Other medicinal herbs, vitamin E, and acupuncture do not appear helpful. Regular exercise, stress avoidance, and relaxation techniques
may improve sleep and reduce irritability; relaxation techniques can also reduce vasomotor symptoms. Nonhormonal drug treatments for hot flushes include SSRIs (eg, fluoxetine, paxil, sertraline, prozac, zoloft).
OTC over the counter vaginal lubricants and moisturizers help relieve vaginal dryness. Measures to prevent and treat osteoporosis should be considered.