PT  - JOURNAL ARTICLE
AU  - Holly L. Thacker
AU  - Delbert L. Booher
TI  - Management of perimenopause: Focus on alternative therapies
DP  - 1999 Apr 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 213--218
VI  - 66
IP  - 4
4099  - http://www.ccjm.org/content/66/4/213.short
4100  - http://www.ccjm.org/content/66/4/213.full
SO  - Cleve Clin J Med1999 Apr 01; 66
AB  - A variety of herbs and other "natural alternative medicines" are marketed directly to consumers and sold over-the-counter as treatments for perimenopausal symptoms. Far from being innocuous placebos, many of these substances have real physiologic effects, including potential adverse effects and drug interactions. Yet they are largely untested and, by law, totally unregulated. This article reviews a few of the untested substances your patients may be taking, along with established treatments.