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Paxil tied to drop in hot flash severity, frequency.(Decreased by at Least 62%)

OB GYN News

| July 15, 2003 | Worcester, Sharon | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

NEW ORLEANS -- Paroxetine was linked to significant reductions in the frequency and severity of hot flashes in menopausal women in a randomized, double-blind, placebo-controlled trial.

The findings suggest that the selective serotonin reuptake inhibitor, which is marketed as Paxil, may serve as a good alternative to hormone replacement therapy (HRT) for the treatment of hot flashes, Dr. Vered Stearns reported in a poster presentation at the annual meeting of the American College of Obstetricians and Gynecologists.

In the multicenter study of 165 peri- and postmenopausal patients, the mean daily hot flash composite score--a measure of the frequency and severity of daily hot flashes--dropped by 62% in those randomized to receive low-dose (12.5 mg/day) controlled-release (CR) paroxetine and by 65% in those in a high-dose paroxetine CR (25 mg/day) group during the 6-week treatment period. The score dropped by only 38% in the placebo group, said Dr. Stearns of Johns Hopkins University, Baltimore.

Clinically and statistically significant reductions in daily hot flash composite scores were noted within 1 week in both paroxetine groups, and more than 60% of patients in the paroxetine groups had at least a 50% reduction in hot flash frequency and severity by week 6.

Paroxetine CR was well tolerated in this study, which was sponsored by Glaxo-SmithKline, the maker of Paxil. ...

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