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Clonidine

Originally a blood pressure med, clonidine can reduce hot flashes for some women.

“It wasn’t perfect, but my flashes dropped off a bit—and it helped with anxiety, too.”

How to Get It

Prescription required. Most commonly used off-label.

Treatment Timeline

1–2 weeks for symptom relief

Insurance Details

$5–$30/month with insurance; ~$40–$60 without

More about

Clonidine

What to Love

This is a niche option that may help some women—especially those managing both hot flashes and high blood pressure. But it can also cause dizziness or dry mouth, so it’s not for everyone.

How it Works

Once or twice daily. Must be tapered off gradually if discontinued.

Clonidine lowers norepinephrine activity in the brain, which may reduce hot flashes and blood pressure.

Though less commonly prescribed, clonidine can reduce the intensity and frequency of vasomotor symptoms in women who can’t or don’t want hormone therapy. Its effect is modest but may be helpful in combo with other strategies.

When to Avoid

Avoid if you have low blood pressure, slow heart rate, or are prone to fainting

Possible Side Effects

Dry mouth, dizziness, fatigue, constipation

Recommended Brands

Catapres, generic clonidine

Additional Resources