Originally used for nerve pain and seizures, gabapentin can reduce hot flashes—especially overnight.
“It didn’t fix everything, but I finally slept through the night. That alone changed my life.”
$10–$30/month with insurance; ~$40–$70 without
Prescription only. Often used off-label for menopause.
1–2 weeks for sleep; 2–4 weeks for hot flash reduction
More about
Gabapentin
This is a great option if your flashes wake you up more than they bother you during the day. Side effects like dizziness and drowsiness are common, but some women find them helpful for sleep.
Gabapentin affects nerve activity and has shown benefit in reducing hot flashes, especially in women who experience sleep disruption.
Gabapentin isn’t hormonal, but it helps regulate thermoregulation and pain sensitivity in the brain. It’s particularly effective for women who suffer night sweats and have trouble sleeping as a result.
Avoid if you have a history of severe depression or balance issues
Drowsiness, dizziness, swelling, mood changes
Usually taken at night, 300mg to start. Doses may be increased gradually. Do not stop suddenly.
Neurontin, generic gabapentin
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