Original Article

Therapeutic Effect of Vitex Agnus Castus in Patients with Premenstrual Syndrome

Abstract

Medical therapies have been widely used for premenstrual syndrome (PMS), but in all of them side effects are predominant. Herbal remedies rarely have side effects and people have more tendencies toward them than chemical therapies. In this study the therapeutic effect of Vitex agnus castus on women who had the PMS, in comparison with placebo, were investigated. In this randomized, placebo-controlled, doubleblind study, from134 selected patients 128 women suffered from PMS were evaluated (active 62, placebo 66). All patients answered to a self assessment questionnaire about their headache, anger, irritability, depression, breast fullness and bloating and tympani during the premenstrual period before the study. Forty drops of Vitex agnus extract or matching placebo, administrated for 6 days before menses for 6 consecutive cycles. Patients answered the self-assessment questionnaires after 6 menstrual cycles, again. Each item rated using a visual analogue scale (VAS). The mean age was 30.77 (SD=4.37) years in the active group and 30.89 (SD=4.02) years in the placebo group. Rank of variables had significantly difference in active and placebo group before and after the study (P<0.0001) also we noticed significant differences on the use of Vitex agnus in comparison with placebo (P<0.0001). Vitex agnus can be considered as an effective and well tolerated treatment for the relief of symptoms of mild and moderate PMS

Canning S, Waterman M, Dye L. Dietary Supplements andm herbal remedies for the premenstrual syndrome (PMS); A systematic research review of the evidence for their efficacy. J Rep Infant Psycholo 2006;24:363-78.

Daniele C, Thompson Coon J, Pittler MH, Ernst E. Vitex agnus castus: a systematic review of adverse events. DrugSaf 2005;28(4):319-32.

Connolly M. Premenstrual syndrome: an update on definitions, diagnosis and management. Advan Psychiatr Treat 2001;13:469-77.

Schellenberg R. Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled study. BMJ 2001;322(7279):134-7.

Marty AT. The complete German commission E monographs: therapeutic guide to herbal medicines. JAMA 1999;281(19):1852-3.

Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-Care Professionals. London, UK: Pharmaceutical Press; 1996. p. 296.

Peirce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: William Morrow and Company Inc., 1999.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSMIV-TR). 4th ed. Washington, DC: American Psychiatric Association, 2000.

van Die MD, Burger HG, Teede HJ, Bone KM. Vitex agnus-castus (Chaste-Tree/Berry) in the treatment of menopause-related complaints. J Altern Complement Med 2009;15(8):853-62.

Gardiner P. Chasteberry (Vitex agnus castus). The Longwood Herbal Task Force and The Center for Holistic Pediatric Education and Research. [online] Revised 2000 May 11 [cited 2011 Dec 15]; Available from URL:http://www.longwoodherbal.org/vitex/vitex.pdf

Chaste Tree. In: Dombek C, editor. Lawerence Review of Natural Products. St. Louis: Facts and Comparisons; 1998.

Harkless GE. Agnus castus fruit extract was safe and effective for relieving symptoms of premenstrual syndrome. Evid Based Nurs 2001;4:114.

Christie S, Walker A. Vitex Agnus Castus; review of its traditional and modern therapeutic use, Current use from a survey of practitioners. Eur I Herb Med 1997;3:29-45.

McGuffin M, Hobbs C, Upton R, Goldberg A, editors. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press; 1997. p.231.

Blumenthal M, Busse WR, Goldberg A, Gruenwald J, Hall T, Riggins CW, Rister RS, editors. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Austin, TX: American Botanical Council and Boston: Integrative Medicine Communications; 1998.

Loch EG, Selle H, Boblitz N. Treatment of premenstrual syndrome with a phytopharmaceutical formulation containing Vitex agnus castus. J Womens Health Gend Based Med 2000;9(3):315-20.

Berger D, Schaffner W, Schrader E, Meier B, Brattström A. Efficacy of Vitex agnus castus L. extract Ze 440 in patients with pre-menstrual syndrome (PMS). Arch Gynecol Obstet 2000;264(3):150-3.

Lauritzen CH, Reuter HD, Repges R, Böhnert KJ, Schmidt U. Treatment of premenstrual tension syndrome with Vitex agnus castus controlled, double-blind study versus pyridoxine. Phytomedicine 1997;4(3):183-9.

Freeman EW. Premenstrual syndrome and premenstrual dysphoric disorder: definitions and diagnosis. Psychoneuroendocrinology 2003;28 Suppl 3:25-37.

Atmaca M, Kumru S, Tezcan E. Fluoxetine versus Vitex agnus castus extract in the treatment of premenstrual dysphoric disorder. Hum Psychopharmacol 2003;18(3):191-5.

Casper RF, Powell AM. Premenstrual syndrome: documentation by a linear analog scale compared with two descriptive scales. Am J Obstet Gynecol 1986;155(4):862-7.

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IssueVol 50, No 2 (2012) QRcode
SectionOriginal Article(s)
Keywords
Vitex agnus castus Premenstrual syndrome Botanical supplements

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How to Cite
1.
Zamani M, Neghab N, Torabian S. Therapeutic Effect of Vitex Agnus Castus in Patients with Premenstrual Syndrome. Acta Med Iran. 1;50(2):101-106.