A 56-year-old woman comes to the clinic because of bothersome hot flashes. She has about 10 hot flashes a day, and night sweats wake her several nights a week. Her last menstrual period was at age 51. Two years ago she had a lumpectomy and radiation for an estrogen receptor-positive breast cancer, and she has taken tamoxifen 20 mg PO daily since then; her oncologist plans to continue it for 5 years. She has no history of depression, and she has no known drug allergies. She asks whether she can take the "hormones" her friend uses for hot flashes. Examination is unremarkable.
| Heart rate | 76/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 124/78 mm Hg |
Question 1 of 21
Which one of the following is the most appropriate first-line pharmacologic therapy for this patient's hot flashes?
Select 1. (0 / 1 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.