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 Vasomotor symptoms (VMS), more commonly known as hot flushes or flashes and night sweats, are the cardinal symptoms of menopause, occurring in up to 80% of postmenopausal women. 1,2 Apart from being disruptive and bothersome, VMS may independently have adverse health consequences associated with cardiovascular and metabolic changes, including increased carotid intima thickness, increased Objective: Gabapentin is used to treat vasomotor symptoms (VMS) in postmenopausal women with contraindications to hormonal therapy or who prefer alternatives. We investigated the efficacy and tolerability of gabapentin for treating menopausal hot flushes via a meta-analysis. 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. 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. The Menopause-Specific Quality-of-Life vasomotor score decreased by 1.7 (95% CI: 1.3-2.1; P < 0.001) in the gabapentin group. These women reported greater dizziness (18%), unsteadiness (14%), and drowsiness (12%) at week 1 compared with those taking placebo; however, these symptoms improved by week 2 and returned to baseline levels by week 4. gabapentin if taken less than 2 hours apart). • Alcohol – combining gabapentin and alcohol can make you more sleepy, dizzy or light-headed. Your doctor may suggest you avoid alcohol while you are being treated with this medicine. How to take gabapentin 1. Swallow whole with a full glass of water. It does not matter if you take gabapentin Clinical guidelines from American, European, and Asian countries have suggested these 2 drugs as nonhormonal treatment options for vasomotor symptoms. 6–9, 14 Given the promising benefits of gabapentin, attempts have been made to summarize its effectiveness, 15–18 but previously published meta-analyses focused just on the whole gamut of nonhormonal treatment modalities, with a limited Although the FDA has not approved Neurontin for hot flashes, there’s some good evidence that it’s effective. A study from the University of Rochester showed that gabapentin was effective in reducing hot flashes in patients with a damaged hypothalamus, and there have been over 20 studies on menopausal women that show similar results. earched the PubMed, MEDLINE, EMBASE, and CENTRAL databases for English-language articles published until June, 2018. The following search terms were used: “menopause,” “hot flushes,” “vasomotor symptoms,” “gabapentin,” and “non-hormonal therapy.” Primary outcomes were frequency, duration, and composite score of hot flushes. Secondary outcomes were adverse effects and Research presented at the annual meeting of the North American Menopause Society (NAMS) indicates that an investigational extended release (ER) formulation of gabapentin (Serada, Depomed) is effective for the treatment of hot flashes and sleep disturbance. While gabapentin may offer relief for some women struggling with menopause-related sleep issues, it’s important to consider a range of approaches to addressing this common problem. Many women prefer to explore non-pharmacological options before turning to medication, and even those who choose to use gabapentin may benefit from incorporating Gabapentin is effective in reducing the frequency and severity of hot flashes, particularly for those experiencing menopausal symptoms. Originally used for epilepsy and neuropathic pain, it has been found to offer significant relief from hot flashes. Key Benefits: Hot flashes are a common symptom of menopause, affecting approximately 75% of women. Navigating menopause can be challenging, with symptoms like hot flashes, mood swings, and sleep disturbances affecting daily life. While hormone replacement therapy is a common treatment, some women seek alternatives. Gabapentin, traditionally used for nerve pain, has emerged as a promising option for managing menopaus Gabapentin is a drug that doctors sometimes prescribe off-label to reduce hot flashes during menopause. Instead of affecting hormones, experts think it may act on the hypothalamus, the part of The North American Menopause society and the American College of Obstetricians and Gynecologists recommend the use of gabapentin as an option for managing hot flashes in women who are unwilling to take estrogen-containing supplements.
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