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What strategies have you found helpful to manage SSRI associated night sweats?

5 Answers
Mednet Member
Mednet Member
Psychiatry · Tufts University, School of Medicine
Answered on
  1. Reduced dose to the lowest effective dose.
  2. Gabapentin can be used off-label for hyperhidrosis and vasomotor symptoms of menopause. I had one patient on an SSRI for GAD and found the gabapentin helpful enough for anxiety that he tapered off the SSRI. If it is just night sweats, you can do a nightly ...

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Psychiatry · CDCR
Answered on

Below are the options I have either used or found helpful. I tend to stick with terazosin primarily but have sometimes found the others useful. I tend to find hyperhidrosis more of an issue with sertraline than other antidepressants so will change the medication if possible. The anticholinergic medi...

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Mednet Member
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Psychiatry · UCLA Semel Institute for Neuroscience and Human Behavior
Answered on

Other than Dr. @Dr. First Last's comprehensive answer, there's also some evidence-based for using terazosin, which I've had success using with my patients.

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Mednet Member
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Psychiatry · Private Practice
Answered on

I agree with using terazosin in such a situation. It’s excellent, although it’s hard to know whether to pronounce it with the accent on the A or on the ZO. :-)

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Mednet Member
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Psychiatry · Jersey Forensic Consulting
Answered on

Switch to Trintellix, a far superior medication in every possible way.

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