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Hot Flashes: Non-HRT Treatment Options

From the Menopause and Hormones Articles List

woman dressed in layers for hot flashesWhat are my options for treating hot flashes without using hormone replacement therapy?

There are several ways to treat hot flashes without HRT. The best option for you will depend mostly on your personal medical background and the intensity of your hot flashes. Click here to get tips on rating your hot flashes, then ask your doctor about these treatment options that may be a help to you:

Home Remedies and Prevention

If your hot flashes are fairly mild, you may be able to manage them at home, without going to the drugstore. For starters, try to avoid triggers like alcohol, caffeine, and spicy foods. Additionally, it is helpful to quit smoking, find ways to relax, and exercise regularly. When you go out, dress in layers that you can easily and appropriately shed in public. Whenever possible, keep cold water, a cold neck wrap, or a fan with you for emergencies. If these home remedies don’t help, you may want to start exploring options at your local pharmacy.


Over-the counter remedies include a range of products from herbal remedies to cooling agents such as:
  • Remifemin (black cohosh)-- an herbal, estrogen-free supplement in tablet form.
  • Mendapause--a combination of 8 natural ingredients into a tablet to help manage hot flashes and other menopause symptoms.
  • Poise Cooling Towelettes--premoistened towelettes designed to cool your skin when a hot flash arises.
  • Amberen--helps balance hormones to reduce hot flashes and other menopause symptoms.
  • Estroven--a combination of soy, black cohosh, and other natural ingredients designed to control hot flashes and other menopause symptoms.
As you explore OTC options, keep in mind is that these products are not regulated by the FDA, which means that there are a lot of variables. For one thing, they can vary from bottle to bottle and brand to brand. For another, positive results may be attributed to placebo effect rather than actual effectiveness. Also, long term use of OTC treatments could potentially lead to new health issues.

Non-HRT Prescription

While HRT is generally the most effective way to treat hot flashes, there are other prescription options. Brisdelle is the newest FDA-approved treatment available and the first non-HRT prescription for hot flashes. Antidepressants such as Effexor, Paxil, Prozac, and Lexapro have also proven to effectively treat hot flashes for many women who cannot take HRT.

This content was written by a member of HysterSisters.com as a non-medical professional based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

07-24-2015 - 06:13 PM


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