Page last updated: 2024-10-25

clonidine and Hot Flashes

clonidine has been researched along with Hot Flashes in 42 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Hot Flashes: A sudden, temporary sensation of heat predominantly experienced by some women during MENOPAUSE. (Random House Unabridged Dictionary, 2d ed)

Research Excerpts

ExcerptRelevanceReference
"In all, 102 patients with a history of breast cancer were randomly assigned (2:2:1) to venlafaxine 75 mg, clonidine 0."9.15Management of hot flashes in patients who have breast cancer with venlafaxine and clonidine: a randomized, double-blind, placebo-controlled trial. ( Adriaansz, S; Beijnen, JH; Boekhout, AH; Dalesio, OB; Foekema-Töns, JH; Nuijen, B; Schellens, JH; Sprangers, S; van den Bosch, J; Vincent, AD, 2011)
"In a double-blind, cross-over study, 60 breast cancer patients experiencing HF were randomized to 8 weeks venlafaxine followed by 2 weeks wash-out, and 8 weeks clonidine or vice versa."9.14Venlafaxine versus clonidine for the treatment of hot flashes in breast cancer patients: a double-blind, randomized cross-over study. ( Buijs, C; de Jong, RS; de Vries, EG; Marike Boezen, H; Maurer, JM; Mom, CH; Mourits, MJ; Nieboer, P; Willemse, PH; Wymenga, AN, 2009)
"In a double-blind, randomized phase III study, breast cancer patients suffering from hot flashes at least twice a day, who were not taking any medication against hypertension and depression received either clonidine 0."9.12Venlafaxine is superior to clonidine as treatment of hot flashes in breast cancer patients--a double-blind, randomized study. ( Kaufmann, M; Loibl, S; Mehta, KM; Schwedler, K; Strohmeier, R; von Minckwitz, G, 2007)
"To evaluate the effectiveness of oral clonidine for control of hot flashes associated with tamoxifen therapy in postmenopausal women with breast cancer."9.09Oral clonidine in postmenopausal patients with breast cancer experiencing tamoxifen-induced hot flashes: a University of Rochester Cancer Center Community Clinical Oncology Program study. ( Dragalin, V; Flynn, PJ; Hynes, HE; Kirshner, JJ; Morrow, GR; Pandya, KJ; Pierce, HI; Raubertas, RF; Rosenbluth, RJ, 2000)
"I report an atypical presentation of primary hyperhidrosis and hot flushes that was effectively controlled by clonidine without remarkable side effects."7.85Clonidine is effective for the treatment of primary idiopathic hyperhidrosis and hot flushes: a case report. ( Albadrani, A, 2017)
"In all, 102 patients with a history of breast cancer were randomly assigned (2:2:1) to venlafaxine 75 mg, clonidine 0."5.15Management of hot flashes in patients who have breast cancer with venlafaxine and clonidine: a randomized, double-blind, placebo-controlled trial. ( Adriaansz, S; Beijnen, JH; Boekhout, AH; Dalesio, OB; Foekema-Töns, JH; Nuijen, B; Schellens, JH; Sprangers, S; van den Bosch, J; Vincent, AD, 2011)
"In a double-blind, cross-over study, 60 breast cancer patients experiencing HF were randomized to 8 weeks venlafaxine followed by 2 weeks wash-out, and 8 weeks clonidine or vice versa."5.14Venlafaxine versus clonidine for the treatment of hot flashes in breast cancer patients: a double-blind, randomized cross-over study. ( Buijs, C; de Jong, RS; de Vries, EG; Marike Boezen, H; Maurer, JM; Mom, CH; Mourits, MJ; Nieboer, P; Willemse, PH; Wymenga, AN, 2009)
"In a double-blind, randomized phase III study, breast cancer patients suffering from hot flashes at least twice a day, who were not taking any medication against hypertension and depression received either clonidine 0."5.12Venlafaxine is superior to clonidine as treatment of hot flashes in breast cancer patients--a double-blind, randomized study. ( Kaufmann, M; Loibl, S; Mehta, KM; Schwedler, K; Strohmeier, R; von Minckwitz, G, 2007)
"To evaluate the effectiveness of oral clonidine for control of hot flashes associated with tamoxifen therapy in postmenopausal women with breast cancer."5.09Oral clonidine in postmenopausal patients with breast cancer experiencing tamoxifen-induced hot flashes: a University of Rochester Cancer Center Community Clinical Oncology Program study. ( Dragalin, V; Flynn, PJ; Hynes, HE; Kirshner, JJ; Morrow, GR; Pandya, KJ; Pierce, HI; Raubertas, RF; Rosenbluth, RJ, 2000)
"To determine the effects of clonidine, which reduces central sympathetic activation, on the sweating threshold in postmenopausal women with and without hot flashes."5.09Clonidine raises the sweating threshold in symptomatic but not in asymptomatic postmenopausal women. ( Dinsay, R; Freedman, RR, 2000)
"Clonidine, SSRIs and SNRIs, gabapentin and relaxation therapy showed a mild to moderate effect on reducing hot flushes in women with a history of breast cancer."4.86Non-hormonal interventions for hot flushes in women with a history of breast cancer. ( Capurro, D; Corbalán, J; Letelier, LM; Moreno, G; Pantoja, T; Rada, G; Vera, C, 2010)
"I report an atypical presentation of primary hyperhidrosis and hot flushes that was effectively controlled by clonidine without remarkable side effects."3.85Clonidine is effective for the treatment of primary idiopathic hyperhidrosis and hot flushes: a case report. ( Albadrani, A, 2017)
" There is some evidence that the antihypertensive agent clonidine can reduce the frequency of hot flashes associated with menopause."3.72The impact of the Women's Health Initiative study on incident clonidine use in Ontario, Canada. ( Austin, PC; Mamdani, MM; Tu, K, 2004)
"Menopause is the cessation of menstruation due to loss of ovarian function and is diagnosed retrospectively after 12 consecutive months of amenorrhea."2.58Endocrine Conditions in Older Adults: Menopause. ( Bain, J; Bradford, S; Bragg, S; Ramsetty, A, 2018)
"Menopause is a physiological event."2.46Menopausal symptoms. ( Burbos, N; Morris, EP, 2010)
"Hot flashes are the most common symptom of menopause."2.43Pathophysiology and treatment of menopausal hot flashes. ( Freedman, RR, 2005)
" Although tibolone may prove safer than estrogen for long-term use in breast cancer survivors, the results of a large randomised trial are awaited to confirm this."2.43Therapy for menopausal symptoms during and after treatment for breast cancer : safety considerations. ( Baber, R; Hickey, M; Kwik, M, 2005)
"A total of 578 women with breast cancer were managed at the Menopausal Symptoms After Cancer Clinic between January 2003 and December 2008."1.36The multidisciplinary management of menopausal symptoms after breast cancer: a unique model of care. ( Doherty, DA; Emery, LI; Gregson, J; Hickey, M; Saunders, CM, 2010)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's23 (54.76)29.6817
2010's19 (45.24)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Boivin, JM1
Woyka, J1
Bain, J1
Bragg, S1
Ramsetty, A1
Bradford, S1
Sassarini, J3
Lumsden, MA3
Freedman, RR3
Eden, J1
Li, L1
Xu, L1
Wu, J1
Dong, L1
Zhao, S1
Zheng, Q1
Albadrani, A1
Buijs, C1
Mom, CH1
Willemse, PH1
Marike Boezen, H1
Maurer, JM1
Wymenga, AN1
de Jong, RS1
Nieboer, P1
de Vries, EG1
Mourits, MJ1
Kontos, M1
Agbaje, OF1
Rymer, J3
Fentiman, IS1
Hickey, M2
Emery, LI1
Gregson, J1
Doherty, DA1
Saunders, CM1
Rada, G1
Capurro, D1
Pantoja, T1
Corbalán, J1
Moreno, G1
Letelier, LM1
Vera, C1
Morris, EP1
Burbos, N1
Morimoto, Y1
Aozuka, Y1
Shibata, Y1
Boekhout, AH1
Vincent, AD1
Dalesio, OB1
van den Bosch, J1
Foekema-Töns, JH1
Adriaansz, S1
Sprangers, S1
Nuijen, B1
Beijnen, JH1
Schellens, JH1
Loprinzi, CL4
Barton, DL2
Qin, R1
Villaseca, P1
Fox, H1
Ferrell, W1
Sattar, N1
Lefkowits, CC1
Arnold, RM1
Brewer, D1
Nashelsky, J1
Hansen, LB1
Austin, PC1
Mamdani, MM1
Tu, K1
Morris, E2
Perez, DG1
Baber, R1
Kwik, M1
Stearns, V1
Barton, D1
Carroll, DG1
Nelson, HD1
Vesco, KK1
Haney, E1
Fu, R1
Nedrow, A1
Miller, J1
Nicolaidis, C1
Walker, M1
Humphrey, L1
Loibl, S1
Schwedler, K1
von Minckwitz, G1
Strohmeier, R1
Mehta, KM1
Kaufmann, M1
Alexander, IM1
Moore, A1
Cheema, D1
Coomarasamy, A1
El-Toukhy, T1
Pandya, KJ1
Raubertas, RF1
Flynn, PJ1
Hynes, HE1
Rosenbluth, RJ1
Kirshner, JJ1
Pierce, HI1
Dragalin, V1
Morrow, GR1
Dinsay, R1
Gottlieb, N1
Carranza-Lira, S1
Cortés-Fuentes, E1
Berendsen, HH1
Weekers, AH1
Kloosterboer, HJ1
Rhodes, D1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Sulpiride Versus Placebo for Reducting Hot Flushes During Climacteric: a Double-blind Randomized Clinical Trial[NCT02749747]Phase 328 participants (Actual)Interventional2014-06-30Completed
A Phase 2, Exploratory, Eight-Week, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Efficacy and Safety Study of Mesafem (Paroxetine Mesylate) Capsules in the Treatment of Vasomotor Symptoms Associated With Menopause[NCT00786188]Phase 2102 participants (Actual)Interventional2008-11-30Completed
A Phase 3, Twenty-Four Week, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Efficacy and Safety Study of Mesafem (Paroxetine Mesylate) Capsules in the Treatment of Vasomotor Symptoms Associated With Menopause[NCT01101841]Phase 3570 participants (Actual)Interventional2010-03-31Completed
Applied Relaxation for Vasomotor Symptoms in Postmenopausal Women - a Randomized, Controlled Trial[NCT01488864]60 participants (Actual)Interventional2007-03-31Terminated (stopped due to Low drop-out rate and slow recruitment rate)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Effect of Brisdelle (Paroxetine Mesylate) Capsules on Improvement of Hot Flash Interference at Week 4

"Interference of hot flashes was measured by using the Hot Flash-Related Daily Interference Scale (HFRDIS). The HFRDIS is a 10-item scale that measures the degree to which hot flashes interfere with 9 daily activities and the tenth item measures the degree to which hot flashes interfere with each of the other items. Subjects can score for each item on a scale from 0 to 10 where 0 = Do not interfere and a score of 10 = Completely interferes.~The measure being reported below is percentage of responders who had an improvement in HFRDIS score at Week 4 compared to baseline. A responder is defined as a subject who had an improvement in the HFRDIS score. An improvement is define as a score ≤3 on each question." (NCT00786188)
Timeframe: Week 4

Interventionpercentage of responders (Number)
Brisdelle (Paroxetine Mesylate) Capsules12
Placebo - Sugar Pill11

Effect of Brisdelle (Paroxetine Mesylate) Capsules on Mood at Week 4

"Mood was measured using the Profile of Mood States (POMS) Questionnaire. The Profile of Moods States (POMS) is a 65-item multi-dimensional measure that provides a method of assessing transient, fluctuating active mood states. Key areas that are measured include: tension-anxiety, anger-hostility, fatigue-inertia, depression-dejection, vigor-activity, confusion-bewilderment. Responses to questions are scored with the following numerical values: Not at all = 1, A little = 2, Moderate = 3, Quite a bit = 4, Extremely = 5. A total score for a domain was obtained by summing the responses of individual items in the domain. The total POMS score can range from 65 to 335.~The percentage of participants who had a change from baseline in the total score at Week 4 is reported below." (NCT00786188)
Timeframe: Week 4

Interventionpercentage of participants (Number)
Brisdelle (Paroxetine Mesylate) Capsules21
Placebo - Sugar Pill18

Asses the Effect of Brisdelle (Paroxetine Mesylate) Capsules on the Interference on Sexual Functioning at Week 8

The Arizona Sexual Experiences Scale (ASEX) is a 5-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. Possible total scores range from 5 to 30, with the higher scores indicating more sexual dysfunction. The sum of the scores for all 5 items was calculated. (NCT00786188)
Timeframe: Week 8

,
Interventionunits on a scale (Mean)
BaselineWeek 8
Brisdelle (Paroxetine Mesylate) Capsules17.9818.00
Placebo - Sugar Pill17.3318.15

Change From Baseline in Climacteric Symptoms at Week 8

"The Greene Climacteric Scale (GCS) was used for this measurement. The scale has 21 questions and measures symptoms in 4 areas; these are psychological (anxiety and depression), physical, vasomotor, and libido.~The severity of the symptom was scored as: 0=none, 1=mild, 2=moderate, and 3=severe. Anxiety was determined by using the sum of scores 1 to 6, and depression was determined by using the sum of scores 7 to 11. Physical aspects were determined by using the sum of scores 12 to 18; vasomotor aspects were determined by using the sum of scores 19 to 20; and libido was determined by using the score for question 21.~The total GCS score ranges from 0 to 63 which is the sum of all the scores for the 21-symptom assessment questions in this scale. Each subject's total GCS score at baseline and at Week 8 were used to calculate change from baseline in these symptoms. The change from baseline is reported below." (NCT00786188)
Timeframe: Week 8

,
Interventionunits on a scale (Mean)
BaselineWeek 8
Brisdelle (Paroxetine Mesylate) Capsules16.6312.31
Placebo - Sugar Pill17.3312.67

Change From Baseline in Hot Flash Composite Score at Week 4 and Week 8

"A scale was not used for this measurement.~Composite scores of hot flashes were calculated by using the following formula:~CS = (2 • Fm + 3 • Fs)~Where:~CS = composite score Fm = frequency of moderate hot flashes Fs = frequency of severe hot flashes The mean number of moderate and severe hot flashes recorded in the Run-In Period was used to calculate the baseline composite score." (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionComposite score (Mean)
BaselineWeek 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules211.9114.7102.6
Placebo - Sugar Pill213.0136.4119.2

Effect of Brisdelle (Paroxetine Mesylate) Capsules on BMI at Week 4 and Week 8

Body Mass Index (BMI) was calculated by using height in centimeters and weight in kilograms. (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionBMI Kg/m2 (Mean)
BaselineWeek 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules27.8528.1427.73
Placebo - Sugar Pill27.6927.9128.04

Effect of Brisdelle (Paroxetine Mesylate) Capsules on Depression and Anxiety at Week 8

"Depression & anxiety were measured using the Hospital Anxiety & Depression Scale (HADS).~The HADS is a scale developed to assess anxiety & depression. The HADS Scale consists of 14 Questions (7 relating to anxiety; 7 relating to depression) with possible scores ranging from 0 to 21.~The results presented below are the number of participants with abnormal HADS Scores for both Abnormal Anxiety & Abnormal Depression combined at Week 8." (NCT00786188)
Timeframe: Week 8

,
Interventionparticipants (Number)
BaselineWeek 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules200
Placebo - Sugar Pill111

Mean Change From Baseline in Hot Flash Frequency at Week 4 and Week 8

"The number of hot flashes reported in the result table are:~Mean change in frequency of moderate to severe VMS from baseline to Week 4~Mean change in frequency of moderate to severe VMS from baseline to Week 8. They are both measured as hot flashes per week." (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionHot flashes (Mean)
BaselineWeek 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules82.4437.342.2
Placebo - Sugar Pill83.1828.535.5

Mean Change From Baseline in Hot Flash Severity at Week 4 and Week 8

"A scale was not used to measure severity scores. Severity scores of hot flashes were calculated for each subject. The following formula was used to calculate severity.~SS = (2•Fm + 3•Fs) ÷ (Fm + Fs)~Where:~SS = severity score Fm = frequency of moderate hot flashes Fs = frequency of severe hot flashes The mean number of moderate and severe hot flashes that was recorded in the Run-In Period was used to calculate the baseline severity score." (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionSeverity score (Mean)
BaselineWeek 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules2.5700.1280.133
Placebo - Sugar Pill2.5390.0720.066

Proportion of Clinical Global Impression (CGI) Responders at Week 4 and Week 8

The Clinical Global Impression Scale (CGIS) was completed by the investigator and was used to measure the severity of the VMS at any given time and the improvement from baseline. Responders were defined as subjects who achieved a score of 1 to 3 where 1 = very much improved, 2 = much improved, and 3 = minimally improved. Non-responders were defined as subjects who achieved a score of 4 to 7 where 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionPercentage of participants (Number)
Week 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules73.9164.58
Placebo - Sugar Pill60.0054.90

Proportion of Numerical Rating Scale (NRS) True Responders at Week 4 and Week 8

"The Subject Impression Numerical Rating Scale (NRS) is an 11-point scale was used to measure how bothered a subject was by hot flashes both during the day and the night.~The measure being reported below is percentage of responders who had an improvement in NRS score at Week 4 compared to baseline. A responder is defined as a subject who had an improvement in the NRS score. An improvement is define as a score ≤3 on each question." (NCT00786188)
Timeframe: Week 4 and Week 8

,
InterventionPercentage of true responders (Number)
Week 4Week 8
Brisdelle (Paroxetine Mesylate) Capsules33.3337.14
Placebo - Sugar Pill16.6721.95

Percent Persistence of Benefit, Statistically Significant Difference in Having 50% or More Reduction Compared to Baseline at Week 24.

"Persistence of treatment benefit to 24 weeks post treatment was assessed by using the following responder analysis. Responders were defined as those subjects who achieved ≥ 50% reduction from baseline in moderate to severe hot-flash frequency at Week 24; the percent change in hot flash frequency is calculated using the formula:~Percent reduction at week 24 = [(number of moderate to severe hot flash frequency at baseline - number of moderate to severe hot flash frequency at week 24) / number of moderate to severe hot flash frequency at baseline ]*100%." (NCT01101841)
Timeframe: Week 24

Interventionpercentage of total number of subjects (Number)
Brisdelle (Paroxetine Mesylate) Capsules47.54
Placebo Capsules36.27

Assessment of Mood

"Mood was measured by using the Profile of Mood States (POMS) questionnaire. The Profile of Moods States (POMS) is a 65-item multi-dimensional measure that provides a method of assessing transient, fluctuating active mood states. Key areas that are measured include: tension-anxiety, anger-hostility, fatigue-inertia, depression-dejection, vigor-activity, confusion-bewilderment. Responses to questions are scored with the following numerical values: Not at all = 1, A little = 2, Moderate = 3, Quite a bit = 4, Extremely = 5. A total score for a domain was obtained by summing the responses of individual items in the domain. The total POMS score can range from 65 to 325. Each subject's total POMS score at baseline and at Week 4 and Week 12 were used to calculate the percent of participants with less disturbance in mood at Week 4 and Week 12 compared to baseline. The percent of participants with less disturbance in mood is reported below." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionPercent of participants (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules37.4037.16
Placebo Capsules42.3944.23

BMI Change From Baseline (kg/m2), Median

"Subjects were weighed at each clinic visit and reported the number of hot flashes using an electronic diary.~Assessment of the effect of Brisdelle compared with placebo on body mass index." (NCT01101841)
Timeframe: Week 4 and Week 12

,
Interventionkg/m2 (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules0.000.15
Placebo Capsules0.080.11

Change From Baseline in Arizona Sexual Experience Scale (ASEX, Week 4 and Week 12) Total Score, Median

The Arizona Sexual Experiences Scale (ASEX) is a 5-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. Possible total scores range from 5 to 30, with the higher scores indicating more sexual dysfunction.The sum of the scores for all 5 items was calculated at Week 4 and Week 12. (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionUnits on a scale (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules0.000.00
Placebo Capsules0.000.00

Change From Baseline in Greene Climacteric Scale (GCS) at Week 4 and Week 12, Total Score, Median

"The Greene Climacteric Scale (GCS) was used for this measurement. The scale has 21 questions and measures symptoms in 4 areas; these are psychological (anxiety and depression), physical, vasomotor, and libido.~The severity of the symptom was scored as: 0=none, 1=mild, 2=moderate, and 3=severe. Anxiety was determined by using the sum of scores 1 to 6, and depression was determined by using the sum of scores 7 to 11. Physical aspects were determined by using the sum of scores 12 to 18; vasomotor aspects were determined by using the sum of scores 19 to 20; and libido was determined by using the score for question 21.~The total GCS score ranges from 0 to 63 which is the sum of all the scores for the 21-symptom assessment questions in this scale. Each subject's total GCS score at baseline and at Week 4 and Week 12 were used to calculate change from baseline in these symptoms. The change from baseline is reported below." (NCT01101841)
Timeframe: Week 4 and Week 12

,
Interventionunits on a scale (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-3.00-4.00
Placebo Capsules-3.00-3.00

Change From Baseline in Total Number of Awakenings Due to Hot Flashes, Median

"Participants completed a electronic diary to report nightime awakenings. Subjects took study drug once daily at bedtime and they were instructed to complete daily hot flash and sleep diaries to record the number of hot flashes daily, the severity of each episode of hot flash and total number of awakenings due to hot flashes.~The diary data was used to evaluate and compare the treatment groups, on the change from baseline to Week 4 and Week 12, in the total number of awakenings due to hot flashes. The total number of awakenings due to hot flashes in the run-in period was used as baseline." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionAwakenings (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-8.50-13.15
Placebo Capsules-6.62-8.67

Change in Frequency of Moderate to Severe Hot Flashes Frequency From Baseline (BMI <32 kg/m2, Week 4 and Week 12), Median

"Subjects were weighed at each clinic visit and reported the number of hot flashes using an electronic diary.~For the BMI <32 kg/m2 subgroup, the mean weekly reduction in frequency of moderate to severe hot flashes from Baseline was calculated for Week 4 and Week 12." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot flashes per week (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-28.50-41.00
Placebo Capsules-18.0-27.00

Change in Frequency of Moderate to Severe Hot Flashes Frequency From Baseline (BMI ≥32 kg/m2, Week 4 and Week 12), Median

"Subjects were weighed at each clinic visit and reported the number of hot flashes using an electronic diary.~For the BMI ≥32 kg/m2 subgroup, the mean weekly reduction in frequency of moderate to severe hot flashes from Baseline was calculated for Week 4 and Week 12." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot flashes per week (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-22.0-31.50
Placebo Capsules-17.0-23.00

Change in Severity of Moderate to Severe Hot Flashes From Baseline (BMI <32 kg/m2, At Week 4 and Week 12), Median

"Subjects were weighed at each clinic visit and reported the number of hot flashes using an electronic diary.~For the BMI <32 kg/m2 subgroup, the mean weekly reduction in the severity of moderate to severe hot flashes from Baseline was calculated at Week 4 and Week 12.~Subjects recorded the number of hot flashes per week using an electronic diary. Severity score for hot flashes for each subject was calculated as the sum of 2 times the number of moderate hot flashes, plus 3 times the number of severe hot flashes, divided by the total number of moderate and severe hot flashes.~Weekly Severity Score = (2•Fm +3•FS)/(Fm + FS) Daily Severity Score = {(2•F) m +3•FS)/(Fm + FS)}/7 Where, Fm= Frequency of Moderate Hot Flashes Fs = Frequency of Severe Hot Flashes The calculated severity score is reported below." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot Flash Severity scores per week (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-0.033-0.045
Placebo Capsules-0.004-0.00

Change in Severity of Moderate to Severe Hot Flashes From Baseline (BMI ≥32 kg/m2, Week 4 and Week 12), Median

"Subjects were weighed at each clinic visit and reported the number of hot flashes using an electronic diary.~For the BMI ≥32 kg/m2 subgroup, the mean weekly reduction in the severity of moderate to severe hot flashes from Baseline was calculated at Week 4 and Week 12.~Subjects recorded the number of hot flashes per week using an electronic diary. Severity score for hot flashes for each subject was calculated as the sum of 2 times the number of moderate hot flashes, plus 3 times the number of severe hot flashes, divided by the total number of moderate and severe hot flashes.~Weekly Severity Score = (2•Fm +3•FS)/(Fm + FS) Daily Severity Score = {(2•F) m +3•FS)/(Fm + FS)}/7 Where, Fm= Frequency of Moderate Hot Flashes Fs = Frequency of Severe Hot Flashes The calculated severity score is reported below." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot Flash Severity scores per week (Median)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules-0.039-0.052
Placebo Capsules-0.036-0.051

Effect of Brisdelle (Paroxetine Mesylate) Capsules on Anxiety and Depression

"Depression & anxiety were measured by using the Hospital Anxiety & Depression Scale (HADS).~The HADS was developed to assess anxiety & depression. It is meant to differentiate symptoms of depression with those of anxiety.~Number of items: 14 (7 questions relating to anxiety; 7 questions relating to depression).~Responses are based on the relative frequency of symptoms over the past week, using a four point scale ranging from 0 (not at all) to 3 (very often indeed).~Responses are summed to provide separate scores for anxiety and depression symptomology with possible scores ranging from 0 to 21 for each scale.~The results presented below are the percentage of participants with abnormal HADS Scores for both Abnormal Anxiety & Abnormal Depression at Week 4 and Week 12." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionPercentage of participants (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules5.654.13
Placebo Capsules2.445.24

Effect of Paroxetine Mesylate Capsules on Percent Improvement of Hot Flash Interference From Baseline at Week 4 and Week 12, Hot Flash Related Daily Interference Scale (HFRDIS)

"Interference of hot flashes was measured by using the hot flash-related daily interference scale (HFRDIS). The HFRDIS is a 10-item scale that measures the degree to which hot flashes interfere with 9 daily activities and the tenth item measures the degree to which hot flashes interfere with each of the other items. Subjects can score for each item on a scale from 0 to 10 where 0 = Do not interfere and a score of 10 = Completely interferes.~The measure being reported below is percentage of responders who had an improvement in HFRDIS score at Week 4 and Week 12 compared to baseline. A responder is defined as a subject who had an improvement in the HFRDIS score. An improvement is defined as a score ≤3 on each question." (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionPercent of participants (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules26.0315.89
Placebo Capsules30.5121.32

Mean Change From Baseline in Hot Flash Frequency at Week 4 and Week 12.

"Subjects recorded the number of hot flashes per week using an electronic diary. The results reported are not hot flashes per week.~The results reported are:~Mean Baseline frequency of moderate to severe VMS~Mean change in frequency of moderate to severe VMS from baseline to Week 4~Mean change in frequency of moderate to severe VMS from baseline to Week 12" (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot flashes per day (Mean)
BaselineWeek 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules10.83-4.13-5.31
Placebo Capsules10.90-2.71-3.94

Mean Change From Baseline in Hot Flash Severity at Week 4 and Week 12.

"Subjects recorded the number of hot flashes per week using an electronic diary. Severity score for hot flashes for each subject was calculated as the sum of 2 times the number of moderate hot flashes, plus 3 times the number of severe hot flashes, divided by the total number of moderate and severe hot flashes.~Weekly Severity Score = (2•Fm +3•FS)/(Fm + FS) Daily Severity Score = {(2•F) m +3•FS)/(Fm + FS)}/7 Where, Fm= Frequency of Moderate Hot Flashes Fs = Frequency of Severe Hot Flashes" (NCT01101841)
Timeframe: Week 4 and Week 12

,
InterventionHot Flash Severity Score per day (Mean)
BaselineWeek 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules2.525-0.092-0.0126
Placebo Capsules2.532-0.059-0.066

Percent Daytime and Nighttime Responders, Numerical Rating Scale (NRS)

"Subject's overall improvement in VMS from Baseline assessed using the Numerical Rating Scale (NRS) The NRS is measured on a scale of 0 to 10 on how bothered the subject was by her VMS (0=not bothered at all and 10=very much bothered).~Responders: Subjects with NRS Score of 5 Or Less. Non-Responders: Subjects With NRS Score of Greater than Or Equal to 6." (NCT01101841)
Timeframe: Week 4 and Week 12

,
Interventionpercentage of total number of subjects (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules35.4846.62
Placebo Capsules25.2737.72

Percent Responders Improvement in VMS From Baseline Using the Clinical Global Impression (CGI) Scale.

"Proportion of NRS Responders: Subject's overall improvement in VMS from Baseline was assessed using the Numerical Rating Scale (NRS)~The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill.~Responders: Subjects Achieving a Score of Very Much Improved Or Much Improved Or Minimally Improved.~Non Responders: Subjects with a Score of No Change Or Minimally Worse Or Much Worse Or Very Much Worse." (NCT01101841)
Timeframe: Week 4 and Week 12

,
Interventionpercentage of participants (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules67.8869.88
Placebo Capsules53.5859.74

Percentage of Responders

Participants reported the number of hot flashes using an electronic diary. Participants who hd a ≥50% reduction in hot flash frequency were defined as responders. The percent of responders is presented below. (NCT01101841)
Timeframe: Week 4 and Week 12

,
Interventionpercentage of participants (Number)
Week 4Week 12
Brisdelle (Paroxetine Mesylate) Capsules35.5649.30
Placebo Capsules25.3533.80

Reviews

22 reviews available for clonidine and Hot Flashes

ArticleYear
[HTA and non-hormonal menopause treatment].
    Presse medicale (Paris, France : 1983), 2019, Volume: 48, Issue:11 Pt 1

    Topics: Acupuncture Therapy; Clonidine; Complementary Therapies; Female; Gabapentin; Hot Flashes; Humans; Hy

2019
Endocrine Conditions in Older Adults: Menopause.
    FP essentials, 2018, Volume: 474

    Topics: Adrenergic alpha-2 Receptor Agonists; Aged; Clonidine; Endocrine System Diseases; Excitatory Amino A

2018
Non-hormonal management of vasomotor symptoms.
    Climacteric : the journal of the International Menopause Society, 2013, Volume: 16 Suppl 1

    Topics: Amines; Anticonvulsants; Clonidine; Complementary Therapies; Cyclohexanecarboxylic Acids; Estrogen R

2013
Menopausal hot flashes: mechanisms, endocrinology, treatment.
    The Journal of steroid biochemistry and molecular biology, 2014, Volume: 142

    Topics: Adult; Body Temperature Regulation; Circadian Rhythm; Clonidine; Estrogen Replacement Therapy; Femal

2014
ENDOCRINE DILEMMA: Managing menopausal symptoms after breast cancer.
    European journal of endocrinology, 2016, Volume: 174, Issue:3

    Topics: Administration, Intravaginal; Administration, Topical; Atrophy; Bone Density Conservation Agents; Br

2016
Comparative efficacy of nonhormonal drugs on menopausal hot flashes.
    European journal of clinical pharmacology, 2016, Volume: 72, Issue:9

    Topics: Amines; Clonidine; Cyclohexanecarboxylic Acids; Female; Gabapentin; gamma-Aminobutyric Acid; Hot Fla

2016
What can be done about hot flushes after treatment for breast cancer?
    Climacteric : the journal of the International Menopause Society, 2010, Volume: 13, Issue:1

    Topics: Amines; Anesthetics, Local; Breast Neoplasms; Bupivacaine; Clonidine; Complementary Therapies; Cyclo

2010
Hot flushes: are there effective alternatives to estrogen?
    Menopause international, 2010, Volume: 16, Issue:2

    Topics: Acupuncture Therapy; Amines; Cimicifuga; Clonidine; Cyclohexanecarboxylic Acids; Estrogen Replacemen

2010
Non-hormonal interventions for hot flushes in women with a history of breast cancer.
    The Cochrane database of systematic reviews, 2010, Sep-08, Issue:9

    Topics: Acupuncture Therapy; Amines; Breast Neoplasms; Clonidine; Cyclohexanecarboxylic Acids; Excitatory Am

2010
Menopausal symptoms.
    BMJ clinical evidence, 2010, Feb-25, Volume: 2010

    Topics: Clonidine; Double-Blind Method; Estrogens; Hot Flashes; Humans; Menopause; Postmenopause

2010
Non-estrogen conventional and phytochemical treatments for vasomotor symptoms: what needs to be known for practice.
    Climacteric : the journal of the International Menopause Society, 2012, Volume: 15, Issue:2

    Topics: Adrenergic alpha-2 Receptor Agonists; Amines; Anticonvulsants; Cimicifuga; Clonidine; Cyclohexanecar

2012
Clinical inquiries. What nonhormonal therapies are effective for postmenopausal vasomotor symptoms?
    The Journal of family practice, 2003, Volume: 52, Issue:4

    Topics: Acetates; Amines; Cimicifuga; Clonidine; Contraindications; Cyclohexanecarboxylic Acids; Estrogens,

2003
Menopausal symptoms.
    Clinical evidence, 2003, Issue:10

    Topics: Clonidine; Estrogens; Female; Hot Flashes; Humans; Menopause; Norpregnenes; Phytoestrogens; Progesti

2003
Menopausal symptoms.
    Clinical evidence, 2004, Issue:11

    Topics: Clonidine; Estrogens; Female; Hot Flashes; Humans; Menopause; Norpregnenes; Phytoestrogens; Progesti

2004
Pathophysiology and treatment of menopausal hot flashes.
    Seminars in reproductive medicine, 2005, Volume: 23, Issue:2

    Topics: Adrenergic alpha-Agonists; Body Temperature; Body Temperature Regulation; Clonidine; Estrogens; Fema

2005
Newer antidepressants and other nonhormonal agents for the treatment of hot flashes.
    Comprehensive therapy, 2005,Fall, Volume: 31, Issue:3

    Topics: Adrenergic alpha-Agonists; Amines; Anti-Anxiety Agents; Antidepressive Agents; Antioxidants; Cimicif

2005
Therapy for menopausal symptoms during and after treatment for breast cancer : safety considerations.
    Drug safety, 2005, Volume: 28, Issue:12

    Topics: Antineoplastic Agents, Hormonal; Breast Neoplasms; Case-Control Studies; Clonidine; Estrogen Recepto

2005
Nonhormonal therapies for hot flashes in menopause.
    American family physician, 2006, Feb-01, Volume: 73, Issue:3

    Topics: Cimicifuga; Clonidine; Female; Glycine max; Hot Flashes; Humans; Isoflavones; Menopause; Phytotherap

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis.
    JAMA, 2006, May-03, Volume: 295, Issue:17

    Topics: Adrenergic alpha-Agonists; Amines; Antidepressive Agents; Clonidine; Cyclohexanecarboxylic Acids; Ex

2006
Treating vasomotor symptoms of menopause: the nurse practitioner's perspective.
    Journal of the American Academy of Nurse Practitioners, 2007, Volume: 19, Issue:3

    Topics: Adrenergic alpha-Agonists; Algorithms; Amines; Citalopram; Clonidine; Complementary Therapies; Cyclo

2007
Non-hormonal therapy of post-menopausal vasomotor symptoms: a structured evidence-based review.
    Archives of gynecology and obstetrics, 2007, Volume: 276, Issue:5

    Topics: Amines; Cimicifuga; Clonidine; Cyclohexanecarboxylic Acids; Female; Gabapentin; gamma-Aminobutyric A

2007
Management of hot flashes in breast-cancer survivors.
    The Lancet. Oncology, 2001, Volume: 2, Issue:4

    Topics: Antidepressive Agents; Belladonna Alkaloids; Breast Neoplasms; Clonidine; Drug Combinations; Ergotam

2001

Trials

6 trials available for clonidine and Hot Flashes

ArticleYear
Venlafaxine versus clonidine for the treatment of hot flashes in breast cancer patients: a double-blind, randomized cross-over study.
    Breast cancer research and treatment, 2009, Volume: 115, Issue:3

    Topics: Adrenergic alpha-Agonists; Adult; Breast Neoplasms; Clonidine; Cross-Over Studies; Cyclohexanols; Do

2009
Management of hot flashes in patients who have breast cancer with venlafaxine and clonidine: a randomized, double-blind, placebo-controlled trial.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011, Oct-10, Volume: 29, Issue:29

    Topics: Adult; Aged; Analgesics; Breast Neoplasms; Clonidine; Cyclohexanols; Double-Blind Method; Female; Ho

2011
Venlafaxine is superior to clonidine as treatment of hot flashes in breast cancer patients--a double-blind, randomized study.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2007, Volume: 18, Issue:4

    Topics: Adult; Aged; Breast Neoplasms; Clonidine; Cyclohexanols; Double-Blind Method; Female; Hot Flashes; H

2007
Oral clonidine in postmenopausal patients with breast cancer experiencing tamoxifen-induced hot flashes: a University of Rochester Cancer Center Community Clinical Oncology Program study.
    Annals of internal medicine, 2000, May-16, Volume: 132, Issue:10

    Topics: Administration, Oral; Adrenergic alpha-Agonists; Antineoplastic Agents, Hormonal; Breast Neoplasms;

2000
Clonidine raises the sweating threshold in symptomatic but not in asymptomatic postmenopausal women.
    Fertility and sterility, 2000, Volume: 74, Issue:1

    Topics: Adrenergic alpha-Agonists; Blood Pressure; Body Temperature Regulation; Clonidine; Female; Galvanic

2000
Modification of vasomotor symptoms after various treatment modalities in the postmenopause.
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2001, Volume: 73, Issue:2

    Topics: Clonidine; Estrogen Replacement Therapy; Estrogens, Conjugated (USP); Female; Hot Flashes; Humans; M

2001

Other Studies

14 other studies available for clonidine and Hot Flashes

ArticleYear
Consensus statement for non-hormonal-based treatments for menopausal symptoms.
    Post reproductive health, 2017, Volume: 23, Issue:2

    Topics: Amines; Anticonvulsants; Antihypertensive Agents; Behavior Therapy; Breast Neoplasms; Clonidine; Con

2017
Clonidine is effective for the treatment of primary idiopathic hyperhidrosis and hot flushes: a case report.
    Journal of medical case reports, 2017, Jan-17, Volume: 11, Issue:1

    Topics: Adult; Clonidine; Groin; Hot Flashes; Humans; Hyperhidrosis; Male; Sympatholytics

2017
The multidisciplinary management of menopausal symptoms after breast cancer: a unique model of care.
    Menopause (New York, N.Y.), 2010, Volume: 17, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Ambulatory Care Facilities; Amines; Anti-Anxiety Agents; Breast Neop

2010
[Effects of estrogen and keishibukuryogan on hot flash-like symptoms induced by yohimbine in ovariectomized rats].
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2011, Volume: 131, Issue:8

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-2 Receptor Antagonists; Animals; Body Tempera

2011
Nonestrogenic management of hot flashes.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011, Oct-10, Volume: 29, Issue:29

    Topics: Breast Neoplasms; Clonidine; Cyclohexanols; Female; Hot Flashes; Humans; Venlafaxine Hydrochloride

2011
Hot flushes, vascular reactivity and the role of the α-adrenergic system.
    Climacteric : the journal of the International Menopause Society, 2012, Volume: 15, Issue:4

    Topics: Adrenergic alpha-Agonists; Aged; Analysis of Variance; Clonidine; Cross-Over Studies; Dose-Response

2012
Hot flashes in palliative care. Part 2 #262.
    Journal of palliative medicine, 2013, Volume: 16, Issue:1

    Topics: Amines; Analgesics; Antineoplastic Agents, Hormonal; Breast Neoplasms; Clonidine; Cyclohexanecarboxy

2013
Treating hot flashes with drugs: an update.
    Harvard women's health watch, 2002, Volume: 9, Issue:12

    Topics: Acetates; Amines; Anticonvulsants; Antidepressive Agents, Second-Generation; Antihypertensive Agents

2002
The impact of the Women's Health Initiative study on incident clonidine use in Ontario, Canada.
    The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique, 2004,Fall, Volume: 11, Issue:2

    Topics: Aged; Antihypertensive Agents; Clonidine; Drug Utilization; Female; Hot Flashes; Humans; Male; Ontar

2004
Centrally active nonhormonal hot flash therapies.
    The American journal of medicine, 2005, Dec-19, Volume: 118 Suppl 12B

    Topics: Amines; Antidepressive Agents; Antihypertensive Agents; Belladonna Alkaloids; Clonidine; Cyclohexane

2005
Information from your family doctor. Nonhormonal options for hot flashes.
    American family physician, 2006, Feb-01, Volume: 73, Issue:3

    Topics: Adrenergic alpha-Agonists; Antidepressive Agents; Cimicifuga; Clonidine; Female; Glycine max; Hot Fl

2006
Nonhormonal agents show promise against hot flashes.
    Journal of the National Cancer Institute, 2000, Jul-19, Volume: 92, Issue:14

    Topics: Antidepressive Agents, Second-Generation; Antihypertensive Agents; Clonidine; Contraindications; Con

2000
Treating hot flashes with drugs.
    Harvard women's health watch, 2000, Volume: 7, Issue:12

    Topics: Acetates; Adrenergic alpha-Antagonists; Amines; Anticonvulsants; Clonidine; Cyclohexanecarboxylic Ac

2000
Effect of tibolone and raloxifene on the tail temperature of oestrogen-deficient rats.
    European journal of pharmacology, 2001, May-04, Volume: 419, Issue:1

    Topics: Adrenergic alpha-Agonists; Anabolic Agents; Animals; Body Temperature; Clonidine; Dose-Response Rela

2001