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Non-hormonal

Paroxetine

Brisdelle (low-dose, FDA-approved for hot flashes)

The only SSRI with FDA approval specifically for moderate-to-severe vasomotor symptoms — useful when HRT is not an option.

Medically reviewed by Dr. Ana Lisa Carr, MD, MBA · Last reviewed 2026-05-10

What it is

Paroxetine is a selective serotonin reuptake inhibitor. The 7.5 mg formulation (Brisdelle) is FDA-approved specifically for moderate-to-severe vasomotor symptoms.

It is a primary alternative for women who cannot or choose not to take estrogen — particularly breast cancer survivors.

How it works

Modulates central serotonergic pathways involved in temperature regulation, reducing hot flash frequency and severity.

Who it's for

Who should not take it

Common side effects

Evidence summary

FAQ

Is this an antidepressant dose?

No. Brisdelle is a much lower dose (7.5 mg) than typical SSRI antidepressant dosing.

Sources

Medically reviewed by Dr. Ana Lisa Carr, MD, MBA
Board-Certified Family Medicine Physician · Lead Provider / Medical Reviewer
NPI 1689841744 · Last reviewed: May 10, 2026

More on mood & sleep

Symptoms Paroxetine can help treat

Hot Flashes →

Evidence-based treatment overview

Mood Changes →

Evidence-based treatment overview

Anxiety →

Evidence-based treatment overview

Other medications

Estradiol →

Hormone therapy

Micronized Progesterone →

Hormone therapy

Testosterone (low-dose, female-physiologic) →

Hormone therapy

Semaglutide →

GLP-1 weight care

This page is educational and is not a substitute for a clinical evaluation. Whether any medication is appropriate for you depends on your full medical history. Kindr providers make individualized prescribing decisions during a clinical visit.

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