Abstract
This randomized, prospective, double-blind study evaluated the efficacy and tolerability of moclobemide, a reversible, selective inhibitor of monoamine oxidase-A, in reducing the frequency and severity of hot flashes. Thirty post-menopausal women were enrolled, and 28 were allocated to 5 weeks of treatment with moclobemide 150 mg (group 1, n = 10), moclobemide 300 mg (group 2, n = 11), or placebo (group 3, n = 9). Data on hot flashes were recorded in a daily diary. Mean reductions in the hot flash severity score were 24.4% in the placebo group, 69.8% in group 1, and 35.0% in group 2. This large difference suggests that the beneficial effects were not due to a placebo effect. Moclobemide may be a new nonhormonal option for reducing the incidence, severity, and duration of hot flashes in postmenopausal women who do not wish to take estrogen or have contraindications to its use.
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References
Bachman GA. Non hormonal alternatives for the management of early menopause in younger women with breast cancer.J Natl Cancer Inst Monogr. 1994;16:161–167.
Valagussa P, DeCandis D, Antonelli G, et al. Women’s health perception and breast cancer: issues of fertility, hormone substitution, and cancer prevention.Recent Results Cancer Res. 1996; 140:277–283.
Reyno LM, Levine MN, Skingley P, et al. Chemotherapy induced amenorrhea in a randomized trial of adjuvant chemotherapy duration in breast cancer.Eur J Cancer. 1992;29A:21–23.
Collchio F, Pandya K. Amenorrhea following chemotherapy for breast cancer: effect on disease free survival.Oncology. 1994;8:45–51.
Loprinzi CL, Peethambaram PP. Management of menopausal symptoms in breast cancer patients.Ann Med. 1995;27:653–656.
Couzi RJ, Helzlsouer KJ, Fettin JH. Prevalence of menopausal symptoms among women with a history of breast cancer and attitudes toward estrogen replacement therapy.J Clin Oncol. 1995; 13:2737–2744.
Kronenberg F. Hot flashes: epidemiology and physiology.Ann NY Acad Sci. 1990;592:52–86.
Mulley G, Mitchell JRA. Menopausal flashing: does estrogen therapy make sense?Lancet. 1976; i:1397–1398.
Aksel S, Schomberg DW, Tyrey L, Hammond CB. Vasomotor symptoms, serum estrogens, and gonadotropin levels in surgical menopause.Am J Obstet Gynecol. 1976;126:165–169.
Kronenberg F. Hot flashes: phenomenology, quality of life, and search for treatment options.Exp Gerontol. 1994;29:319–336.
Erlik Y, Tataryn IV, Meldum DR, et al. Association of waking episodes with menopausal hot flashes.JAMA. 1981;245:1741–1744.
Pearlstein T, Rosen K, Stone AB. Mood disorders and menopause.Endocrinol Metab Clin. 1997; 26:279–294.
Bines J, Oleske DM, Cobleigh MA. Ovarian function in premenopausal women treated with adjuvant chemotherapy for breast cancer.J Clin Oncol. 1996;14:1718–1729.
Barton DL, Loprinzi CL, Quella SK, et al. Prospective evaluation of vitamin E for hot flashes in breast cancer survivors.J Clin Oncol. 1998;16:495–500.
Groeneveld FPMJ, Bareman FP, Barensten R, et al. Relationship between attitude toward menopause, well-being and medical attention among women aged 45–60 years.Maturitas. 1993;17:77–88.
Knopf MT. Physical and psychologic distress associated with adjuvant chemotherapy in women with breast cancer.J Clin Oncol. 1986;4:678–684.
Neugarten BL, Kraines RJ. ‘Menopausal symptoms’ in women of various ages.Psychosom Med. 1965;27:266–273.
Halbreich U. Role of estrogen in postmenopausal depression.Neurology. 1997;48:S16-S19.
Sherwin BB. Hormones, mood, and cognitive functioning in menopausal women.Obstet Gynecol. 1996;87:20S-26S.
Stearns V, Isaacs C, Rowland J, Crawford J, Ellis MJ, Kramer R. A pilot trial assessing the efficacy of paroxetine hydrochloride in controlling hot flashes in breast cancer survivors.Ann Oncol. 2000; 11:17–22.
Loprinzi C, Pisansky T, Fonseca R, Sloan J, Zahasky K. Pilot evaluation of venlafaxine hydrochloride for the therapy of hot flashes in cancer survivors.J Clin Oncol. 1998;16:2377–2381.
Volz HP, Gleiter CH. Monoamineoxidase inhibitors. A perspective on their use in the elderly.Drugs Aging. 1998;13:341–355.
Loprinzi CL, Michalak JC, Quella SK, et al. Megestrol acetate for the prevention of hot flushes.N Engl J Med. 1994;331:347–352.
McEwen BS. Clinical review 108: the molecular and neuroanatomical basis for estrogen effects in the central nervous system.J Clin Endocrinol Metab. 1999;84:1790–1797.
McEwen BS. Estrogen actions in the central nervous system.Endocrinol Rev. 1999;20:278–306.
Janowsky DS, Halbreich U, Rausch J. Association of ovarian hormones, other hormones, emotional disorders, and neurotransmitters. In: Jensvold MF, Halbreich U, Hamilton JA, eds.Psychopharmacology and Women: Sex, Gender, and Hormones. Washington, DC: American Psychiatric Press; 1996:85–104.
Schmidt PJ, Rubinow DR. Menopause related affective disorders: a justification for further study.Am J Psychiatry. 1991;148:844–852.
Klaiber EL, Kobayashi Y, Broverman DM, et al. Plasma monoamine oxidase activity in regularly menstruating women and in amenorrheic women receiving cyclic treatment with estrogens and progestins.J Clin Endocrinol Metab. 1971;33:630–638.
Gonzales GF, Carrillo C. Blood serotonin levels in postmenopausal women: effects of age and serum estradiol levels.Maturitas. 1993;17:23–29.
Fulton B, Benfield P. Moclobemide: an update of its pharmacological properties and therapeutic use.Drugs. 1996;52:450–474.
Goldberg RJ. Antidepressant use in the elderly. Current status of nefazodone, venlafaxine and moclobemide.Drugs Aging. 1997;11:119–131.
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Tarim, E., Bagis, T., Kilicdag, E. et al. Moclobemide in the treatment of hot flashes in postmenopausal women. Adv Therapy 19, 258–265 (2002). https://doi.org/10.1007/BF02853171
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DOI: https://doi.org/10.1007/BF02853171