To review the literature evaluating venlafaxine for the treatment of hot flashes.
DATA SOURCES:
Clinical literature accessed through MEDLINE (1966–August 2002), PubMed, Harrison's Online, and references of reviewed articles. Key terms used were venlafaxine, Effexor, hot flashes, and vasomotor symptoms.
DATA SYNTHESIS:
Not all patients experiencing hot flashes are candidates for traditional hormonal therapy. Nonhormonal alternatives have long been explored, but conflicting evidence of efficacy exists.
CONCLUSIONS:
Venlafaxine is an effective nonhormonal alternative for relief from uncontrolled hot flashes.
BraunwaldEFauciASIsselbacherKJKasperDLHauserSLLongoDL, eds. Harrison's online [Online Medical Bookstore]. 15th ed. New York: McGraw-Hill Education, 2002.
2.
BartonDLoprinziCWahner-RoedlerDHot flashes: aetiology and management. Drugs Aging2001;18:597–606.
3.
SmithMRComplementary and alternative therapies for advanced prostate cancer. Hematol Oncol Clin North Am2001;15:559–71.
4.
QuellaSKLoprinziCLSloanJNovotnyPPerezEABurchPAPilot evaluation of venlafaxine for the treatment of hot flashes in men undergoing androgen ablation therapy for prostate cancer. J Urol1999;162:98–102.
5.
RossouwJEAndersonGLPrenticeRLLaCroixAZKooperbergCStefanickMLRisks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative Randomized Controlled Trial. JAMA2002;288:321–33.
6.
LoprinziCLPisanskyTMFonsecaRSloanJAZahaskyKMQuellaSKPilot evaluation of venlafaxine hydrochloride for the therapy of hot flashes in cancer survivors. J Clin Oncol1998;16:2377–81.
7.
ThiedkeCCNonhormonal pharmacologic and complementary treatment of menopause. Clin Fam Pract2002;4:115–71.
8.
ClaydenJRBellJWPollardPMenopausal flushing: double-blind trial of a non-hormonal medication. Br Med J1974;1:409–12.
9.
PritchardKIThe role of hormone replacement therapy in women with a previous diagnosis of breast cancer and a review of possible alternatives. Ann Oncol2001;12:301–10.
10.
LoprinziCLKuglerJWSloanJAMailliardJALaVasseurBIBartonDLVenlafaxine in management of hot flashes in survivors of breast cancer: a randomized controlled trial. Lancet2000;356:2059–63.
11.
BartonDLaVasseurBLoprinziCNovotnyPWilwerdingMBSloanJVenlafaxine for the control of hot flashes: results of a longitudinal continuation study. Oncol Nurs Forum2002;29:33–40.
12.
Grady-WelikyTAHartmannDMFlushing in a menopausal woman taking venlafaxine (letter). Am J Psychiatry2001;158:1330.
13.
StearnsVIsaacsCRowlandJCrawfordJEllisMJKramerRA pilot trial assessing the efficacy of paroxetine hydrochloride (Paxil) in controlling hot flashes in breast cancer survivors. Ann Oncol2000;11:17–22.
14.
LoprinziCLSloanJAPerezEAQuellaSKScellaPJMailliardJAPhase III evaluation of fluoxetine for treatment of hot flashes. J Clin Oncol2002;20:1578–83.
15.
WeitznerMAMoncelloJJacobsenPBMintonSA pilot trial of paroxetine for the treatment of hot flashes and associated symptoms in women with breast cancer. J Pain Symptom Manage2002;23:337–45.
16.
RothAJScherHISertraline relieves hot flashes secondary to medical castration as treatment of advanced prostate cancer. Psychooncology1998;7:129–32.