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pharmaceutical

Fezolinetant

Also known as: Veoza

A non-hormonal oral treatment for moderate to severe vasomotor symptoms (hot flushes and night sweats) associated with menopause. Fezolinetant is a neurokinin 3 (NK3) receptor antagonist, approved by NICE in 2024. It offers an alternative for women who cannot or prefer not to take HRT.

This page contains self-reported experiences from the Narrated community — not clinical data. Outcomes are subjective. Always consult your doctor or specialist before starting, stopping, or changing any approach.

Regulatory status does not mean an approach is safe or unsafe. Laws vary by country — check your local regulations.

Community Experiences

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Research Context

Research context compiled from published sources

How does Fezolinetant work?

Selectively blocks neurokinin 3 (NK3) receptors in the hypothalamic thermoregulatory centre (KNDy neurons). Oestrogen decline in menopause leads to overactivity of kisspeptin, neurokinin B, and dynorphin neurons, which dysregulates the thermoneutral zone and triggers hot flushes. By blocking NK3 receptors, fezolinetant restores thermoregulatory stability without affecting oestrogen levels.

Research Depth

Well Studied

Extensive human research over many years, including randomized controlled trials.

Long-Term Evidence

Limited

Only short-term data available. Long-term effects are not well understood.

Known Interactions
CYP1A2 inhibitors (e.g., fluvoxamine — avoid concomitant use)CYP1A2 substrates
Reported Contraindicated Populations
Severe hepatic impairmentConcomitant use with strong CYP1A2 inhibitorsPregnancy
Published Dose Ranges
4545 mg/dayoral · once daily
BNF

Dose ranges from published research. Individual dosing should be determined with your healthcare provider based on your specific circumstances.

Factual research context from published sources — not a safety assessment or recommendation. Research classifications may change as new data emerges.

Related Approaches

Other approaches tracked on Narrated.

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