What is the best antidepressant for menopause?

Patient-specific treatment with selective serotonin reuptake inhibitors (SSRIs), especially paroxetine, citalopram and escitalopram, and serotonin and norepinephrine reuptake inhibitors (SNRIs), especially venlafaxine and desvenlafaxine, may be effective in reducing menopause-related hot flushes [10].

What is the best antidepressant for menopausal depression?

For vasomotor symptoms in women who cannot tolerate estrogen therapy, paroxetine or venlafaxine are the antidepressants which have the most evidence for efficacy and tolerability.

Should I take antidepressants for menopause?

NICE guidance clearly states that for most women HRT should be considered as first line treatment for menopause symptoms – including anxiety and low mood. However, for women avoiding hormonal therapies, antidepressants from the family of Selective Serotonin Reuptake Inhibitors (SSRIs) can be very useful.

What is the best SSRI for menopause?

SSRIs escitalopram and paroxetine ER and SNRI venlafaxine XR were shown to be the most effective. Although less effective than HRT, SSRIs/SNRIs are demonstrated to reduce hot flashes and may be recommended for women who wish to avoid the risks of HRT.

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What is the best prescription medicine for menopause?


  • Hormone therapy. Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes. …
  • Vaginal estrogen. …
  • Low-dose antidepressants. …
  • Gabapentin (Gralise, Horizant, Neurontin). …
  • Clonidine (Catapres, Kapvay). …
  • Medications to prevent or treat osteoporosis.

What is the best antidepressant for energy and motivation?


It gives people more energy than other antidepressants which may not work well for someone with insomnia as well as depression. That being said, for those with low energy, it can be helpful. Fluoxetine treats many mental health issues which includes depression, OCD, and panic disorders.

Why do doctors prescribe antidepressants for menopause?

Antidepressants may provide relief from vasomotor symptoms of menopause. Vasomotor symptoms involve the blood vessels. They include things like: hot flashes.

What is better HRT or antidepressants?

Conclusions: The data suggest that antidepressant and antianxiety medications are more helpful than HRT in relieving peri- and postmenopausal depression or anxiety. However, most women managed the mood changes associated with menopause without psychopharmacologic intervention.

Is HRT better than antidepressants?

But Hormone Replacement Therapy (HRT) with oestrogen (plus a progestogen for women who still have their wombs), normally prescribed for menopausal symptoms such as hot flushes and vaginal dryness, can be highly effective in treating younger women with cyclical depression and is safer and more effective than anti- …

Does Paxil cause weight gain?

Experts say that for up to 25% of people, most antidepressant medications — including the popular SSRI (selective serotonin reuptake inhibitor) drugs like Lexapro, Paxil, Prozac, and Zoloft — can cause a weight gain of 10 pounds or more.

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Can Paxil help with menopause?

Some experts believe these results suggest that Paxil could ease hot flashes from menopause in some women. Still, other experts say that the benefits of Paxil are small and that even the women who got the placebo had less frequent and less severe hot flashes during the study.

Which antidepressants help hot flashes?

antidepressants that have been used to treat hot flashes include: Venlafaxine (Effexor XR) Paroxetine (Paxil, Pexeva) Citalopram (Celexa)

Does Wellbutrin help with menopause?

Antidepressants also have been shown to control mood changes associated with menopause, Klein says. Antidepressants that may be helpful in boosting menopause-related depression include paroxetine (Paxil), venlafaxine (Effexor), bupropion (Wellbutrin), and fluoxetine (Prozac).

What is the new drug for menopause?

Women who suffer from hot flashes related to menopause may have a new treatment option. The Food and Drug Administration (FDA) approved the oral prescription medication Bijuva (estradiol and progesterone) on October 29, 2018.

How do I deal with depression during menopause?

Here are some treatments that may help.

  1. As you go through menopause, your moods can change rapidly. One minute you’re up, the next you’re down. …
  2. Take Some HRT. If you find your mood swings are debilitating, talk with your doctor about hormone replacement therapy (HRT). …
  3. Eat a Healthy Diet. …
  4. Deal With Stress. …
  5. Don’t Go It Alone.

How can I speed up my menopause?

4. Lifestyle choices: You can make menopause easier

  1. Eat a balanced diet with plenty of calcium.
  2. Exercise regularly.
  3. Embrace stress management techniques.
  4. Limit caffeine and alcohol.
  5. Get enough sleep.
  6. Clue into personal triggers (such as spicy food or hot showers) that might make hot flashes flare.
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