Not every woman is an appropriate candidate for estrogen-based hormone replacement therapy.
Prescription items are subject to clinician review before dispensing. After checkout you will complete a medical intake form. A licensed physician reviews it, and if you are approved, your medication ships. Your clinician sets the exact dose during that review.
This is a prescription product and requires an evaluation by a licensed provider. Purchase does not guarantee a prescription, and if you are not approved you will not be charged for medication.
Availability varies by state. Not for use by anyone under 18. This information is not medical advice — talk to your provider about risks, side effects and interactions.
Multi-month plans renew automatically at the end of the term until cancelled. Cancel any time before renewal from your account.
Full safety information
Certain antidepressants known as SSRIs (Selective Serotonin Reuptake Inhibitors and SNRIs (Serotonin Norepinephrine Reuptake Inhibitors) affect serotonin and norepinephrine pathways involved in temperature regulation. These medications may reduce hot flashes and night sweats even in women who do not have depression or anxiety.
Paroxetine is an SSRI and one of the most established non-hormonal treatments for menopausal vasomotor symptoms.
Paroxetine may be helpful for women experiencing:
Hot flashes and night sweats
Sleep disruption
Anxiety or irritability
Mood-related symptoms
Reduces hot flashes and night sweats without systemic estrogen
Provides treatment options for women with hormone-related contraindications
Offers alternatives for women who prefer not to use hormone therapy
May improve sleep when nighttime symptoms are controlled
May help overlapping anxiety, irritability, mood, pain, or bladder symptoms
Allows treatment to be matched to the patient’s most disruptive symptoms
Provides multiple options if the first medication is ineffective or not tolerated
• First 1 to 2 weeks:
Side effects may appear before the full benefit becomes noticeable. The clinician may adjust the dose or administration time to improve tolerability.
• Weeks 4 to 8:
Reduction in hot flashes, night sweats, sleep disruption, or mood-related symptoms can usually be assessed. Response time varies by medication.
• Ongoing treatment:
The treatment plan may be adjusted according to symptom control, side effects, laboratory results, blood pressure, and other monitoring requirements.
• If the first medication is ineffective or poorly tolerated, another non-hormonal option may be considered based on the patient’s symptoms and medical history.
The goal of non-hormonal therapy is to provide meaningful menopausal symptom relief while respecting each patient’s medical needs, treatment preferences, and overall health.
Labs — Dialing in your dose
Your labs show how your body is responding — and guide every adjustment.
Replaces thyroid hormone when evaluation shows it's needed.
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Replaces thyroid hormone when evaluation shows it's needed.
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Supports natural growth hormone production.
from $191.67/mo