What are effective nonhormonal treatments for vasomotor symptoms in menopause?
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Escitalopram and gabapentin are more effective for reducing hot flashes than placebo (SOR: B, individual RCTs). Participation in a mindfulness training program is associated with reduced bother from hot flashes, but has not been shown to be better than placebo (SOR: B, single RCT). Evidence is insufficient to determine the effect of exercise on vasomotor symptoms in menopause.
Evidence Based Practice 16(5): 09.