Treatment Options for Hot Flashes & Sleep Issues at 47 You're likely experiencing perimenopause, and there are good options across the spectrum: Medical Treatments (Most Effective) Hormone Replacement Therapy (HRT) - the gold standard; brands like Vivelle-Dot (patch), Estrace (oral), or Bijuva are commonly prescribed Non-hormonal Rx: Veozah (fezonetant) - FDA-approved 2023 specifically for hot flashes; Effexor or Brisdelle (paroxetine) also help Telehealth/Online Menopause Specialists Midi Health - menopause-specialized clinicians, very well regarded Alloy - affordable online HRT prescriptions Evernow - menopause-focused platform Supplements (Moderate Evidence) Remifemin (black cohosh) - widely studied Relizen (pollen extract) - good clinical backing for hot flashes Magnesium Glycinate (Nature Made or Thorne) - helps sleep significantly Sleep Specifically MedCline wedge pillow - helps if night sweats disrupt sleep ChiliPad/OOLAH cooling mattress pad - very popular for night sweats My Top Recommendation See a menopause specialist via Midi Health first - HRT is highly effective and often life-changing for these symptoms. Always consult your doctor before starting treatment.
Mentioned in position 14 of 16
Read full answer with sources →