Clinical Hypnosis
vs
Gabapentin for Hot Flashes
A side-by-side comparison of two menopause relief methods — efficacy, cost, how they work, and who shouldn't use them.
Side-by-side comparison
| Method |  Clinical HypnosisA therapist-guided technique using focused attention and suggestion to reduce hot flash frequency and severity. |  Gabapentin for Hot FlashesAn off-label gabapentin prescription that may reduce hot flashes. Pregabalin is a related gabapentinoid but is not recommended for hot flashes. |
|---|---|---|
| Efficacy | 80% reduction in hot flash score Around 80% reduction in hot flash score. | 45% reduction in hot flash frequency Around 45% reduction in hot flash frequency. |
| Cost | $100–$250 /per unit Insurance: Varies | $4–$30 /monthly Insurance: Usually |
| Duration | 5 weekly sessions (about 45 minutes each) | Daily pill (ongoing) |
| Reversibility | Reversible | Reversible |
| STI Protection | No | No |
| How it works | Clinical hypnosis uses focused attention, relaxation, and suggestion to alter the perception and frequency of hot flashes. The exact mechanism is not fully understood but may involve modulation of autonomic nervous system activity. | Gabapentin binds to the alpha-2-delta subunit of voltage-gated calcium channels in the central nervous system, which may calm overactive temperature regulation and reduce hot flash frequency. Pregabalin binds the same target but NAMS 2023 does not recommend it for hot flashes. |
| Prescription | OTC Therapist-delivered (no Rx) | Required Prescription required |
| Available Products | 1 product | 1 product |
| Side effects |
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| Who shouldn't use this | None reported |
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