When Hot Flashes Meet Summer Heat: Tips To Help Keep You Cool

By NAPS,
North American Precis Syndicate

(NAPSI)If you are among the nearly 75 percent of menopausal women who suffer from hot flashes,1 it can be tough to enjoy the sunny weather worrying about a sudden hot flash in summertime. And since hot weather tends to be a common hot flash trigger,2 these sudden feelings of warmth can be exacerbated. But, with just a little planning and preparation you can get on the right track to an enjoyable summer.

Here are some tips that can help temper those seasonal hot flashes:

Learn your hot flash triggers. Every woman can learn how to help stay cool by paying attention to her own individual triggers. Keeping a journal to record your findings can help identify underlying triggers.2

Layer, layer! Dress in layers so that they can be removed when feeling warm; use a fan or open a window to keep air flowing; decrease the room temperature; or sip a cold drink.3

Say yes to the cool pool and no to the hot tubs. Both hot tubs and saunas can cause your body temperature to rise and trigger a hot flash. Its best to avoid these if youre sensitive.2

Watch what you eat and drink. Hot and spicy foods, caffeinated drinks and alcohol can trigger a hot flash.3

Relax. Yoga, meditation or other helpful relaxation techniques may provide some relief.3

Don't smoke. Smoking is linked to an increase in hot flashes.3

Improve your diet. Some women may find relief if they improve their diet.2

Hormone therapy. Prescription estrogen continues to be the most effective option for relieving the discomfort of hot flashes and night sweats associated with menopause.1 The FDA recommends the lowest effective dose with any estrogen therapy for the shortest amount of time to achieve personal treatment goals.4

When simple lifestyle changes arent enough to control hot flashes, you and your physician may decide to explore hormone therapy treatment options. Your physician may prescribe Divigel, a bioidentical5, transdermal estrogen gel with the lowest FDA-approved dose of transdermal estradiol gel or spray (0.25 mg/day estradiol) for hot flashes.6-9 Divigel is used to treat moderate to severe hot flashes due to menopause. Generally, women should be started at 0.25 mg/day of Divigel.

For patients who are prescribed Divigel, saving money is easy and just a few clicks away at divigel.com. Patients can print the Patient Savings Coupon, bring it to their local pharmacy, and pay no more than $25 on their Divigel co-pay amount. The Patient Savings Coupon is for eligible patients only and limited to a maximum savings of $25 each on four Divigel prescriptions. Offer expires on December 31, 2013.

Divigel (estradiol gel) 0.1% is indicated for the treatment of moderate to severe hot flashes due to menopause.

Important Safety Information for Patients

What is the most important information I should know about Divigel (an estrogen hormone)?

Using estrogen-alone increases your chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using Divigel. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual bleeding to find out the cause.

Do not use estrogen-alone to prevent heart disease, heart attacks, strokes or dementia (decline of brain function)

Using estrogen-alone may increase your chances of getting strokes or blood clots

Using estrogen-alone may increase your chance of getting dementia, based on a study of women 65 years of age or older

Do not use estrogens with progestins to prevent heart disease, heart attacks, strokes or dementia

Using estrogens with progestins may increase your chances of getting heart attacks, strokes, breast cancer, or blood clots

Using estrogens with progestins may increase your chance of getting dementia, based on a study of women 65 years of age or older

You and your healthcare provider should talk regularly about whether you still need treatment with Divigel

Divigel should not be used if you have unusual vaginal bleeding, currently have or have had certain cancers, including cancer of the breast or uterus, had a stroke or heart attack; currently have or have had blood clots, currently have or have had liver problems, have been diagnosed with a bleeding disorder, are allergic to Divigel or any of its ingredients, or think you may be pregnant.

Tell your healthcare provider about all of your medical problems and the medicines you take, if you are going to have surgery or will be on bedrest, and if you are breastfeeding.

Call your healthcare provider right away if you get any of the following symptoms: new breast lumps, unusual vaginal bleeding, changes in vision or speech, sudden new severe headaches, or severe pains in your chest or legs with or without shortness of breath, weakness and fatigue.

Common side effects that may occur with Divigel include headache; breast pain; irregular vaginal bleeding or spotting; stomach or abdominal cramps, bloating; nausea and vomiting; hair loss; fluid retention and vaginal yeast infection.

Serious but less common side effects include heart attack, stroke, blood clots, dementia, breast cancer, cancer of the uterus, ovarian cancer, high blood pressure, high blood sugar, gallbladder disease, liver problems, and enlargement of benign uterus tumors (fibroids).

Alcohol-based gels are flammable. Avoid fire, flame or smoking until the gel has dried.

Please see Patient Information for Divigel at www.divigel.com and talk to your healthcare provider. For more information, call 1-888-650-3789 or visit www.divigel.com.

You are encouraged to report negative side effects to Upsher-Smith Laboratories, Inc. at 1-855-899-9180, or to the FDA by visiting www.fda.gov/medwatch or calling 1-800-FDA-1088.

For more information about hot flashes, talk to your doctor, and visit www.divigel.com to learn more about this treatment.

Divigel is marketed in the U.S. by Upsher-Smith Laboratories, Inc.

2013 Upsher-Smith Laboratories, Inc., Maple Grove, MN 55369

References

1. Shanafelt TD, Barton DL, Adjei AA, Loprinzi CL. Pathophysiology and treatment of hot flashes. Mayo Clin Proc. 2002;77(11):1207-1218.

2. Hot Flashes. Listen to Your Body. http://www.drnorthrup.com/womenshealth/healthcenter/topic_details.php?topic_id=130. Accessed April 18, 2013.

3. Mayo Clinic. Hot Flashes: Definition. http://www.mayoclinic.com/health/hot-flashes/DS01143. Accessed April 18, 2013.

4. US Food and Drug Administration. Menopause and Hormones. http://www.fda.gov/ForConsumers/ByAudience/ForWomen/ucm118624.htm. Accessed April 18, 2013.

5. The North American Menopause Society. Menopause Guidebook. 7th ed. Mayfield Heights, OH: The North American Menopause Society; 2012.

6. Divigel [package insert]. Minneapolis, MN: Upsher-Smith Laboratories, Inc.; 2012.

7. EstroGel [package insert]. Herndon, VA: ASCEND Therapeutics, Inc.; 2008.

8. Elestrin [package insert]. Philadelphia, PA: Azur Pharma, Inc.; 2012.

9. Evamist [package insert]. St. Louis, MO: Ther-Rx Corp.; 2011.

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On the Net: North American Precis Syndicate, Inc.(NAPSI)

Weight loss myths debunked

With summer just around the corner, weight loss is on everyone's mind. There are so many myths circulating about the best ways to lose weight, it's difficult to know where to start. If you're looking to lose a stone or more in time for swimsuit season, you need the facts to achieve your goal. It's time to separate the truth from the lies so you can look and feel great in your swimsuit this summer - there's no time to lose!

Slimming pills are an effective weight loss tool

You didn't put the weight on overnight, so don't expect it to disappear overnight either. Shedding weight is a commitment. In order to achieve long-term weight loss, you'll need to learn proper lifestyle habits. Don't rely on a pill to do all the work for you - if you never learn good eating and exercise habits, you'll put weight right back on the minute you stop taking diet pills. They should not be considered as an effective long-term weight loss tool.

Once I've reached my weight loss goal, I'll be satisfied

Give yourself a pat on the back when you finish your weight loss goal. However, it is not the final stage for formerly obese people - many will be left with unflattering folds of skin after significant weight loss. In these cases, a tummy-tuck, or abdominoplasty, may be required. This procedure flattens the stomach by tightening abdominal muscles. Many make the mistake of starting with a tummy-tuck before they embark on their slimming mission. Instead, abdominoplasty should only be done after the target weight has been reached.

In addition, many will find themselves wanting to lose even more weight after reaching their goal. If you've still got some momentum and more to lose, then by all means, keep at it, but make sure you stay within a healthy weight range.

I can lose more weight by skipping meals

Breakfast is commonly skipped by dieters. By doing so, metabolic rate is lowered up to five per cent, causing the body to retain more fat and create less energy. For every meal skipped, your body fights back by decreasing the rate at which you burn calories. Therefore, by skipping breakfast or lunch, you are actually packing on pounds and body fat. Small, frequent meals are the best way to keep your metabolic rate up - try to eat only enough to feel satiated.

Fat free food is good for my diet

Fat free doesn't translate to low calorie. In fact, many fat free foods contain additional sugar to replace the lost flavour. More sugar means more calories and weight gain. Closely inspect nutritional labels to make sure your food is healthy.

The more I sweat, the more weight I lose

When you sweat, you are merely losing water weight, not fat. Don't make the mistake of thinking that a run in hot, humid weather burns more calories than in winter or springtime. Running in intense heat can be dangerous, often causing heatstroke. Always replace fluids lost during strenuous, sweaty exercise to avoid severe dehydration.

Posted by Jeanette Royston - http://www.spirehealthcare.com/patient-information/health-news/weight-loss-surgery/801574060-weight-loss-myths-debunked/

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