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Depomedroxyprogesterone acetate for hot flashes.

Debra Barton1, Charles Loprinzi, Susan Quella

  • 1Mayo Clinic, Rochester, MN 55905, USA.

Journal of Pain and Symptom Management
|January 29, 2003
PubMed
Summary
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Depomedroxyprogesterone acetate injections significantly reduced hot flashes by about 90% in men and women undergoing cancer therapy. This treatment was well-tolerated and provided lasting relief from problematic hot flashes.

Area of Science:

  • Oncology
  • Endocrinology
  • Pharmacology

Background:

  • Hot flashes are a common side effect of androgen deprivation therapy for prostate cancer and a symptom in women with a history of breast cancer.
  • Managing hot flashes is crucial for improving patient quality of life during cancer treatment.

Purpose of the Study:

  • To evaluate the efficacy and tolerability of long-acting medroxyprogesterone acetate for managing hot flashes in patients undergoing cancer therapy.

Main Methods:

  • A clinical practice study involving 18 patients (3 men with prostate cancer, 15 women with breast cancer history).
  • Patients received three biweekly intramuscular injections of 500 mg depomedroxyprogesterone.
  • Effectiveness and tolerability were assessed through hot flash diaries and patient chart reviews.

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Main Results:

  • Treatment resulted in an approximate 90% decrease in hot flashes.
  • Mean daily hot flash frequency reduced from 10.9 to 0.7 within 12 weeks.
  • Symptomatic improvement persisted for months after treatment cessation in many patients.
  • Reported side effects were minimal, indicating good tolerability.

Conclusions:

  • Long-acting medroxyprogesterone acetate appears to be an effective and well-tolerated treatment option for managing hot flashes in patients undergoing cancer therapy.
  • Further research may be warranted to confirm these findings in larger, controlled trials.