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Diuretics are a standard treatment for water retention and will be of no help for other PMS symptoms. They work by interfering with normal kidney function so that the kidneys excrete more urine.PMS specialists tend to agree that diuretics should be reserved for women who actually gain weight in the luteal phase of the menstrual cycle. Some women develop abdominal bloating but do not put on weight and it is questionable whether they are retaining water at all or simply that their weight is redistributed just before a period. If you are not retaining water then a diuretic should not be prescribed.There are problems with diuretics as they can cause even worse water retention – rebound water retention – when you stop taking them. Some diuretics may cause a deficiency of the mineral potassium leading to symptoms of weakness and confusion and, in severe cases, heart palpitations.The diuretic most often prescribed for PMS is spironolactone which is thought to carry a lower risk of rebound water retention.*44\120\4*

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