Pilot evaluation of gabapentin for treating hot flashes.

Abstract:

OBJECTIVE:To obtain pilot prospective data regarding the efficacy and tolerability of gabapentin for alleviating hot flashes. PATIENTS AND METHODS:This prospective single-arm clinical trial was conducted between July 26, 2001, and November 30, 2001. Patients underwent a baseline week and then 4 weeks of gabapentin treatment, with increasing doses during the first 3 weeks, from 300 to 600 to 900 mg/d. Data were obtained primarily from patient-completed questionnaires. RESULTS:Data from 20 evaluable women (of 24 entered in the trial) were available. Four patients discontinued use of gabapentin for perceived drug-related untoward symptoms, primarily related to light-headedness and dizziness. The 16 patients who completed this clinical trial had a mean reduction in hot flash frequency, in the fourth treatment week compared to the baseline week, of 66%. Their corresponding hot flash score (frequency times average severity) reduction was 70%. Additionally, patients who completed the 4 treatment weeks had a strong tendency to report an improvement in several other symptoms. CONCLUSION:Although a double-blind placebo-controlled clinical trial should be conducted to better elucidate the efficacy and toxicity of gabapentin in patients with hot flashes, the available data suggest that gabapentin is a reasonable treatment to consider in patients with hot flashes if they do not wish to use hormonal therapy.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Loprinzi L,Barton DL,Sloan JA,Zahasky KM,Smith DA,Pruthi S,Novotny PJ,Perez EA,Christensen BJ

doi

10.4065/77.11.1159

keywords:

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

1159-63

issue

11

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)61804-1

journal_volume

77

pub_type

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