I take a low dose of Cymbalta. Only 30 mgs. Been on this for about 6 or so years now. It stops the worst of the hot flashes. It also helps with PN pain a bit. A higher dose would probably give me better relief but all my current symptoms, depression and anxiety, are well controlled at this dose. I have no side effects from the Cymbalta at all that I'm aware of.

ETA: PS: I'm just coming to the end of that magical one year of no period, period. So maybe that has something to do with the hot flashes easing a bit...? Not fluctuating so much as just not there any more. LOL!