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It’s important to talk to your healthcare provider about any treatment option and discuss the pros and cons. Your provider is aware of your medical history and other medications. Some treatment options may not be safe to take with your other medications or other medical conditions.
The best and safest thing to do is talk to your healthcare provider before starting any new product for your hot flashes. Are there any lifestyle changes I can make to help with hot flashes? Non-prescription, herbal and over-the-counter therapies are another treatment option for hot flashes. These therapies can include:Clonidine (Catapres®): This medication relieved hot flashes in some people. Healthcare providers use it less frequently than other options. Common side effects can include dry mouth, drowsiness, fatigue, constipation and low blood pressure. Certain antidepressants, called selective serotonin reuptake inhibitors (SSRIs), can reduce how often you have hot flashes and how bad they are. These medications include: Big claims: If products claim to be a "cure" for your condition or give outrageous claims, be cautious.
Soy (plant estrogen): This treatment option is also referred to as phytoestrogens. For the most part, results from clinical studies show that phytoestrogens aren’t effective for treatment of hot flashes. This is generally safe when you consume it in foods. In supplements, consistency of dose and quality can be a concern. Supplements are not recommended for breast cancer survivors. Vitamin E: One study showed that this treatment option was effective. However, the improvement seen in this was only one less hot flash per day compared to placebo. Side effects include a 13% increased risk of heart failure. It might also increase the death rate in those who use high doses for a long time. A higher risk of prostate cancer has also been shown, but this applies only to people designated male at birth (DMAB). Bansal R, Aggarwal N. Menopausal hot flashes: a concise review. J Midlife Health. 2019 Mar;10(1):6-13. doi:10.4103/jmh.JMH_7_19 Venlafaxine (Effexor®): This medication has been proven to be effective in several well-designed studies. Some common side effects of this medication include nausea, changes in bowel habits, headaches (temporary side effect for most) and elevated blood pressure (at high doses). For Jill, the "naked window" in question is made of frosted glass and is located in a second-story master bathroom in her house, right next to the shower. "I felt like people could see me even through [its] frosted glass," said Jill in her video's on-screen text. "So I asked my husband to pretend he's showering so I could see."Desvenlafaxine (Pristiq®): This is a newer medication than venlafaxine, so there are fewer studies available. Common side effects include nausea, changes in bowel habits, headache (temporary side effect for most people) and elevated blood pressure (at high doses). In general, there are two categories of treatment options for hot flashes: prescription medications and over-the-counter (non-prescription) therapies. Some prescription medications are used as off-label treatments to help reduce hot flashes. Using a product “off label” means that it’s not FDA-approved for the treatment of hot flashes, but is often used because it can be safe and effective as a treatment option. Making small changes to your normal lifestyle can sometimes help limit the number and severity of your hot flashes. Dressing in layers, reducing the temperature in your home, using a fan and drinking cold beverages can all be small ways to help with hot flashes. If you have obesity, you might have more bothersome hot flashes. Maintaining a healthy body weight may be helpful. Another lifestyle change that can help improve your hot flashes is not smoking or using tobacco products. Smoking contributes to the increased cardiovascular risks of being postmenopausal. People who smoke and/or use tobacco products also tend to experience more hot flashes. Rubin de Celis Ferrari AC, Glasberg J, Riechelmann RP. Carcinoid syndrome: update on the pathophysiology and treatment. Clinics (Sao Paulo). 2018;73(Suppl 1):e490s. doi:10.6061/clinics/2018/e490s Gabapentin (Neurontin®): This medication tends to be effective for sleep in people with hot flashes who also have insomnia. Common side effects include fatigue, dizziness, nausea, disorientation, swelling and weight gain.
Paroxetine (Paxil®, Brisdelle®): This medication has been FDA-approved to treat hot flashes. Common side effects include nausea, changes in bowel habits, decreased sex drive, dry mouth and weight gain (not common). You should avoid taking this medication if you’re taking tamoxifen. Ahn CS, Huang WW. Rosacea pathogenesis. Dermatol Clin. 2018;36(2):81-86. doi:10.1016/j.det.2017.11.001Exercise is another lifestyle change that often helps menopausal people. This is not only a great way to maintain a healthy weight, but people who lead sedentary lives seem to experience more hot flashes. Just remember to watch the temperature when you work out. Getting overheated can trigger a hot flash, so it’s best to try and exercise in a cooler environment. Are there foods that can help with my hot flashes?
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