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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by jrbecker on June 6, 2003, at 11:18:12
My mother is finally going off the estrogen because of the unending bad news about HRT, the most recent regarding a correlation with increased risk of dementia. She's considering an antidepressant to replace the estrogen, especially to control frequent hot flashes. It seems Paxil CR has gotten a lot of good press for controlling this. But I'm wondering if anyone can enlighten us more on that. My other thoughts were probably a very low dose of either Effexor or Celexa.
Suggestions?
Posted by JESSsMom on June 6, 2003, at 12:22:06
In reply to Best ADs for hot flashes, posted by jrbecker on June 6, 2003, at 11:18:12
> My mother is finally going off the estrogen because of the unending bad news about HRT, the most recent regarding a correlation with increased risk of dementia. She's considering an antidepressant to replace the estrogen, especially to control frequent hot flashes. It seems Paxil CR has gotten a lot of good press for controlling this. But I'm wondering if anyone can enlighten us more on that. My other thoughts were probably a very low dose of either Effexor or Celexa.
>
> Suggestions?I can only give you my experiences: Effexor actually gives me hot flashes but helps with anxiety. Paxil was quite sedating for me and I gained weight on it. Sorry, I don't have any info regarding Celexa. Can someone else help with ideas? Hot flashes are nasty.
JM
Posted by linkadge on June 6, 2003, at 19:42:42
In reply to Re: Best ADs for hot flashes, posted by JESSsMom on June 6, 2003, at 12:22:06
I would give a low dose Celexa a try. Effexor *can* work for hot flashes, but SSRI's mostly *do* work for hot flashes.
A low dose Celexa is very tolerable.
Good Luck
Linkadge
Posted by BekkaH on June 6, 2003, at 22:15:14
In reply to Best ADs for hot flashes, posted by jrbecker on June 6, 2003, at 11:18:12
Several years ago, I read about a study of the incidence of breast cancer in women who had taken antidepressants. I don't remember too many details except that of all the antidepressants taken by women in the study, Paxil was associated with the highest rate of breast cancer. I will try to find that article, but it might take me a few days.
Posted by linkadge on June 6, 2003, at 22:50:29
In reply to Regarding Paxil and women, posted by BekkaH on June 6, 2003, at 22:15:14
Yes, many of the tricyclics are associtated with increased risk of cancer. Of the SSRI's Paxil is the only one that posed increased risk of cancer.
SSRI's have also been associated with a certain *reduction* in the incidence of heart disase. Studies of smokers revealed that those who took SSRI medication were much less likely to suffer heart attack, presumably due to the drugs' ability to thin the blood.
Linkadge
This is the end of the thread.
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