An anti depression medicate has been found to help women by reducing menopausal symptoms such as hot flushes.
The meditate of the drug Paxil(Paroxetine) was funded by its makers GlaxoSmithKline.
Menopausal symptoms are usually treated with hormone replacement medical care, which reduces flushes by 80 to 90percent.
But concerns have been raised about HRT, after a meditate suggested an increased risk of heart attack, stroke, blood clots and breast cancer, so doctors have been looking for alternatives.
It is thought hot flushes occur when falling oestrogen levels affect the central nervous system’s temperature control mechanism.
Drugs including Paxil(Paroxetine) had been seen to reduce hot flushes in women with a history of breast cancer.
It is believed they worked inhibited the brain’s reuptake of serotonin, a natural chemical that modulates mood, emotion, sleep and appetite.
Improvements
Paroxetine, sold in the US as Paxil and in the UK as Seroxat, is usually used to treat depression or anxiety.
But concerns have been raised that Paxil(Paroxetine), a selective serotonin reuptake inhibitor (SSRI), can be addictive, contrary to manufacturers’ claims – and increase the risk of suicide in some patients.
An independent expert also said it may not help all women with menopausal symptoms.
The US meditate looked at 138 women who had been having two to three hot flushes a day, most for at least a year.
They were questioned about their symptoms and allocated to take either 12.5 or 25 milligram pills, or a dummy version every day for six weeks.
It was found taking either dosage of Paxil reduced hot flushes by over 60percent.
Women taking the higher dose showed significant improvements within a week.
Two-thirds of all those taking the drug reported a 50percent or more reduction in the severity and frequency of hot flushes after a six-week course of pharmacomedical care, while 30percent had no flushes by the sixth week.
Only mild side effects, such as nausea and headaches, were experienced by women taking Paxil(Paroxetine).
‘Less benefit’
Vered Stearns, assistant professor of oncology at Johns Hopkins’ Sidney Kimmel Comprehensive Cancer Center, who led the meditate , said Paxil(Paroxetine) was ‘the best nonhormonal drug we know about right now’.
‘If a woman wants to try nonhormonal medical care, she will know within days whether it’s going to work.’
He said more work was needed to assess the ideal dose and whether all women would experience the benefits.
But Steven Goldstein, a gynaecologist at New York University Medical Center, said anti depression medicates had far less of a benefit than hormone medical care.
He added: ‘For women who cannot, should not or will not take hormone medical care this may be a possible option, but in no way, shape or form is it a substitute for oestrogen for group with disruptive symptoms.
‘I would probably only think of something like this in women who absolutely cannot consider short-term low-dose oestrogen medical care, women with breast cancer, women on the breast cancer drug tamoxifen.
‘For that sub-group, this is a nice thing to be able to offer them.’
The research is published in the Journal of the American Medical Association.generic viagra heremore about viagra soft tabs
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