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New Non-Hormonal Therapy Elinzanetant Effectively Reduces Late Perimenopause Hot Flashes

An indirect comparison network meta-analysis revealed that the novel dual neurokinin-targeted therapy elinzanetant was more effective than desvenlafaxine, gabapentin, and paroxetine in reducing hot flash frequency. It also outperformed other treatments in improving sleep disturbances, positioning it as a promising non-hormonal option for managing moderate-to-severe vasomotor symptoms during late perimenopause.

Wojciechowski P, Kolonko K, Giannopoulou A, Smela B, Olewinska E, Bolling KR, Sassarini J, Shulman LP, Talaulikar V. Comparative Efficacy of Elinzanetant Versus Other Non-Hormonal Pharmaceutical Therapies for the Treatment of Moderate-to-Severe Vasomotor Symptoms Associated With Menopause: A Network Meta-Analysis. BJOG. 2026 Mar 15. doi: 10.1111/1471-0528.70213. PMID: 41834312.

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