I have never taken fluoxetine for hot flushes, so sorry Om can’t comment on that.
I can’t have HRT because I’ve had breast cancer. I was desperate for something, anything to help with severe hot sweats and flushes, but was fobbed off - “some ladies just have this problem”!
Eventually a female GP prescribed gabepentin. It was only licensed for epilepsy and depression at the time. It worked after the first dose, and research has born that out.
I’ve had no side effects and now I only have a minor problem with heat sensitivity, flushes and sometimes night sweats. I am so grateful to that doctor for the prescription. My life was miserable before.
I think it may be licensed for menopausal sweats and flushes now.
I hope you can find something to help you without side effects.