Hot Flashes: CLONIDINE 0.1 mg three times a day by prescription only—could rarely cause dizziness. SSRI’s (such as FLUOXITINE) and EFFEXOR are reported to help hot flashes. Black cohosh and traditional Chinese herbal preparations, soy food, or acupuncture are also options.
Vaginal Dryness or Irritation: Small doses of vaginal estrogen such as VAGIFEM or estradiol vaginal cream will help these symptoms and won’t raise blood estrogen levels
Osteoporosis prevention/treatment: Prevention: EVISTA (an estrogen receptor agent, not a hormone), (bone re-building agents), Calcium 1200mg per day, Vitamin D 400 units per day, walking, may add FOSAMAX or ACTONEL (bone rebuilders) for treatment
Cholesterol or blood lipid elevation: Lipid lowering agents such as LIPITOR
PMS or Anxiety/Depression: Serotonin activity medications such as FLUOXITINE or EFFEXOR, acupuncture
Muscle Cramps: Quinine: drink ½ cup of tonic water (contains quinine) at bedtime