title: The immediate effect of natural plant extract, Angelica sinensis and Matricaria chamomilla (Climex) for the treatment of hot flushes during menopause. A preliminary report.
abstract: OBJECTIVE
  To assess the efficiency of a medicinal herb extract preparation (Climex) for the treatment of menopausal symptoms.
  
  
  METHODS
  In this placebo-controlled experiment on 55 postmenopausal women who complained of hot flushes and refused hormonal therapy. The women were randomly divided into two groups, one to receive Climex (5 chewable tablets daily between meals) and the other group to receive a placebo; both groups would take the tablets for 12 weeks. The women were asked to complete a daily structured (Kupperman) questionnaire assessing the frequency and intensity of menopausal symptoms, starting one week prior to treatment to the completion of the study. All women underwent hormone profile measurements and transvaginal ultrasonography evaluation before and after treatment.
  
  
  RESULTS
  There was a significant difference between the study group and the control group in the decrease in number and intensity of hot flushes from baseline to completion of treatment (90-96% vs 15-25%, p < 0.001). In the study group, a response was already noted during the first month of treatment (68% +/- 2% reduction of hot flushes during the day and 74% +/- 4% during the night). There was also a marked alleviation of sleep disturbances and fatigue.
  
  
  CONCLUSIONS
  Treatment with Climex seems to be effective for menopausal symptoms without apparent major adverse effects. This hormone-free preparation may be used as an important modality for menopausal women with contraindications for hormone replacement therapy.
authors.affiliation: The Central Menopause Outpatient Clinic, General Health Services of Israel, Petah Tikva District, Petah Tikva, Israel.
authors.forename: C
authors.initials: C
authors.lastname: Kupfersztain
authors.forename: C
authors.initials: C
authors.lastname: Rotem
authors.forename: R
authors.initials: R
authors.lastname: Fagot
authors.forename: B
authors.initials: B
authors.lastname: Kaplan
mesh_terms: D000368:Aged; D029971:Angelica sinensis; D005260:Female; D005500:Follow-Up Studies; D019584:Hot Flashes / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D031168:Matricaria; D008593:Menopause / Q000187:drug effects; D008875:Middle Aged; D017060:Patient Satisfaction; D008517:Phytotherapy / Q000379:methods*; D010936:Plant Extracts / Q000627:therapeutic use; D011336:Probability; D012016:Reference Values; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D010936:Plant Extracts