title: Isoflavones from red clover (Promensil) significantly reduce menopausal hot flush symptoms compared with placebo.
abstract: OBJECTIVE
  To investigate the effectiveness and safety of a red clover isoflavone dietary supplement (Promensil, Novogen Ltd., Australia) versus placebo on the change in hot flush frequency in postmenopausal women.
  
  
  METHODS
  In this randomized, double blind, placebo-controlled trial 30 women with more than 12 months amenorrhoea and experiencing more than five flushes per day were enrolled. All received single blind placebo tablets for 4 weeks and were subsequently randomized to either placebo or 80 mg isoflavones for a further 12 weeks. Efficacy was measured by the decrease in number of hot flushes per day and changes in Greene Climacteric Scale Score.
  
  
  RESULTS
  During the first 4 weeks of placebo the frequency of hot flushes decreased by 16%. During the subsequent double blind phase, a further, statistically significant decrease of 44% was seen in isoflavones group (P<0.01), whereas no further reduction occurred within the placebo group. The Greene score decreased in the active group by 13% and remained unchanged in the placebo group.
  
  
  CONCLUSIONS
  In this study, treatment with 80 mg isoflavones (Promensil) per day resulted in a significant reduction in hot flushes from baseline. At the end of the study there was a significant decrease in hot flushes of 44% between the active and placebo group, demonstrating the effectiveness of Promensil in the management of hot flushes.
authors.affiliation: Department of Obstetrics and Gynecology, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands.
authors.forename: Peter H M
authors.initials: PH
authors.lastname: van de Weijer
authors.forename: Ronald
authors.initials: R
authors.lastname: Barentsen
mesh_terms: D000368:Aged; D019587:Dietary Supplements; D004311:Double-Blind Method; D005260:Female; D019584:Hot Flashes / Q000188:drug therapy*; D006801:Humans; D007529:Isoflavones / Q000627:therapeutic use* / Q000652:urine; D008875:Middle Aged; D008517:Phytotherapy; D010936:Plant Extracts / Q000627:therapeutic use* / Q000652:urine; D017698:Postmenopause; D016896:Treatment Outcome
chemical_list: D007529:Isoflavones; D010936:Plant Extracts