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Published Online, 8 June 2004, www.theannals.com, DOI 10.1345/aph.1D512.
The Annals of Pharmacotherapy: Vol. 38, No. 7, pp. 1293-1296. DOI 10.1345/aph.1D512
© 2004 Harvey Whitney Books Company.
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DRUG INFORMATION ROUNDS

Selective Serotonin-Reuptake Inhibitors for the Treatment of Hot Flashes

Yvonne De Sloover Koch, PharmD

Ambulatory Care Clinical Pharmacy Specialist, Department of Veterans Affairs Medical Center, Iowa City, IA

Michael E Ernst, PharmD BCPS

Assistant Professor (Clinical), Division of Clinical and Administrative Pharmacy, College of Pharmacy; Department of Family Medicine, College of Medicine, The University of Iowa, Iowa City

Reprints: Michael E Ernst PharmD BCPS, Division of Clinical and Administrative Pharmacy, College of Pharmacy, 01287 PFP, 200 Hawkins Dr., Iowa City, IA 52242-1097, fax 319/384-8515, michael-ernst{at}uiowa.edu

OBJECTIVE: To review the literature evaluating the use of selective serotonin-reuptake inhibitors (SSRIs) for the treatment of hot flashes.

DATA SOURCES: Biomedical literature was accessed through MEDLINE (1966–June 2003), MD Consult, and references of reviewed articles. Key search terms used were hot flashes, vasomotor symptoms, antidepressants, and SSRIs.

DATA SYNTHESIS: Recent evidence from the Women's Health Initiative precludes the use of traditional hormonal therapy in some women. Nonhormonal therapies are possible options, but conflicting evidence of efficacy exists.

CONCLUSIONS: Although further studies are warranted, preliminary data suggest that SSRIs are generally modestly successful in reducing the frequency and severity of hot flashes.

Key Words: antidepressants, hot flashes, selective serotonin-reuptake inhibitors

Published Online, June 8, 2004. www.theannals.com, DOI 10.1345/aph.1D512





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