on the Prospective Record of the Impact and 
Severity of Menstrual Symptomatology (PRISM) calendar, Hamilton Rating Scale for 
Depression/Anxiety (HAMD/HAMA), and the Clinical Global Impression scale (CGI).
RESULTS: All these women had significant improvements in the HAMA, HAMD, CGI, 
and PRISM calendar. The rate of response to paroxetine treatment lay between 50% 
and 78.6% in the continuous-treatment group, and 37.5-93.8% in the 
intermittent-treatment group, as determined at the study end-point. Limitations 
of the present study included the open-label design and the incorporation of a 
limited sample size.
CONCLUSIONS: The present results indicate that paroxetine is effective in both 
continuous and intermittent treatment of oriental PMDD women, and that the 
effects of active treatment lasted for six consecutive treatment menstrual 
cycles.