Release forms and composition of the drug
The medication is available for purchase only in the form of capsules for internal use. They are packaged in blisters of 10 pieces, which are placed in cardboard boxes of 4 pieces. The box also contains instructions for proper use of the product. The capsules are of a standard size, white in color, and have no specific odor.
The dosage of each capsule is 500 mg.
The supplement contains several active components in varying quantities:
- Pantothenic and folic acid.
- Pyridoxine and cyanocobalamin.
- Tocopherol.
- Ascorbic acid.
- Soybean extract rich in isoflavones.
- Griffonia extract or hydroxytryptophan.
- Beta-alanine.
Each active component has pronounced therapeutic properties. The composition contains auxiliary ingredients that do not have a therapeutic effect. They are represented by silicon dioxide, cellulose and iron oxide, which acts as a dye. In addition, the capsules contain magnesium stearate, and the shell contains gelatin.
Non-hormonal tablets
To treat menopausal symptoms, most doctors prescribe hormone replacement therapy. But hormonal drugs cannot always be taken to treat menopause in women. If there are obvious contraindications to taking hormones, non-hormonal tablets come to the rescue, which are divided into the following drug groups:
- homeopaths;
- antidepressants;
- antiepileptics;
- herbal medicines;
- Dietary supplements.
The pharmacological effects of these drugs are aimed at:
- alignment of the psycho-emotional state and elimination of depression, irritability and apathy;
- normalization of healthy sleep;
- reducing the intensity of flushing and hot flashes.
Let's take a closer look at the most popular drugs from each medicinal group of non-hormonal drugs for the treatment of menopausal symptoms.
Homeopaths
Homeopathic remedies consist of medicinal plant extracts and specific chemical components that help treat menopausal symptoms. Among a number of pharmacological drugs, the following homeopaths stand out:
- Klimadinon is a drug containing extracts of racemosa cohosh, as well as useful minerals and trace elements that contribute to the provision of anti-inflammatory and diuretic effects on the female body. This is a fairly affordable drug with a homeopathic spectrum of action; its pricing varies within 250 rubles.
- Femicaps is a complex medicinal product that includes extracts and oils of medicinal plants, as well as a complex of fortified substances. It has a normalizing effect on the psycho-emotional state of a woman, as well as improving the functionality of the cardiovascular system. Available in tablet form, 120 tablets in one package. The cost of this drug is 1300 - 1400 rubles.
- Klimaxan is the simplest homeopathic medicine: it is quite inexpensive, around 100 rubles. Helps eliminate headaches, insomnia, irritability, tearfulness, as well as reduce the intensity of hot flashes and hot flashes.
Antidepressants
Antidepressants are prescribed to eliminate the spasmodic nature of the psycho-emotional state during menopause. The most effective medications are those containing the active ingredient venlafaxine, these include:
- Ephevelon;
- Velafax;
- Velaxin.
But such antidepressant drugs as:
- Prozac;
- Adepress;
- Paxil;
- Fluoxetine;
- Actaparoxitin.
Antidepressant medications help reduce the intensity of hot flashes and alleviate all menopausal symptoms, which contributes to a significant improvement in overall well-being.
Do not forget that antidepressants should be taken only as prescribed by the attending physician and strictly following the prescribed treatment regimen.
Antiepileptics
Anticonvulsants are prescribed to women suffering from high frequency of hot flashes and their excessive occurrence with characteristic attacks of suffocation. The most recommended anticonvulsant drug, which helps reduce the number and duration of hot flashes and hot flashes, is Gabapentin. But, in addition to it, drugs such as Convalis, Tebantin, Neurontin or Catena may be prescribed.
Herbal remedies
Herbal medicines are non-hormonal medicines that help effectively reduce menopausal symptoms, developed using natural extracts and oils of medicinal plants. Some of the most popular herbal remedies are:
- Estrovel is a tablet preparation that helps normalize hormonal levels and eliminate the intensity of hot flashes. It also has a normalizing effect on the psycho-emotional state, eliminates deficient levels of fortified drugs, and has a preventive effect against the development of osteoporosis and estrogen-dependent neoplasms of various etiologies. One package contains 28 tablets, the cost varies from 300 to 350 rubles.
- French drug Inoclim . It has estrogen-like properties and prevents the development of pathological changes characteristic of the menopause, as well as the development of osteoporosis. Produced in the form of capsules, 30 pieces in one package. The market price of the drug is 650-700 rubles.
- Polish tableted herbal medicine Lefem . Replenishes deficient levels of estrogen, helps eliminate the intensity of hot flashes, excessive sweating, anxiety, irritability, apathy and sudden mood swings. It has a preventive effect against osteoporosis, pathological changes in the cardiovascular system and neoplasms in the mammary glands.
Pharmacological properties
Mense is a medicine for menopause, which has mild sedative, restorative and stimulating properties. The product compensates for the deficiency of important components, and the presence of B vitamins helps to normalize the transmission of nerve impulses to tissues.
Thanks to the complex effect of several components, the vascular wall is strengthened, blood pressure is normalized and heart function is improved. Additionally, the medication has immunostimulating properties, which is very useful for women during menopause due to the weakening of the body's defenses.
Additionally, the product has a positive effect on hormonal balance, which leads to an improvement in general condition. The medication also normalizes sleep, eliminates irritability and relieves hot flashes, especially at night.
The drug has a positive effect on mental activity, helps prevent memory deterioration and decreased performance as a result of the inability to concentrate on performing any task.
The use of the drug helps prevent sudden changes in mood, cycle disruption and other problems associated with the physiological process of decline of reproductive function.
Drugs for symptomatic treatment
In addition to non-hormonal drugs that are necessary for menopause, the additional use of other medications is allowed. Most often, doctors prescribe Magne B6 and Klimalanin.
Magne B6 (Sanofi Winthrop Industrie, France)
Magnesium is a necessary component during menopause.
Main indications for prescribing the drug:
- irritability;
- nervousness;
- sleep problems;
- muscle spasm;
- sudden change in mood;
- poor condition of hair, nails, skin.
The product is available in tablets of 60 and 100 pcs. Dosage – from 6 to 8 tablets 2 – 3 times a day.
Side effects:
- abdominal pain;
- bloating;
- indigestion;
- rashes on the skin;
- hives.
Contraindications:
- kidney and liver failure;
- phenylketonuria;
- child's age up to 6 years;
- individual intolerance to components.
The price of the product is from 600 to 900 rubles.
Klimalanin (Bouchard laboratory, France)
The active ingredient is alanine. The product is available in tablet form. Indications: hot flashes during menopause. The drug must be taken in a daily dosage of 400 to 1200 mg. Course – from 5 to 10 days.
If symptoms of menopause occur again, you should start taking the drug again. Side effect: allergy. The product is contraindicated in case of hypersensitivity to the composition. Cost – from 400 to 600 rubles.
After 45 years, a woman experiences menopause. The period is accompanied by negative symptoms - hot flashes, headaches, increased sweating. Doctors prescribe the use of non-hormonal drugs (tablets, drops, etc.).
Compared to hormonal ones, they have a low likelihood of side effects. The pharmacy chain offers many non-hormonal products. Most often, Qi-Klim, Climaxan and other drugs are prescribed.
Pharmacodynamics and pharmacokinetics
The dietary supplement is considered very effective during menopause, since it takes effect within a few days after the start of the course.
Pantothenic acid in the composition helps the adrenal glands synthesize estrogens in sufficient quantities, which normalizes hormonal balance and prevents various disorders. Additionally, the substance helps relieve fatigue, preserves a woman’s performance, and improves the condition of the nervous system.
Soybean extract is a natural component that stimulates collagen production, stops the aging process and significantly improves a woman’s appearance.
In addition, soybeans are considered a good source of phytoestrogens, which helps prevent hormonal imbalance and menstrual irregularities. As a result, the most pronounced manifestations of menopause in the form of sweating, hot flashes, and tachycardia are alleviated.
The presence of pyridoxine and cyanocobalamin in the composition provides a stimulating effect. The product improves performance, helps restore cells and helps normalize sleep. As a result, a woman does not feel tired during the day, is able to perform complex manipulations and concentrate on important tasks.
Tocopherol in the supplement is considered one of the most important components, since it is the most important substance for maintaining the health of a woman’s reproductive system. The substance helps normalize the menstrual cycle, improves the condition of the skin, hair and blood vessels. In addition, the medication helps prevent the deposition of cholesterol plaques on the walls of blood vessels.
Griffonia extract is considered a natural antidepressant, helps improve sleep and prevents nervous disorders, such as neuroses and neurasthenia. Additionally, the substance helps prevent causeless fear, worry and anxiety associated with somatic changes.
Ascorbic acid in the supplement not only stimulates the immune system, but also helps strengthen the walls of blood vessels, which prevents surges in blood pressure, as well as damage to small capillaries. Additionally, the substance improves the condition of the skin and protects it from the negative effects of external factors.
Folic acid plays a special role in the supplement, which helps maintain normal estrogen levels during menopause. This helps prevent the development of osteoporosis, which results from the leaching of calcium from the bones with a sharp decrease in estrogen levels during menopause.
The complex effect of the medication helps to cope with the most pronounced manifestations, improve the appearance and general condition of the patient.
When capsules are taken orally, the gelatin capsule quickly dissolves in the digestive tract. The active components are released and penetrate the systemic circulation and have a therapeutic effect. The substances do not accumulate in the blood or tissues, are well processed in the liver and are excreted within 1-2 days.
The main amount of processed components is excreted through the kidneys, a small part through feces and bile. In patients with pathologies of the digestive tract and urinary organs, a slowdown in the absorption and excretion of components is observed, which does not weaken the therapeutic effect.
Main methods of treatment
To treat hot flashes during menopause, it is necessary to avoid provoking factors:
- stress;
- heat;
- alcohol;
- smoking;
- spicy food;
- caffeine;
- tight-fitting and synthetic clothing.
It is necessary to regularly engage in feasible physical exercise and cool the body with douches or a fan.
But what should a woman do and what medications should she take during menopause if conventional measures really don’t help?
Treatment with medications is based on taking medications that lower blood pressure, antidepressants, anti-inflammatory drugs, but, if we talk specifically about drugs, the most effective method in treating hot flashes and other symptoms of menopause is hormone replacement therapy (HRT) .
However, HRT has certain contraindications in some cases. What is the way out in this case?
Hot flashes can also be treated with herbal medicines that affect estrogen receptors and relieve severe symptoms. These remedies are especially popular among women for whom hormonal therapy is contraindicated.
Some women are helped by alternative treatment methods - homeopathy, Ayurvedic herbal treatment, etc.
Hormonal drugs
Taking synthetic analogues of female hormones is indicated for patients whose menopause has occurred early or if the woman has had her ovaries removed. In such cases, changes in the body at the hormonal level occur faster, and hormonal medications can reduce undesirable manifestations and complications.
Under no circumstances should you prescribe hormones on your own, since hormonal medications have a number of contraindications and side effects.
The best and most effective HRT drugs for menopause symptoms today:
- Femoston. Take 1 tablet daily. Until menstruation has stopped, it is recommended to start taking the drug on the first day of the menstrual cycle; in case of an irregular cycle, the drug is taken 10-14 days after using progesterone. The tablets should be taken at the same time, regardless of meals. In most cases, Femoston is well tolerated, however, consultation with a doctor is required, since some of the effects of the drug depend on the dosage;
- Norkolut . This drug is often prescribed for the prevention of cancer that can develop in a woman during menopause with endometrial hyperplasia. Long-term use of the drug is not recommended, as this can lead to exacerbation of vascular pathologies. In addition, the drug must be taken under the supervision of a doctor, since it can increase depression, which is not a rare phenomenon during menopause;
- Trisequence . Under the influence of the components included in this drug, the mechanism of hormone replacement is triggered. And this, in turn, allows menopausal women to lead an active lifestyle. Taking the medicine relieves menopausal symptoms and improves well-being;
- Duphaston. When ovarian function declines, Duphaston affects the uterine mucosa, stabilizes the concentration of hormones, reduces the volume of menstrual discharge, eliminates pain symptoms, restores metabolic processes and promotes better absorption of vitamins. In addition, the drug prevents endometrial hyperplasia and also prevents the development of myomatous formations;
- Angelique. Angelique replenishes the reserves of sex hormones and prevents the development of emotional, somatic and vegetative disorders. In addition, the drug reduces the amount of cholesterol and normalizes fat metabolism. The drug is also prescribed to women who suffer from frequent bone fractures during the postmenopausal period.
Also read about new generation hormonal drugs.
Vaginal suppositories
Suppositories during menopause relieve discomfort in the vagina, which is associated with a decrease in the production of vaginal lubrication. Such drugs can be prescribed alone or in combination with other medications.
Candles are prescribed to restore secretions and a full sexual life.
Suppositories for dryness can be hormonal and non-hormonal :
- Ovestin is a hormonal suppository that replenishes the effect of estrogen. Improves the tone of the vagina, vulva and cervix. Restores microflora after just a week of use;
- Ortho-ginest are hormonal suppositories that have a moisturizing effect and quickly restore microflora. In addition, this suppository drug prevents atrophic changes and increases the resistance of the epithelium to various infections;
- Climaxan is a non-hormonal suppository drug that effectively relieves unpleasant vaginal sensations during menopause, and does not have a significant effect on hormonal levels;
- Cicatridine is a non-hormonal vaginal suppository that tones and nourishes vaginal tissues, and also eliminates unpleasant itching. It contains plant components and hyaluronic acid;
- Vagikal is an effective non-hormonal remedy with calendula extract. Prescribed for vaginal dryness caused by inflammatory processes. Has an antifungal effect.
Traditional methods
Folk recipes for menopause are presented very widely, the following are considered the most effective:
- linen . You can use both decoctions of flaxseed and flaxseed oil;
- licorice _ The tincture of this plant is taken 7-10 drops every day before bed. Eliminates menopausal syndrome well;
- parsley . A decoction of the roots of the plant is used. Take a glass before meals three times a day;
- for indigestion and to normalize weight, use a collection of rose hips, lingonberry leaves, dill seeds, chicory root and corn silk . Take a glass of the decoction a day, half an hour before meals, three times a day;
- soothing tea is prepared from raspberry leaves, hop cones and linden blossom . Take the decoction several times a day in small portions.
For menopause, the following are also widely used:
Read also about other herbs and herbal remedies for menopause symptoms here.
Non-hormonal agents
Non-hormonal drugs are prescribed to women whose symptoms of menopause are not acute, as well as to those for whom hormonal therapy is contraindicated.
But, despite the fact that the products do not contain hormonal components, only a doctor should prescribe them, since it is impossible to independently determine the dosage and course of treatment.
The most commonly prescribed drugs are:
- Estravel. Normalizes the functionality of the vestibular apparatus, eliminates menopausal syndrome. Effective both before and after menopause;
- Feminal. Copes well with sweating, hot flashes, tachycardia, nervousness, and headaches. It is recommended to take from 2 to 6 months;
- Klimadinon. A sedative drug that significantly reduces the negative symptoms of menopause. Available in drops and tablet form. Treatment is carried out until symptoms disappear completely;
- Remens. It is recommended to take it at the first appearance of unpleasant symptoms. Available in the form of lozenges. Well controls mood swings, improves sleep, stabilizes the functioning of the autonomic system;
- Climaxan. Relieves depressive syndrome, improves heart function, regulates blood circulation, and actively fights hot flashes. Take 2 months, after a break the course of treatment can be repeated.
Vitamin complexes
Vitamin complexes during menopause accelerate metabolic and metabolic processes, synthesize sex hormones, and increase immunity.
Women with menopausal syndrome are prescribed:
- Retinol – supports the functionality of the ovaries, prevents the development of tumor processes, improves the condition of the mucous membranes;
- Tocopherol – stimulates the function of the female reproductive glands, smoothes out negative symptoms, helps synthesize progesterone and estrogen;
- vitamin D – important for the absorption of calcium, which reduces the risk of developing osteoporosis;
- ascorbic acid – accelerates metabolic processes, improves immunity, strengthens blood vessels, removes excess fluid. Antioxidant;
- folic acid – has a positive effect on the nervous system, helps smooth out mood swings.
Sedatives
The most common herbal sedative is Valerian. The drug is available in tablet form and in the form of drops. We must not forget that you can take no more than 6 tablets per day, otherwise nervous excitability will increase.
Novo Passit is another common and effective sedative. Perfectly stabilizes hormonal levels, improves mood, eliminates psycho-emotional outbursts, suppresses feelings of anxiety and fear.
Motherwort is an analogue of Valerian, however, it is believed to be more effective. The product relieves excitability well, smoothes out hot flashes, and relieves convulsive syndrome.
Grandaxin is prescribed to women who experience severe emotional overload. Very effective for nervous disorders of any etiology.
Kimaktoplan can be used as a prophylactic agent several years before menopause. Such preliminary care of your health will help to significantly reduce menopausal symptoms in the future.
Indications for use
Mensa is prescribed to women during menopause as a dietary supplement to improve their condition.
The medicine is used if the following symptoms occur during menopause:
- Hot flashes and night sweats.
- Blood pressure surges.
- Tachycardia and arrhythmia developing against the background of hormonal imbalance.
- Emotional imbalance, irritability, neurasthenia.
- A decrease in estrogen levels, diagnosed through a blood test.
- Negative manifestations from the genital organs, manifested in the form of dry mucous membranes, burning and other disorders.
- Increased body weight as a result of hormonal imbalance.
- Deterioration of the condition of hair, skin, change in the shape of the mammary glands.
These and other manifestations significantly worsen the condition of patients during menopause, so the use of the drug is considered the most preferable and safe way to get rid of disorders.
Features of non-hormonal therapy for menopause in women
If a woman’s reproductive system is active, there is a constant production of sex hormones - estrogen, progesterone. They regulate the functionality of the body - metabolism, hair and skin condition. With the onset of menopause, the production of sex hormones decreases and then fades away completely. The menstrual cycle is disrupted and the discharge gradually stops.
A woman’s body experiences a lack of nutrients, which leads to a number of negative consequences:
- increased sweating;
- tides;
- rapid heartbeat;
- diseases of the cardiovascular system;
- poor condition of the skin, hair, nails;
- weight gain due to impaired metabolism;
- increased likelihood of various diseases.
To avoid the appearance of severe symptoms, as a preventive measure it is necessary to visit a therapist and gynecologist once every 6 months. Thanks to the timely detection of pathologies, you can easily get rid of them. Based on the test results, the doctor chooses therapy. It can be hormonal or non-hormonal.
The main feature of non-hormonal drugs is their assistance in overcoming negative symptoms through the mild effects of phytoestrogens, which are contained in medicinal herbs. Medicines have a low likelihood of side effects. Although hormonal drugs help cope with severe symptoms (stress, acute lack of hormones), they harm the body.
Contraindications
The supplement is not prescribed to patients during pregnancy and breastfeeding, which is associated with an increased risk of negative reactions. Do not use the drug when identifying malignant neoplasms of a hormone-dependent type, which may increase with the use of the drug.
A contraindication is the recovery period after surgery on the abdominal organs, as well as rehabilitation after myocardial infarction or ischemic stroke. Do not use the product if you are prone to allergic manifestations, as well as intolerance to the components of the composition.
Relative contraindications are heart failure and severe ischemic disease. In this case, the drug is used with caution and after consulting a doctor. The supplement is not prescribed to patients under 18 years of age.
What are tides
Hot flashes are a short-term failure of the vegetative system, which is accompanied by fever, redness of the face and neck, and then sudden chills with profuse sweating.
This phenomenon is associated with an increase in the secretion of a hormone involved in follicle stimulation. At the same time, estrogen production decreases.
Not so long ago, doctors were sure that there was no need to fight and eliminate menopausal symptoms, including hot flashes. But now, as a result of research, it has been proven that it is necessary to treat menopausal syndrome.
Instructions for use, dosage
Mense is a medicine for menopause, which is used after prior consultation with a doctor and in the absence of contraindications. The daily dosage for a woman is 2 capsules if the symptoms significantly worsen her condition. If the symptoms are mild, taking 1 capsule per day is enough.
Reception is carried out during meals. The first course lasts 30 days. After this, the doctor assesses the patient’s condition, notes improvement and decides to discontinue the medication. Quite often it is necessary to take a second course or take the drug throughout the entire period of menopause. It is worth remembering that only the doctor makes the decision.
It is strictly contraindicated to independently extend the course or increase the dosage, as well as take the drug without a doctor’s prescription. When taking capsules, it is important to swallow them whole with plenty of liquid. Do not split the capsule or try to chew it before swallowing. The shell should dissolve in the digestive tract.
Mechanism of action
Mensa has a comprehensive effect during menopause. In a woman taking the drug:
- immunity is strengthened;
- pain in muscle and joint tissues disappears;
- hot flashes become weaker and less frequent;
- memory is strengthened, problems with concentration disappear;
- the skin becomes soft and elastic;
- the likelihood of pathologies of the genital and urinary organs is reduced;
- estrogen deficiency is eliminated;
- weakness and drowsiness disappear;
- mental and emotional state is normalized.
Side effects
Side effects during therapy may appear if all recommendations are followed or if instructions are not followed. In the second case, they occur much more often and affect the functioning of internal organs and systems.
Organs and systems | Disorders caused by taking capsules |
Heart and blood vessels | Tachycardia and arrhythmia during treatment are considered a common side effect. In addition, some patients experience an increase in blood pressure due to the stimulating effect of some components of the composition. Sometimes complications manifest themselves in the form of blood thickening, as well as swelling, which is associated with disruption of the heart. |
Nervous system | Nervous disorders do not always disappear when using the supplement. There are cases when all the symptoms worsen, insomnia, neurasthenia, and constant irritability are observed. Against the background of such disorders, memory, concentration and ability to perform mental work deteriorate significantly. As a result, all the symptoms of menopause only get worse. Such disorders are considered rare, but may affect patients, especially if there is a history of chronic neurological or psychiatric disorders. |
Digestive tract | Increased appetite during treatment is a natural reaction of the body. If a woman is unable to control her appetite and eats a lot of food, after a while there is an increase in body weight. The condition is accompanied by dyspeptic disorders, manifested in the form of nausea, vomiting, constipation or frequent loose stools, heartburn. |
Reproductive system | An increase in libido when taking the drug is observed quite often. Additionally, the patient may be bothered by vaginal discharge in the absence of menstruation, as well as pain in the lower abdomen, which increases with physical activity. |
Leather | Allergies to medications occur frequently because they contain many ingredients that can provoke a reaction. The condition is accompanied by a skin rash and severe itching, irritation and peeling. Sometimes general symptoms appear that aggravate the woman’s condition. |
The severity of adverse reactions depends on the dosage of the drug, the duration of its use and the individual characteristics of the body.
What does menopause lead to?
Menopause for most women begins at 45-50 years old, the period lasts about one and a half years. In rare cases, early onset of menopause occurs - after 30 years and later - after 55-56 years. Women feel uncomfortable, there are sudden psycho-emotional changes and their health deteriorates. During menopause, hormonal levels change and reproductive function fades. A restructuring of the body begins - the ovaries stop producing sex hormones. The process affects the woman’s condition both physically and morally. In 75% of cases, menopause leads to the development of the following problems.
- Intense heat in the upper body, so-called hot flashes.
- Profuse sweating.
- Trouble sleeping, discomfort when trying to fall asleep.
- Dull and monotonous headache.
- Shortness of breath and lack of air.
- Pain in the heart area, dizziness;
- Tingling in the limbs, periodic numbness.
- Paresthesia - “goosebumps” on the skin.
- Pain in joints, back, muscle aches.
- Irritability, anxiety, frequent changes in emotional background.
- Dry eyes, burning mouth.
- Itching and dryness in the vagina.
- Urinary incontinence.
- Weight gain and wrinkles.
Problems overtake every second woman and take her by surprise - the usual routine of life seems unbearable, discord appears in the family and in relationships with children. You should not relax, you need to solve the problems that have arisen.
Overdose
Mense is a medicine for menopause, which does not provoke an overdose when used correctly. Such cases have not been recorded by specialists, but they do not exclude the possibility of similar conditions provided that high doses of the drug are taken for a long time. Negative reactions are aggravated, and the general condition of the patient worsens.
However, doctors suggest that the most pronounced disorder in the event of an overdose is a severe allergic reaction. In this case, the patient develops acute urticaria or Quincke's edema.
In the first case, there is a spread of large red spots of different sizes throughout the body, which provoke itching and burning. As the condition progresses, the symptoms worsen, and general symptoms appear in the form of a runny nose and swelling of the skin of the eyelids.
If left untreated, the condition progresses to Quincke's edema, in which the mucous membranes of the throat and upper palate swell, leading to difficulty breathing. If the patient does not receive help at this point, the condition can lead to suffocation and death.
If adverse reactions or overdose occur, you should stop taking the supplement and visit a doctor. Especially when the symptoms worsen.
Treatment of menopause with non-hormonal drugs
An alternative to hormonal therapy for menopause symptoms is treatment with non-hormonal drugs. Phytohormones, homeopathic medicines and dietary supplements are used for therapy. The course of treatment for menopausal syndrome also includes medications to lower blood pressure, vitamin complexes, anticonvulsants, and herbal preparations based on phytoestrogens.
Treatment with non-hormonal drugs is carried out in the presence of the following contraindications:
- the presence of malignant neoplasms, as well as being at risk of developing them;
- severe liver disease (cirrhosis);
- thrombosis, thrombophlebitis of veins;
- pregnancy.
special instructions
Experts draw the attention of patients to the fact that capsules should be taken with meals. This is due to better absorption of the components, as well as a reduced risk of complications from the digestive tract.
In addition, during the period of use of the drug, it is important to regularly visit a doctor, who will assess the condition and may detect abnormalities that are invisible to the patient. In some cases, the drug is prescribed to be used throughout menopause. This is possible due to the presence of components in the product, the amount of which does not exceed the permissible daily allowance.
This means that correct use of the drug will not provoke hypervitaminosis, which is important when menopause occurs.
Compound
List of active ingredients of the supplement:
- alanine;
- soybean extract;
- vitamin C;
- griffonia extract;
- vitamin E;
- pantothenic acid;
- vitamin B6;
- vitamin B12;
- folic acid.
The dosages of active substances are indicated on the packaging. But most doses are not important for assessing effectiveness. What difference does it make how many vitamins are included? After all, it is obvious that vitamins do not eliminate the symptoms of menopause. The main substance in the composition is soy isoflavones. In addition, in addition to vitamins, the dietary supplement contains amino acids.
List of components with dosages:
- isoflavones – 25 mg;
- alanine – 200 mg;
- 5-hydroxy-tryptophan – 25 mg.
Drug interactions
Mense is a medicine for menopause, which can be combined with other drugs, for example, vascular, antibacterial, anti-inflammatory.
This is due to the fact that the supplement is not a medication and is not capable of weakening or enhancing the effect of drugs. Despite this, use in combination with hormonal agents is not recommended, since the risk of complications increases.
You should not use the supplement in combination with vitamin complexes that contain the same active ingredients. This can provoke hypervitaminosis.
Rules for taking hormonal pills during menopause
During menopause, hormonal medications are prescribed for daily use. If menstruation persists in the first half of the cycle for 9-12 days, the woman drinks estradiol valerate, after the end on days 10-12 a combination medication is prescribed.
The tablets should be taken at the same time of day; changing the time of administration is not recommended. It is optimal to do this in the morning, because... Normally, this regime coincides with natural circadian rhythms.
Attention! It is not recommended to cancel a hormonal drug on your own or replace it with another. This can lead to disruption of the background and increased severity of side effects.
Analogs
In some cases, using the original supplement is impossible, so the doctor selects a substitute that has similar properties.
Analogues may have a different composition, but have a similar effect:
- Beta-Alanine – tablets and capsules for oral administration that contain the active ingredient of the same name. The product has a positive effect on a woman’s body during menopause, helps normalize the condition, eliminates the most severe symptoms such as hot flashes, tachycardia, irritability and other disorders. The supplement is prescribed by a doctor and can be used for an extended period.
- Klimalanine is a beta-alanine-based tablet that has an extremely positive effect on a woman’s body during menopause. The product helps eliminate nervousness, insomnia, normalizes hormonal balance and prevents disorders associated with a decrease in estrogen levels in the body. After completing the course of treatment, the woman feels relief, sleep and appearance improve, which is associated with the saturation of the body with important components.
Analogs of the product also belong to dietary supplements, but they are still recommended to be used after prior consultation with a doctor.
Types of drugs for menopause
3 main dosage regimens for hormone replacement therapy have been developed and are used:
- monotherapy with estrogens or gestagens;
- combination of estrogens with gestagens;
- combination of estrogens and androgens.
Non-hormonal pills for menopause are used if there are absolute contraindications to the use of hormones, but without treatment the woman’s condition worsens.
Estrogen pills
Hormone therapy medications that contain only estrogens can only be used in women who have had their uterus removed. This is due to the proliferative effect of the female hormone and an increased risk of developing endometrial cancer. Also, with fibroids or endometriosis, pure estrogens stimulate the progression of the pathology.
Estrofem tablets are used, which contain 2 mg estradiol. These menopause pills are prescribed to women over 50 every day from any day. But if the uterus and menstruation are preserved, they are drunk from the 5th day of the cycle.
Combined tablets for menopause
Tablets for severe hot flashes during menopause can be used continuously or cyclically. For patients under 50 years of age, gynecologists often prescribe combined oral contraceptives as a preparation for HRT. They help regulate cycle irregularities, protect against pregnancy, and improve overall well-being. The optimal drugs during this period are three-phase COCs Qlaira, Triregol.
From the age of 50, pills for menopause are replaced with combination products based on natural estrogen and supplemented with a gestagenic component. The following types of progestins are effective:
- Levonogrestrel;
- cyproterone acetate;
- norgestrel;
- medroxyprogesterone acetate;
- norethisterone acetate.
When using hormone replacement therapy for complicated menopause, the drug is selected individually. In the first phase of the cycle, the woman takes tablets containing only estradiol, and in the second, a combination of it with progestins. The combination of estrogens and androgens is rarely used due to the large number of side effects.
Herbal remedies for menopause
During menopause, herbal hormonal preparations, which include phytoestrogens, can be used. These are natural molecules that resemble female hormones in structure and effects in the body. The main classes of substances include:
- lignans – isolated from the shells of grain crops, found in rice, nuts, fruits, seeds, and plant fibers;
- isoflavonoids - found in soybeans, pomegranates, dates, sunflower seeds, red clover; through metabolism in the intestines they are converted into substances with estrogenic activity;
- coumestans – found in nuts, seeds and fiber-rich vegetables.
Doctors prescribe women's pills for menopause based on herbal components when the patient refuses to take hormones or there are a large number of absolute contraindications to HRT. The most commonly used drugs are in the form of tablets or drops Klimonorm, Qi-klim. It is made from extracts of black cohosh, melbosia and raponticin.
In the category of dietary supplements for menopause with a weak hormone-like effect, the following are used:
- Menoforse - contains B vitamins, ascorbic acid, iron, zinc, potassium, phosphorus, copper, flavonoids and camphor essential oil, the supplement has no estrogenic activity;
- Serelis is a patented drug with an unproven mechanism of action, does not contain phytoestrogens, but it contains pollen extract and vitamin E;
- Mense is a supplement based on a complex of vitamins E, C, group B and microelements with the addition of isoflavonoids.
Attention! Herbal supplements cannot be expected to provide relief from menopause symptoms. They can help only with mild disturbances in health, subject to other doctor’s recommendations.