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Pollen Extract
vs
SSRIs 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
Pollen Extract

Pollen Extract

A dietary supplement made from Swedish flower pollen that may reduce hot flashes, available over the counter.

SSRIs for Hot Flashes

SSRIs for Hot Flashes

A low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes.

EfficacyNot recommended see details

Not recommended by the Menopause Society.

Recommended see details

Recommended by the Menopause Society for symptom relief.

Cost$30–$50 /monthly

Insurance: Varies

$0–$200 /monthly

Insurance: Usually

DurationDaily supplement (ongoing)Daily pill (ongoing)
ReversibilityReversibleReversible
STI ProtectionNoNo
How it works

The exact mechanism is not fully understood. Studies suggest it may affect neurochemical pathways involved in temperature regulation, but it is not FDA-approved as a drug.

Low-dose paroxetine affects serotonin and other neurotransmitters involved in temperature regulation, which can reduce hot flash frequency and severity.

PrescriptionOTC No prescription / OTCRequired Prescription required
Available Products1 product1 product
Side effects
  • Mild gastrointestinal upset (rare)
  • Allergic reaction in people with pollen allergy
  • Nausea
  • Headache
  • Fatigue or malaise
Who shouldn't use this
  • Pollen allergy
  • Current or recent MAOI use (within 14 days)
  • Concomitant thioridazine or pimozide
  • Pregnancy
  • Hypersensitivity to paroxetine or any ingredient