Although evidence is inconclusive, some women find relief from mild hot flashes through mind-body therapies. Learn to recognize your triggers and avoid them. Hot and spicy foods, caffeinated beverages and alcohol can trigger hot flashes. If you feel a hot flash coming on, sip a cold drink.
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Open windows or use a fan or air conditioner. Dress in layers so that you can remove clothing when you feel warm. Slight increases in your body's core temperature can trigger hot flashes. If your hot flashes are mild, try managing them with these lifestyle changes: Side effects include dizziness, drowsiness, dry mouth and constipation.
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Clonidine, a pill or patch typically used to treat high blood pressure, might provide some relief from hot flashes. Side effects can include dry mouth, dry eyes, constipation, nausea and dizziness. It may also help relieve hot flashes in some women. Oxybutynin is a pill or patch most often used to treat urinary conditions like overactive bladder. Side effects can include dizziness, drowsiness, difficulty concentrating and weight gain. Pregabalin is another anti-seizure medication that can be effective in reducing hot flashes. Side effects can include drowsiness, dizziness, water retention in the limbs (edema) and fatigue. Gabapentin is an anti-seizure medication that's moderately effective in reducing hot flashes. Gabapentin (Neurontin, Gralise, others).Other medications that might offer relief for some women include: If you have had or are at risk of breast or endometrial cancer, heart disease, stroke or blood clots, talk to your doctor about whether estrogen therapy is right for you. Bazedoxifene might also protect your bones. Like progesterone, taking bazedoxifene with estrogen may help you avoid the increased risk of endometrial cancer from estrogen alone. For women who can't tolerate oral progesterone, a combination drug of bazedoxifene with conjugated estrogens (Duavee) is also approved for treating menopausal symptoms. Some women who take progesterone with estrogen therapy experience progesterone-related side effects. The goal is to optimize your quality of life. How long you use the treatment depends on the balance of your risks and benefits from hormone therapy. Guidelines suggest using the smallest effective dose for symptom control. With either regimen, the therapy needs to be tailored to your needs. But if you still have a uterus, you should take progesterone with estrogen to protect against cancer of the lining of the uterus (endometrial cancer).
Most women who have had a hysterectomy can take estrogen alone. Estrogen is the primary hormone used to reduce hot flashes.
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