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You can look at two options:
1 - Adding progesterone in a cream form will help the estrogen that you have kick into gear and work better. You can get some natural progesterones at the health food store. I would not add any extra estrogen that way though, just the progesterone.
2 - Adding an SSRI which is typically used for depression can also help hot flashes. The ones most used are Prozac and Effexor. The reason that these help is that they attach to the same receptor sites as the hormones do and can improve hot flashes.
I would not try both of these at the same time. Try one for 4-6 weeks and then add the other if it is not controlled with one method. Of course your physician will need to be involved in this decision!
My Gp has suggested i try B6 tablets. I have heard that sage tablets can help too. Can you offer advice on either of these tablets?
When you say add progestrorne in a cream form, do you mean as in edible cream or cream as in rubbing it into your body?
Do SSRI's interfere with medication i'm on, that is: Duloxetine, Baclofen, Fosamax?
When you take a "b" tablet you really need to take them as a complex since they really all work together well. As far as really helping with hot flashes that has not been my experience. Especially if the Black Cohash and primrose did not work too well for you.
The progesterone cream is something you apply a small amount to your body. Not edible.
The SSRI would compete with the Cymbalta or Duloxetine. SO that may not be a good option for you unless your physician would consider changing you to Effexor or Prozac. That you would have to discuss with him though.
I've read that the progestorone cream you'd dab a little inside your wrist at the onset of a hot flush - does this sound right? and how long will it take to work?
i think i'll have to rule out the SSRI.
I recommend that my patients use this on a daily basis about 1 ml and not wait for hot flashes to occur. It works better as a steady state.
I can understand not wanting to do the SSRI in your case.
Yes, the wrist or the abdomen you can use either site. It depends on the cream you use but most have a recommended dose or way of measuring. But definitely apply a steady dose daily.
Hopefully this will be enough to help resolve your symptoms!
The morning would be fine or even noon if you have morning meds that you don't want to take it with.
I wish you the best!
Hi i'm coming back to you a year on..............i'm still no better , i started takng B6 tablets in October 2010, i took it for 7 months and saw no difference, and then i took sage tablets for 2 months, still no difference. Then i noticed that hot flushes and weight gain are now listed as side effects for Duloxetine (cymbalta), so my GP suggested i try coming off it month by month lowering the dose. So over the past 3 months i have been lowering the dose. 2 weeks ago i stopped taking it altogether but the hot flushes have not subsided, how long should i give it to notice any difference (if there is going to be any difference)? Have you heard of ground flax seed (that you can sprinkle on your cereal) being used to help stop hot flushes?