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In selecting first line treatment using non-hormonal methods, a systematic review has reported that Venlafaxine 75mg CR, Escitalopram 10-20mg and gabapentin 900mg have all been shown to be effective for hot flushes after breast cancer(10, 11)
Treatment always starts at a low dose and increases slowly over several weeks
If there are no gastrointestinal symptoms, but GLP-1 receptor agonists are not held, proceed with full stomach precautions, or consider evaluating gastric volume by ultrasound
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