TY - JOUR T1 - Time to revisit ‘Megace’ for hot flushes in patients with breast cancer? JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 493 LP - 493 DO - 10.1136/bmjspcare-2016-001153 VL - 8 IS - 4 AU - Mei-Lin Ah-See Y1 - 2018/12/01 UR - http://spcare.bmj.com/content/8/4/493.abstract N2 - The NICE guidance on menopause management was eagerly awaited but when it was released in November 20151 it came as a disappointment to many patients with breast cancer struggling with menopausal symptoms, in particular those suffering with hot flushes.For this patient group, hormone replacement therapy (HRT) is contraindicated, especially on the back of the HABITS study which demonstrated a threefold increased risk of a new breast cancer event with HRT,2 although interestingly only 21% of patients were on concurrent tamoxifen therapy at the time within this study. The new 2015 NICE guidance refers patients with breast cancer and their clinicians back to … ER -