• peri- and postmenopausal

    Does Estrogen Affect Antidepressant Efficacy? Data from the STAR*D Study

    We previously reported on studies suggesting estrogen may be helpful for the treatment of depression in peri- and post-menopausal women, either alone or in combination with an antidepressant.  In addition, other studies have suggested that older, postmenopausal women may respond more poorly to antidepressants than premenopausal women. Two recent studies attempt to better understand the impact of reproductive hormones on clinical presentation and treatment response of depression in women.

    Soy Supplements: No Effect on Cognition in Postmenopausal Women

    Soy-based products have long been touted as a treatment for menopausal symptoms.  However, many of the clinical studies measuring the effectiveness of dietary sources of soy isoflavones (e.g., soy beverages, soy powder) for the treatment of menopausal vasomotor symptoms (i.e., hot flushes, night sweats) have been negative.  Less is known about the effects of soy on cognition.  A large clinical trial suggests that soy may not have any positive effects on cognition in postmenopausal women.

    Atomoxetine Improves Memory and Attention in Peri- and Postmenopausal Women

    Many peri- and post-menopausal women describe problems with memory and attention.  Data regarding the use of estrogen replacement therapy to improve cognitive functioning has been mixed.  Furthermore, recent concerns regarding the long-term risks of ERT have limited its use.  A recent report from C. Nell Epperson and colleagues from the University Of Pennsylvania School Of Medicine indicates that atomoxetine (Strattera), a treatment for attention-deficit/hyperactivity disorder (ADHD), may improve attention and reduce memory difficulties in perimenopausal and postmenopausal women.

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