Verbatim response from Claude
Best Non-Hormonal Treatments for Hot Flashes
Prescription Options (Most Effective)
- Veozah (fezolinetant) - FDA-approved specifically for hot flashes; blocks brain signals that trigger them. Currently the gold standard non-hormonal option
- Effexor (venlafaxine) - An antidepressant shown to significantly reduce hot flash frequency
- Brisdelle (paroxetine) - The only FDA-approved SSRI specifically for hot flashes
Over-the-Counter Options
- Remifemin - Black cohosh supplement with decent research support
- Estroven - Popular supplement combining black cohosh and other botanicals
- Relizen - Pollen extract supplement with some clinical backing
Lifestyle-Based Approaches
- Cognitive Behavioral Therapy (CBT) - Surprisingly effective; apps like Rewire are designed for this
- Mindfulness-based stress reduction
- Keeping rooms cool, wearing layers, avoiding triggers (caffeine, alcohol, spicy food)
My Top Recommendation
Talk to your doctor about Veozah if hot flashes are significantly affecting your life - it's the most targeted non-hormonal option available.
For mild symptoms, Remifemin is a reasonable first OTC try.
Always consult your healthcare provider before starting any treatment.