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A pilot trial assessing the efficacy of paroxetine hydrochloride (Paxil) in controlling hot flashes in breast cancer survivors.
Open accessAbstract
Background Many breast cancer survivors suffer debilitating hot flashes. Estrogen, the drug of choice in perimenopausal women, is generally not recommenced to breast cancer survivors. Nonhormonal treatments are mostly disappointing. Anecdotal reports in our institution suggested that the selective serotonin-reuptake inhibitor, paroxetine hydrochloride, might be efficacious in alleviating hot flashes. Patients and methods Thirty women with prior breast cancer who were suffering at least two hot flashes a day entered a single institution pilot trial to evaluate paroxetine's efficacy in reducing the frequency and severity of hot flashes. After completing daily diaries for one week on no therapy, the women received open-label paroxetine, 10 mg daily for one week, followed by four weeks of paroxetine, 20 mg daily. The women completed hot-flash daily diaries throughout the study period, and a health-related symptom-assessment questionnaire and a quality-of-life rating scale in the first and sixth week of the study. Results Twenty-seven women completed the six-week study period. The mean reduction of hot flash frequency was 67% (95% confidence interval (95% CI): 56%-79%). The mean reduction in hot flash severity score was 75% (95% CI: 66%-85%). There was a statistically significant improvement in depression, sleep, anxiety, and quality of life scores. Furthermore, 25 (83%) of the study participants chose to continue paroxetine therapy at the end of study. The most common adverse eff…
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These pilot results are comparable or superior to results of open label studies with paroxetine and venlafaxine.
“These results are comparable or superior to results of open label studies with paroxetine and venlafaxine. 22,4,23–25”
From Clinical hypnosis in the treatment of postmenopausal hot flashes (2013) · cites this paper as [22]
Self-report diaries are a valid approach to obtain data on subjective phenomena such as patient-reported symptoms.
“the use of self-report diaries, as used in this study, has long been established as a valid approach to obtain data on subjective phenomena, such as patient-reported symptoms.”
From Randomized Trial of a Hypnosis Intervention for Treatment of Hot Flashes Among Breast Cancer Survivors (2008) · cites this paper as [19]
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Metadata
- Authors
- Stearns, V., Isaacs, C., Rowland, J., Crawford, J., Ellis, M. J., Kramer, R., Lawrence, W., Hanfelt, J. J., & Hayes, D. F.
- Affiliations
- Georgetown University (US)
- Venue
- Annals of Oncology
- Publisher
- Elsevier BV
- Published
- 2000-01
- Volume
- 11
- Issue
- 1
- Pages
- 17-22
- ISSN
- 0923-7534 (ISSN-L)
- OpenAlex
- W2111093019
- Cited by
- 224
- References
- 19
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 8 · 2014: 9 · 2013: 6 · 2012: 7
- FWCI
- 16.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fashion Footwear Association of New York
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- paroxetine, hot flashes, breast cancer survivors, selective serotonin reuptake inhibitors, menopausal symptoms, non-hormonal therapy, quality of life, depression, sleep, anxiety, sleepiness
- MeSH terms
- Adult, Aged, Anxiety, Breast Neoplasms, Depression, Female, Humans, Menopause, Middle Aged, Pilot Projects, Quality of Life, Surveys and Questionnaires, Sexual Behavior, Confidence Intervals, Selective Serotonin Reuptake Inhibitors, Paroxetine, Survivors, Hot Flashes
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