Comparisons of gabapentin and placebo revealed reductions of 20% to 30% in the frequency and severity of hot flashes with gabapentin, although data across the studies were too heterogeneous to provide a reliable summary effect. Clusterings of dizziness/unsteadiness and fatigue/somnolence were the mo 45 percent decrease in hot flashes with gabapentin versus 29 percent with placebo (P = .02, NNT = 6) Somnolence; dizziness: Ginseng 48: 384 menopausal women: 200 mg per day: Four months: Gabapentin for Hot Flashes User Reviews Brand names: Neurontin, Gralise, Gabarone, Fanatrex Gabapentin has an average rating of 8.7 out of 10 from a total of 111 reviews for the off-label treatment of Hot Flashes. The efficacy of gabapentin was assessed by three measures of hot-flash symptoms: frequency (total number of mild, moderate, severe, and very severe hot flashes), severity score (calculated by assigning scores of 1, 2, 3, and 4, respectively, to mild, moderate, severe, and very severe hot flashes and adding the scores), and mean duration. What is the gabapentin dosage for hot flashes? As the FDA hasn’t approved gabapentin for menopause, doctors must consider study results or their own clinical experience. The American Association of Family Physicians reports success with dosages between 900 and 2,400 mg daily. Gabapentin (Neurontin, Gralise, others). This antiseizure medicine helps ease hot flashes. Side effects can include being drowsy, dizzy or tired and swelling in the arms and legs, called edema. Pregabalin (Lyrica). This is another anti-seizure medicine that can help ease hot flashes. Gabapentin Helps Hot Flashes. In BREEZE 3, 600 postmenopausal women (mean age, 54.0 years; mean time since last menstrual period, 114 months; mean body mass index, 29.4 kg/m²) were randomized to This review investigated the efficacy and tolerability of gabapentin for the treatment of hot flashes in menopausal women. Gabapentin was associated with reductions in the severity and frequency of hot flashes in menopausal women, but there was substantial variation in the results across the included trials. The authors' conclusions appear to be reliable based on the evidence presented. In a randomized controlled trial, gabapentin at 900 mg/day was effective in treating hot flashes in women who entered menopause naturally. This article is intended for primary care clinicians, gynecologists, and other specialists who care for patients with menopausal hot flashes. Hot flashes (HFs), defined as transient sensations of heat, sweating, flushing, anxiety, and chills lasting for 1–5 min, constitute one of the most common symptoms of menopause among women though only a few seek treatment for these. Several studies have shown that gabapentin (Neurontin) at 600-2400 mg/day in divided doses is effective for treating hot flashes in menopausal women. Gabapentin presents a promising option for managing hot flashes, particularly for those who haven’t found relief through other treatments. By understanding its benefits, potential side effects, and proper administration, you can make informed decisions about its use. Older nonhormonal means of treating hot flashes (eg, a combination of belladonna alkaloids, ergotamine tartrate, and phenobarbital [Bellergal], clonidine, α-methyldopa, and vitamin E) are associated with limited efficacy and/or toxicity. 4 Recently, one of the newer antidepressants, venlafaxine, was proved to be helpful in substantially In studies, gabapentin reduced hot flashes from 45%-71% depending on the dose. In one, albeit small, clinical trial 2,400 mg of gabapentin divided three times a day was as effective as 0.625 mg of Premarin a day (which is a standard dose for hot flashes). Gabapentin 300 mg/day could be useful to relieve hot flashes in women for whom hormone therapy is not suitable or when hot flashes do not respond to other therapies. Further researches are needed to determine the efficacy of gabapentin use for longer periods or at higher doses. to reduce hot flushes? The non-hormonal medicines used to reduce hot flushes in women include gabapentin, clonidine, venlafaxine or selective serotonin reuptake inhibitors (SSRIs). The treatment option depends on the individual. Gabapentin Brand name: Neurontin® available as 100mg, 300mg, 400mg, 600mg and 800mg capsules. Also available in any rigorous studies to reduce hot flashes. Vitamin E 800 IU is frequently recommended; however, it is not much more likely than placebo to reduce vasomotor symptoms.5 Megestrol acetate, a synthetic progestin, reduced hot flashes in a study in breast cancer survivors.21 Its association with weight gain limits its use in many menopausal women. Hot flash scores decreased by 51% (95% CI: 43%-58%) in the gabapentin group, compared with 26% (95% CI: 18%-35%) on placebo, from baseline to week 4. This twofold improvement was statistically significant (P < 0.001). In a 2016 overview, authors stated that doses of gabapentin for hot flashes range between 900–2,400 milligrams (mg) per day. Other studies have used doses as low as 100 mg and 300 mg per 1. Reedy SY, Warner H, Jr TG, et al. Gabapentin, estrogen, and placebo for treating hot flushes: a randomized controlled trial. Obstet Gynecol 2006;108:41-8. 2. Thomas Guttuso J, Kurlan R, McDermott MP, Kieburtz K. Gabapentin’s effects on hot flashes in postmenopausal women: a randomized controlled trial. Obstet Gynecol 2003;101:337-45. 3.
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |
![]() | ![]() |