Fluoxetine (Prozac) to help with extreme hot flash/sweats

[Falcon10]

I am currently on Lupron 3 month shot and Zitiga treatment, began this past July. I am experiencing very extreme hot flashes and severe sweats. It was suggested that Fluoxetine (Prozac) might help. Does anyone have any experience, effectiveness, side effects to share using Fluoxetine for this purpose?

Thanks for any input.

[Huzzah1]

My hot flashes were horrible, I would have them about every 1 to 2 hours, full body sweats. I tried 4 different anti-depressants to no avail. Even though my MO had suggested that I might try acupuncture, I took the drugs. On the suggestion of another friend, I finally got hooked up with a great acupuncture office. I live very close to a large Asian population just NE of Atlanta. It has made a huge difference for me.

[Falcon10 in reply to Huzzah1]

very interesting and thank you for your input

[jackwfrench in reply to Huzzah1]

Hello- any idea how the accupunture helps this? My MO recommended black cohosh and it doesnt seem to work.

[Huzzah1 in reply to jackwfrench]

I don’t understand but it’s been used for thousands of years. Strangely, Medicare doesn’t cover it for hot flashes but they do for back pain.

[kainasar in reply to Huzzah1]

Started with gabapentin, then venlaxafine, now on exercise and megace.

[Falcon10 in reply to kainasar]

Did the hot/sweats go away all together?

[Tall_Allen]

I've read reports of venlafaxine (Effexor) being helpful sometimes:

pubmed.ncbi.nlm.nih.gov/199...

although this refutes that:

ncbi.nlm.nih.gov/pmc/articl...

Other interventions with demonstrated efficacy are aural acupuncture, Megace, estrogen patches, and oxybutynin.

The FDA recently approved Veozah for hot flashes in women. Anecdotally, my friend with PCa says it works quite well for him.

[Falcon10 in reply to Tall_Allen]

thank you very much

[Deadstick in reply to Tall_Allen]

TA,

I was wondering about using Veozah for hot flashes too, but thought was only for use by women. Is the doc using it off-label or is it ok for men?

[Tall_Allen in reply to Deadstick]

Off-label.

[fish7days]

Please try 20mg Megace. Ask dr for a prescription asap. I did not disappoint for me and I had it bad! I would try that before an anti depressant.

[Falcon10 in reply to fish7days]

thank you. did your hot/sweat flashes go away or just reduce them?

[fish7days in reply to Falcon10]

95% reduction. I was absolutely miserable before starting it.

[Falcon10 in reply to fish7days]

thanks for getting back on this.

[Joey40]

Estrogen patch. Lots of guys doing this.

[gsun]

No luck with Effexor for hot flashes. Coming off it is a bitch.

[j-o-h-n in reply to gsun]

Like you post......... but not the "bitch part" 👍

I was lucky or I was frozen....... after RPD and on Lupron/Casodex I had two or three days of mild hot flashes that disappeared. Ain't that a bitch?

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 07/24/2022 4:56 PM DST

[MrWonderful4U]

I’m on the same treatment (Lupron/zytiga). Been using Sertraline for a while now and it’s helped. Has not completely eliminated the hot flashes though, but they’re more tolerable.