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April 03 2002
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Non-Hormone Approaches to Reduce Hot Flashes

 

It appears that newer types of antidepressants might relieve the hot flashes of menopause.

The study involved women who had either survived breast cancer or were concerned about the risk of using estrogen products for hot flashes.

Hormone replacement therapy is known to relieve hot flashes, but it is not recommended for women with a history of breast cancer. There is also evidence that it could raise a woman's risk of developing breast cancer. But recent, early research has suggested that some newer antidepressants, like Effexor and Paxil, might alleviate hot flashes and provide an alternative to hormones.

Mayo Clinic researchers studied 81 women, 4 weeks of treatment with Prozac reduced the frequency and severity of hot flashes overall,. All of the women had a history of "bothersome" hot flashes that occurred at least 14 times per week.

It is now apparent that the newer classes of antidepressants can inhibit hot flashes in patients. This provides a realistic alternative therapy for patients who do not wish to receive hormones for fear of cancer issues or other reasons."

However, the benefits of Prozac in this study were "modest." Hot flash "scores" -- a measure of hot flash frequency and severity -- fell 50% among women on the drug, but they also decreased 36% on inactive treatment with a placebo.

The trial was designed so that all women spent 4 weeks on the drug then switched to placebo, or vice versa.

Side effects included appetite loss, sleep problems, dizziness and mood changes among other symptoms, but similar rates were seen with Prozac and the placebo. Women on the drug had more problems with dry mouth.

Journal of Clinical Oncology March 15, 2002; 20:1578-1583



Dr. MercolaDr. Mercola's Comments:

Hot flashes can have very serious health complications and should not be lightly dismissed. If they interfere with a woman's sleep they can devastate a woman's health.

There are not many absolute requirements for optimal health, but a good night sleep is one of them.

Sleep impairment is such an important requirement for health, that this is one of the few exceptions I will consider using estrogen in the short-term to relieve the hot flashes if a person fails to respond to black cohosh.

However, estrogen has its own complications, the main one being breast cancer.

So, effective alternatives are appreciated.

Clearly, it appears that the newer antidepressants maybe helpful in the treatment of hot flashes. We can thank Eli Lilly, the maker of Prozac, for this information as they funded the study.

However, it is clear that these antidepressants also have their own side effects as the article notes.

Interestingly the antidepressants only worked 50% of the time and placebo worked a full 1/3 of the time.

Now, let us not so quickly dismiss the placebo effect. It is a very real effect and was nearly as potent as the drug.

One truth that most of us really don't appreciate is that whatever you focus your concentration, attention and belief system on, you are likely to receive some beneficial results.

Unfortunately, traditional medicine has never formulated a system to take advantage of this physiological truth.

But guess what folks, others have done it for you.

Positive mental attitudes clearly work, but they don't work for everyone. The reason they tend not to be universally effective is that many people's belief systems are blocked or psychologically reversed on the specific issue.

Even though they desperately want something, their subconscious is retaining a belief that contradicts them from achieving the goal. This is frequently due to previous friends or well-intentioned relatives who made an impression on their brain at an earlier date.

Fortunately there are tools that will help you eliminate this emotional block.

The main tool that I find helpful is EFT . It seems to work profoundly well for removing these types of blocks and thus allowing the full power of your mental capacities to stimulate and produce desired physical changes in your body.

From a hot flash perspective, I have seen EFT work for many women where estrogen did not even seem to help. I routinely use EFT to help people resolve many of their long-standing physical complaints.

For simpler problems self-administered EFT can be quite effective. For more complex problems, you will most likely want to work with a knowledgeable health care and EFT practitioner. You can review my EFT Resource page for further details.

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