Managing menopause with: Other medications

A variety of prescription and over-the-counter medications may help manage your menopausal symptoms without HRT, including:

  • Antidepressants. These medications are increasingly prescribed for perimenopausal women. They may be right for you if you experience serious mood swings – and as an added benefit, they may relieve night sweats and hot flashes.
  • Sleep aids. Try over-the-counter, non-habit forming medications first, like Tylenol p.m. or Benadryl. Herbal preparations like melatonin and sleepy-time tea can also help relieve insomnia. If these don’t help, prescription sleep aids are safe to use for a limited time.
  • Osteoporosis medications. There are several drugs, such as Fosomax, that prevent and treat osteoporosis without influencing your hormones. “It may be wise to get a bone density test when you enter menopause, and discuss treatment options with your doctor if you’re at risk,” Dr. Ferrier says.
  • Heart medications. Talk to your doctor about medication options if you’re at increased risk of heart disease. HRT is no longer recommended to reduce your risk, but there are many effective drugs available. Don’t rely on medications alone to reduce your risk. The best steps you can take to prevent heart disease include improving your dietexercising, and managing your weight
  • Testosterone. During menopause, your ovaries’ production of libido-driving hormones decreases dramatically. Testosterone creams can reproduce the effects of those hormones and improve libido in many women. It’s available in drugstores as a cream that’s very easy to apply.

Managing menopause with: