Skip to main content

Compare

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.

Last verified Updated

Side-by-side comparison

  • Pollen Extract A dietary supplement made from Swedish flower pollen that may reduce hot flashes, available over the counter.
  • SSRIs for Hot Flashes A low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes.
Method
Pollen Extract A dietary supplement made from Swedish flower pollen that may reduce hot flashes, available over the counter.
SSRIs for Hot Flashes A low-dose SSRI (paroxetine 7.5 mg) approved by the FDA for moderate-to-severe hot flashes.
EfficacyPollen Extract Not recommended

Not recommended by the Menopause Society.

SSRIs for Hot Flashes Recommended

Recommended by the Menopause Society for symptom relief.

CostPollen Extract $33–$58 monthly Insurance: VariesSSRIs for Hot Flashes $69–$200 monthly Insurance: Varies
DurationPollen Extract Daily supplement (ongoing)SSRIs for Hot Flashes Daily pill (ongoing)
ReversibilityPollen Extract ReversibleSSRIs for Hot Flashes Reversible
STI protectionPollen Extract NoSSRIs for Hot Flashes No
How it worksPollen Extract

A 2020 review describes pollen extract as an SSRI-like therapy and reports that preclinical studies found no estrogenic effect. It is a dietary supplement, not an FDA-approved drug.

SSRIs for Hot Flashes

Low-dose paroxetine is a selective serotonin reuptake inhibitor (SSRI) that blocks the reuptake of serotonin. How it reduces hot flash frequency and severity is not known.

PrescriptionPollen Extract Not required Direct-to-Consumer (Physical)SSRIs for Hot Flashes Required Telehealth Prescription
Side effectsPollen Extract None reportedSSRIs for Hot Flashes
  • Nausea
  • Headache
  • Fatigue or malaise
Who shouldn't use thisPollen Extract None reportedSSRIs for Hot Flashes
  • Current or recent MAOI use (within 14 days)
  • Concomitant thioridazine or pimozide
  • Pregnancy
  • Hypersensitivity to paroxetine or any ingredient

Key differences

Menopause Society rating: Pollen Extract, not recommended; SSRIs for Hot Flashes, recommended. How long it lasts: Pollen Extract, daily supplement (ongoing); SSRIs for Hot Flashes, daily pill (ongoing). A prescription is needed for SSRIs for Hot Flashes, not for Pollen Extract. Pollen Extract: costs $33–$58 monthly. SSRIs for Hot Flashes: costs $69–$200 monthly.