Tratamento das ondas de calor em mulheres com câncer de mama / Treatment of hot flashes in women with breast cancer
Femina
;
38(5)maio 2010.
Article
in Portuguese
| LILACS
| ID: lil-546433
RESUMO
Os sintomas vasomotores constituem grande problema para as mulheres com antecedente de câncer de mama, principalmente as usuárias de tamoxifeno e as tratadas com quimioterapia. A terapia estrogênica, combinada com progesterona ou isolada, ainda é considerada o padrão-ouro no tratamento dos fogachos; porém, geralmente é contraindicada nesse grupo de pacientes devido aos seus efeitos adversos. Desse modo, as mulheres têm procurado, cada vez mais, tratamentos não-hormonais. Destacam-se, entre essas alternativas, as terapias comportamentais, os agentes farmacêuticos não-hormonais ou os fitoterápicos. Existe forte evidência a favor da terapia comportamental cognitiva e da atividade física, porém mais pesquisas são necessárias. Os agentes farmacológicos têm mostrado bons resultados, com destaque para os antidepressivos, a gabapentina e a clonidina. As isoflavonas possuem resultados conflitantes na literatura, assim como a Cimicifuga racemosa.
ABSTRACT
Vasomotor symptoms are a great problem for survivors of breast cancer, mainly tamoxifen users and women treated with chemotherapy. Estrogen therapy, alone or in combination with progesterone, is currently the gold standard for treatment of hot flashes, but it is often contraindicated for this group of patients because of its adverse effects. Thus, women have been looking for non-hormonal treatments. These alternatives include behavior therapies, non-hormonal pharmaceutical agents or phytotherapeutic drugs. There is strong evidence for cognitive therapy and exercise, but more researches are necessary. The pharmaceutical agents have been presenting good results, especially antidepressants, gabapentin and clonidine. Isoflavones and Cimicifuga racemosa have conflictants results in literature.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Behavior Therapy
/
Breast Neoplasms
/
Clonidine
/
Hot Flashes
/
Hormone Replacement Therapy
/
Medication Therapy Management
/
Phytotherapy
/
Antidepressive Agents
Limits:
Female
/
Humans
Language:
Portuguese
Journal:
Femina
Journal subject:
Gynecology
/
Obstetrics
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
FCMSCSP/BR
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