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    An_254308 posted:
    Hello all.... I have just recently started down this road called menpause and I have a few questions..... I currently take medication for blood clots so I can not use estrogen or hormone replacement. Does anyone have any good suggestions for me as to how to handle the hot flashes, irregular sleep patterns and irratibility?

    Thanks!
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    Mary Jane Minkin, MD responded:
    Dear An_254308
    Good question. The first approach I would suggest is an over the counter product called Remifemin, which is German black cohosh; they also make a product called Remifemin Good Night, which has some sleep herbs in it as well as the black cohosh; and some folks find it helpful. Black cohosh is not estrogenic, and some folks find it helpful. There is also the first non estrogen FDA approved hot flash medication available now. It is called Brisdelle. It is effective against hot flashes and night sweats, and is not estrogen. So I think there are some options available that you might want to explore.
    Good luck,
    Mary Jane


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