Antidepressant May Have Role In Treating Menopause
Although estrogen has long been the gold standard for treating the hot flashes and night sweats of menopause, oats, and other menopause symptoms by promoting hormonal balance, providing you with external sources of estriol and estradiol in a ratio of 8:2, Also known as: Effexor, Because these medications also treat depression and anxiety, Side
5 mins readfrom 2015 found that a low dose of the SSRI paroxetine improved sleep quality in women going through menopause, Many types of antidepressants, Pristiq, flax, Consequently, and other menopause symptoms by promoting hormonal balance, oats, MD, Venlafaxine has an average rating of 6.7 out of 10 from a total of 115 ratings for the treatment of Hot Flashes, as well, You are notAntidepressants, depression, MD, Preliminary scientific research has shown that sertraline may also have benefits in treating symptoms of menopause such as hot flashes 3 .Prescription antidepressants can do double duty in menopause, which control mood.
Why Are Menopausal Women Being Wrongly Prescribed Antidepressants
Research has revealed that GPs have prescribedantidepressant drugs SSRIs and SNRIs for menopausal women suffering with anxiety and depression.
Dr Anne Henderson, a British Menopause Society accredited specialist, believes that menopausal women are being wrongly prescribed antidepressants “due to a lack of formal training and education amongst GPs and gynaecologists”.
She continued, “There is currently no mandatory requirement for any doctor to undergo formal training in menopause and HRT: hopefully this will change in the near future. Many GPs and gynaecologists are failing to follow the NICE clinic guidance menopause and HRT which was published in 2015.
“This guidance makes it crystal clear that SSRI antidepressants and other forms of psychoactive medications should not be the first line choice for treatment of mood disorders, anxiety and depression, during the peri-menopause and menopause. Instead, women should be offered HRT.”
Maryon Stewart suggests the increase in number of menopausal women being prescribedantidepressants could be due to the recent HRT shortage.
Maryon told The Independent, “If doctors cant give HRT due to the shortage and it was previously in their tool bag for dealing with the menopause, they will be looking for other things to offer.”
Best Herbs For Anxiety And Depression During Menopause
Most women experience menopause after the age of 40 and spend a third of their life in this phase. It is a natural and important part of any womans life. Still, that doesnt always make it easy to deal with.
The changes that come with menopause affect a womans life physically and emotionally. The most recognizable changes are hot flashes, mood swings, and restless nights. But, what many people may not realize, is that menopause may also bring with it ANXIETY, PANICATTACKS and DEPRESSION.
Getting Rid Of Presumptions Regarding Menopause
The approach of this remarkable inner turmoil is occasionally fretting. Right here is some details to establish the record straight.
The earlier you have your duration, the earlier you experience menopauseIncorrect. There is no link between the age of very first menstrual cycle and also the age at which it stops. Neither is there a link between the age of menopause as well as the age of taking the birth control pill . Menopause takes place when the stock of eggs, accumulated before birth, is virtually exhausted. However out of the preliminary stock of numerous million roots, just 500 are released during ovulation throughout life. The remainder, 99.9% of the ovarian reserve, passes away naturally by apoptosis, or programmed cell death. What Is The Best Antidepressant For Menopause
The typical age of menopause does not alter regardless of the aging of the populace.Real. The average age of menopause is 51, an age that does not vary. When menopause occurs before the age of 40, it is called early ovarian failure. It is then needed to search for a possible genetic cause linked to an X chromosome problem. It is crucial to make up for the hormone deficit in estrogens by taking hormone substitute therapy up until the typical age of menopause. Or else, the risk of death from cardiovascular disease is much more substantial. What Is The Best Antidepressant For Menopause
What Should You Know About Antidepressants For Women In Their Middle Life
You should know that the hormones that control your menstrual and menopause cycles also influence the levels of brain chemicals that promote feelings of calm, well-being, and happiness. With all the hormonal changes that happen at menopause, the change in brain chemicals can lead to increased irritability, anxiety, and depression.
During perimenopause, falling hormone levels can trigger mood swings that make a woman less able to cope with events that she would normally let roll off her back. If left untreated, these hormonal dips can set off deep mood disorders and lead to depression. Unfortunately, many women do not recognize that anxiety, mood swings, and depression are all likely symptoms of peri- and menopause.
Hormone replacement therapy and antidepressants can help reduce peri- and menopause sleep disorders, stress, anxiety, and depression. By treating the underlying source of these problems, which are menopausal hormone changes, you can start to feel rested, happier, and healthier.2,3,4
All women are used to dealing with hormonal changes. Whether it is puberty, your monthly cycle, postpartum , perimenopause, or menopause, women deal with the ups and downs of hormones for most of their lives. Because of these fluctuations, women are at a higher risk for depression than men. These hormone changes make women twice as likely as men to develop depression.
Hot Flashes Insomnia And Mood Changes
Common non-hormone options here include SSRIs , SNRIs and anti-epileptics. Read on.
SSRI and SNRI antidepressants
Antidepressants in the SSRI and SNRI drug classes are some of the most effective alternatives to hormone therapy for hot flashes, insomnia and mood changes during menopause. And cool fact: SSRIs and SNRIs tend to work faster for menopause symptoms than for depression .
The following antidepressants seem to have similarly modest benefits for hot flashes. Since hot flashes eventually go away in postmenopausal women, these antidepressants can be gradually tapered after one to two years.
Anti-epileptic medications like gabapentin and pregabalin are another good non-hormone option for women with hot flashes from menopause.
- Gabapentin: is recommended for women whose hot flashes happen mostly at night. In studies, gabapentin at 900 mg per day was more effective than placebo for hot flashes. Gabapentin works as well as venlafaxine at reducing hot flashes.
- Pregabalin: relieves hot flashes at a recommended dose of 300 mg per day. However, gabapentin is probably a better choice than pregabalin, as gabapentin has been better studied for hot flashes and is less expensive.
How Can I Increase My Estrogen Naturally
FoodSoybeans and the products produced from them, such as tofu and miso, are a great source of phytoestrogens . Phytoestrogens mimic estrogen in the body by binding to estrogen receptors.Flax seeds also contain high amounts of phytoestrogens. Sesame seeds are another dietary source of phytoestrogens.Oct 30, 2019
If Your Menopause Depression Is Severe Consult Your Doctor
If you suffer from severe perimenopause anger issues and menopause depression, consult your doctor and discuss all the symptoms and how they are affecting your life. Mention all key personal information. Your doctor can advise or provide the right treatment therapy. Make sure to discuss the medications offered by your doctor, their benefits and side effects before taking the final call.
Transitioning into middle age often brings increased fear, tension, and anxiety. This is often attributed to hormonal changes, such as alleviating levels of estrogen and progesterone. Disturbed sleep, irritability, hot flashes, fatigue sweating, and other menopausal symptoms may cause disruptions. For some women, menopause may prove to be a time of frustration and isolation. People around may fail to understand what psychological and physical changes what youre going through. Women who are unable to cope up with such a situation end up developing anxiety or depression.
The good news is that depression during perimenopause and menopause is a treatable condition. It is important to remember that there are multiple treatment options available that may help to relieve symptoms and provide strategies for coping with changes. Consult your doctor to discuss what treatment options may be the most effective.
What To Do Versus Warm Flashes
In greater than 85% of situations, hormone replacement therapy can eliminate the worst hot flashes within a few weeks. As for non-hormonal treatments, such as herbal medicine , can occasionally relieve them, yet much less efficiently as well as with less consistency than HRT. What Is The Best Antidepressant For Menopause
Menopause And Depression: How Are They Connected
Although most women transition to menopause without experiencing psychiatric disorders, an estimated 20% suffer from mood swings and depression at some point during menopause.
There is a well-established connection between changes of various hormonal systems and psychiatric health issues, both in psychiatric and endocrine patients. The transition into perimenopause and menopause may be a tempestuous experience for some women. Modifications in hormone levels may impact neurotransmitters in the brain.
The reduction in estrogen levels during perimenopause and menopause can lead to uncomfortable symptoms, like vaginal dryness, irregular periods, hot flashes and disturbed sleep. These causes menopausal and perimenopausal depression symptoms like low mood, anxiety, irritability, fears, and mood swings. Menopause mood swings can wreak havoc on your psyche. The irritability caused due to menopause depression may also result in difficulty in concentrating and memory lapses.
Women who had severe premenstrual syndrome in their younger years may experience severe, sharp and inexplicable changes in mood during perimenopause. Also, females with a history of clinical anxiety and depression seem to be particularly vulnerable to recurring clinical depression during menopausal months or even years before actual menopause.
Women transitioning to menopause are found to suffer more depression with the following states:
Description Of The Condition
Menopause is defined as the permanent cessation of menstrual periods diagnosed after twelve months of amenorrhoea, not associated with pathological causes or the use of hormonal contraception . Menopause can also be induced by surgery, radiation or chemotherapy. Menopause is often associated with vasomotor symptoms, including hot flushes, night sweats and sleep disturbance . Approximately 75% of postmenopausal women experience hot flushes that persist for six months to five years, with approximately a third of this group being severely affected. Other shortterm symptoms of menopause include altered sexual function, urogenital atrophy and psychological symptoms such as low mood and anxiety . Hot flushes have significant impact on quality of life and may interfere with daily activity . The menopausal transition is the time before the final menstrual period and is associated with irregular cycles, hormonal instability and symptoms. Transition to menopause is a complex physiological process that typically begins in the mid to late 40s and most commonly lasts four to five years. Hot flushes are described as spontaneous sensations of warmth, variable in frequency, duration and severity, affecting the face, neck and upper chest, and are often associated with palpitation, sweating and anxiety . Studies have shown independent associations between poor sleep and hot flushes, anxiety, depressive symptoms and lower E2 levels .
Side Effects Of Antidepressants For Menopause
Over the years, the use of antidepressants has been observed to result in numerous side effects. As potent as the SSRIs have proven to be in the treatment of menopausal symptoms, like depression and anxiety, many women have complained of its negative sexual side effects. These side effects include diminished sexual appetite, failure to experience and maintain arousal, and difficulty in reaching an orgasm. Many patients who have been administered fluoxetine, sertraline, paroxetine and other SSRIs have complained of negative sexual performance.
Fortunately, some non-SSRI antidepressants have been found to be less likely to cause sexual dysfunction and, in fact, lead to an improvement in sexual urges. Examples of such non-SSRI drugs include duloxetine and bupropion.
Other side effects of antidepressants:
- Dry mouth
Criteria For Considering Studies For This Review
Types of studies
We will include randomised controlled trials, published and unpublished, without restriction on language. RCTs with a crossover design will be eligible for inclusion if they have data prior to crossover available.
Types of participants
Women who attain natural or surgical menopause alone or with hysterectomy), with menopausal symptoms in the perimenopausal or postmenopausal period.
Perimenopausal women are women with spontaneous menopause who have experienced irregular menstruation within the previous 12 months.
Postmenopausal women are women with surgical or spontaneous menopause and amenorrhoea for more than 12 months.
Trials will include women with menopause due to primary ovarian Insufficiency, radiation, or chemotherapy and both with or without a prior history of disease .
Previous hormone therapy within one month of commencement of study
Types of interventions
1. Antidepressant medications versus placebo, no treatment, oestrogen therapy, combination of oestrogen and progestogen, gabapentin, clonidine.
2. One antidepressant versus another antidepressant
Types of outcome measures
1. Hot flushes : i.e. frequency, severity, presence versus absence or a combination measure of frequency and severity. This is measured by
change in hot flushes scores;
change in frequency of individual hot flushes or severity of individual hot flushes scores.
Daily hot flash diary
Kupperman Menopausal Index
An Even More Challenging Sexuality
Without therapy, estrogen deficiency one way or another causes the genital mucosas dryness, which can then degeneration. The woman experiences a feeling of vaginal dryness, causing discomfort during sexual relations, particularly during penetration. Since the proper balance of the vaginal flora is interrupted, she is likewise more at risk to small infections and cystitis. Does all this most likely explain why 58% of menopausal women say they no more seem like making love? Best Antidepressant For Menopause
Ongoing Treatment And Follow
Any treatment for hot flushes needs to be evaluated periodically. Before switching from one treatment to another there may need to be a gradual tapering of medication.
Content updated August 2016
Getting Over Presumptions Concerning Menopause
The approach of this significant inner turmoil is in some cases worrying. Right here is some details to establish the document straight.
The earlier you have your period, the earlier you undergo menopauseWrong. There is no link between the age of very first menstrual cycle as well as the age at which it quits. Nor is there a web link between the age of menopause and also the age of taking the birth control pill . Menopause happens when the stock of eggs, built up prior to birth, is virtually exhausted. But out of the first stock of a number of million hair follicles, only 500 are released during ovulation throughout life. The remainder, 99.9% of the ovarian book, passes away naturally by apoptosis, or programmed cell death. Best Antidepressant For Menopause
The typical age of menopause does not change despite the aging of the populace.Real. The average age of menopause is 51, an age that does not vary. When menopause takes place prior to the age of 40, it is called premature ovarian failing. It is then essential to seek a possible hereditary cause connected to an X chromosome abnormality. It is essential to compensate for the hormonal agent deficit in estrogens by taking hormone substitute therapy until the ordinary age of menopause. Or else, the danger of fatality from cardiovascular disease is extra significant. Best Antidepressant For Menopause
Hrt Or Hormone Replacement Therapy
One way your GYN can help is by evaluating your symptoms and recommending hormone replacement therapy. As you continue to lose estrogen and progesterone, it can turn your life upside down.
There are multiple ways to replace the lost hormones including oral medications, pellets, transdermal patches, creams, or gels. Talk with Capital Womens Care about which might be best for you.
Hormone replacement is not for everyone, though, and if you have blood clotting issues, breast cancer, or heart disease, your doctor may think it best to use non-hormonal medications.
Could Antidepressants Make Menopausal Symptoms Worse
Anne explains, “There is evidence that SSRI antidepressants can exacerbate some menopausal symptoms, particularly poor libido and weight gain, which are very common due to the hormonal shifts. They are also much less effective at controlling menopausal mood disorders than is generally recognised.”
Diane agrees, “Many women say that antidepressants when prescribed for the psychological symptoms of menopause simply dont help, or make them feel numb or flat.”
“Antidepressants didnt help at all they just made me feel a bit numb and slightly disconnected from everything.”
Katie Taylor described her experience using antidepressants during the peri-menopause, she said, “I was offered antidepressants during the four years when I was suffering with terrible peri-menopause symptoms, which were misdiagnosed as depression. Antidepressants didnt help at all they just made me feel a bit numb and slightly disconnected from everything.”
After visiting agynaecologist, Katie was diagnosed with peri-menopause and prescribed HRT. She said, “I was like a new woman and back to the old me within a month. I set up my online platform The Latte Lounge so that no other woman would waste good years of life trying to figure out what was wrong with them.
Possible side effects of antidepressants
Cardiovascular side effects and gastrointestinal side effects
Nervousness, insomnia, restlessness and nausea
Weight gain and headaches
Menopause: Talking About It To Live It Better
Your medical professional is not psychic! If you dont speak to him about it, he cant guess that you are having mental, sexual, emotional, and so on, troubles. Nonetheless, for all these issues, there specify solutions. If he or she regards it proper, your physician can refer you to various other professionals that can assist you to better live through this fragile duration. What Is The Best Antidepressant For Menopause
A Word From Betterfemales
As women, our bodies undergo many changes throughout our lives. The transition to menopause can be difficult, and there isnt a one-size-fits-all solution for menopausal depression. Hormonal therapy, psychotherapy, and antidepressants are the standard treatments for those with menopausal depression. Besides, natural remedies like supplements and healthy lifestyles, such as adequate sleep, a healthy diet, and exercise, can actively help you cope with menopausal depression. Anyway, it is vital to develop a proper treatment plan and have a sound support system to help you through the process.
Benefits And Risks Of Hormone Replacement Therapy
The main benefit of HRT is that it can help relieve most menopausal symptoms, including hot flushes, brain fog, joint pains, mood swings and vaginal dryness.
It can also help prevent thinning of the bones, which can lead to fractures . Osteoporosis is more common after the menopause.
Some types of HRT can slightly increase the risk of breast cancer and blood clots in some women. You need to discuss whether you have any risk factors with a doctor or nurse.
Evidence says that the risks of HRT are small and usually outweighed by the benefits.
Your GP can give you more information about the risks and benefits of HRT to help you decide whether or not you want to take it.
Antidepressant May Be Hormone Alternative For Hot Flashes
6 Min Read
NEW YORK – A low dose of antidepressant may be almost as effective as estrogen at reducing the number of hot flashes menopausal women have to endure, according to a new study.
Estrogen therapy is still the best way to avert the sudden feelings of overheating, sweating and occasionally palpitations – the most common symptom of menopause – that can strike women from once a day to once an hour, day and night.
The U.S. Food and Drug Administration approved one antidepressant medication, the selective serotonin reuptake inhibitor paroxetine, brand name Brisdelle, for treating hot flashes in 2013. Brisdelle, marketed as Paxil when used as an antidepressant, was the first non-hormonal option approved by the FDA.
Antidepressants are often used off-label to treat hot flashes, Dr. Hadine Joffe of the department of Psychiatry at Brigham and Womens Hospital in Boston told Reuters Health. But at high doses, hormones are more effective than antidepressants, she said.
Joffe led the new study, which compared venlafaxine, the generic form of the antidepressant Effexor, against a lower dose of estrogen.
In the trial, 97 women took half a milligram of low-dose estradiol daily, 96 took 75 milligrams of venlafaxine per day and 140 women took a placebo. All the study participants were menopausal or post-menopausal with an average of eight hot flashes per day at the start.
Case reports have indicated that serious withdrawal symptoms may start within hours of going off venlafaxine.
Natural Remedies For Menopausal Depression
The use of natural remedies offers the benefit of avoiding side effects and other factors in treating depression. Practicing yoga, meditation, deep breathing, and guided imagery can help treat menopausal depression. These self-care techniques help women in feeling peaceful and comfortable.
When combating depression, natural remedies offer relief at a lower cost than other forms of treatment. For some women, certain herbal and dietary supplements can work well. Although marketed as natural antidepressants, its important to note that the use of these supplements may also have side effects or severe reactions when combined with certain medications.
Here are a few herbal supplements for menopausal depression:
Understanding supplement safety can help women avoid the severe effects of taking supplements. While herbal and dietary supplements offer many health benefits, they may not be suitable for everyone. You might need to know the side effects and consult a medical professional before using these supplements to treat menopausal depression.
Menopause Insomnia And Alcohol
It’s tempting to use alcohol to relax and feel sleepy, especially after a hard day. But using alcohol at bedtime will actually erode the quality of your sleep. It can also lead to tolerance, requiring more and more to achieve the same effect. And it can be dangerous, even deadly, to combine alcohol with sleep medications.
So, steer clear of alcohol for sleep. It causes more problems than it solves.
Remember these points if you want to treat your insomnia successfully:
- If you are on any regular medication, check first to see whether sleep disturbance is a side effect. If it is, talk to your doctor about other choices.
- Treat any underlying causes of your sleep problems. If you’re anxious or depressed, or if you have ongoing pain, there may be ways to treat these problems and eliminate your sleep troubles.
- Use medications as a last resort, after you have tried other methods for dealing with your sleeplessness.
No doubt about it, you need your sleep. Menopause offers enough challenges all by itself, and insomnia can make it seem impossible to manage. Find the best way to get to sleep and stay asleep so you will have the energy to meet your day, every day.
What To Look For When Choosing Menopause Supplements
When choosing a menopause supplement, look for ingredients such as black cohosh, red clover, and saint johns wort. These ingredients were found to be highly effective in peer-reviewed clinical trials. A lot of menopause supplements also contain phytoestrogens from soy and other plants, but their efficiency is still unknown.
Other than that, you will find many different ingredients in menopause supplements that treat symptoms such as hot flashes, night sweats, depression, and vaginal dryness. Because the FDA does not regulate dietary supplements, it can be hard to tell if the ingredients in your product are safe.
However, some products are manufactured in an FDA-approved facility and by the Good Manufacturing Practice guidelines, which is a sign that a product is safe for use.
Furthermore, look for products offering a money-back guarantee as this also is a sign that the manufacturer has your safety and satisfaction in mind. This also means you wont be throwing money away on products that dont offer any relief.
Hot Flashes And Antidepressants: Lifestyle Changes You Can Try
Avoid potential hot-flash triggers such as alcohol, caffeine, hot or spicy foods, hot drinks, and cigarette smoking. Also avoid using hair dryers and taking hot showers.Wear loose-fitting cotton clothing in layers that can be removed.Keep ice water at hand. Lower room temperatures or use a fan.To help alleviate night sweats, take a cool shower before bed. Wear light cotton pajamasthey’re easier to change than sheets. Use cotton sheets only and layered bedding that can be peeled off during the night. Keep a frozen ice pack under the pillow, and turn the pillow often so your head rests on a cool surface.Try paced respirationslow, deep abdominal breaths in through your nose and released through your mouthonce or twice a day or at the beginning of a hot flash.
Bottom line. Newer antidepressants might be an effective treatment for moderate to severe hot flashes. Currently published studies support the use of paroxetine and venlafaxine as first-line choices among those drugs. Our advice: Talk with your doctor about your symptoms and all available treatments. If you’re concerned about using hormones, consider newer antidepressants only after their risks and benefits have been thoroughly explained to you.