AgentsDosageUse recommendationComments
Diuretics
Spironolactone44 100 mg per dayLuteal phaseAldosterone antagonist
Potassium-sparing diuretic
Could improve physical and psychologic symptoms
Dopamine agonist
Bromocriptine4,20,45 Up to 2.5 mg three times per dayDays 10 through 26 of menstrual cycleMay relieve cyclic mastalgia; evaluate hepatic and renal functions before initiation
NSAIDs
Ibuprofen20 500 to 1,000 mg per dayDays 17 through 28 of menstrual cycleTake with food May relieve mastalgia