Letter to the Editor: Drospirenone and mood

Abstract

I read with interest the article 'Hormonal contraception and mood disorders', but noted that it overlooked the 4 mg drospirenone 24/4 progestogen-only pill (Slinda). 1 The article also did not consider the 20 microgram ethinylestradiol/3 mg drospirenone preparation which has an indication for treatment of premenstrual dysphoric disorder.Perhaps the authors might consider that the benefits shown in their pilot study may be due to a 24/4 preparation (also noted in the studies referenced in reducing pill-free interval) as well as the active ingredient?