Bellergal S-tabs Discontinued

As a gynecologist, I used to prescribe Bellergal S-tabs for vasomotor symptoms of menopause with varying success. Over the years (35+ in practice) I just got out of the habit, and I forgot why. Now I'd like to add it back into my black bag as an alternative therapeutic choice and lo and behold, it seems to be off the market! I've searched for 30 minutes now, and still haven't been able to find the exact dose of belladonna/ergotamine/phenobarbital the S-tabs used to have. Can anyone help?

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Hi, Harry! How are you?

There were some FDA crackdowns regarding some of these types of medications that involved unapproved substances, or unapproved dosages. Companies were ordered to remove them from the market, until safety could be proven with testing. The bad thing about that was that many of them had been on the market for so long, that they were no longer selling enough to make it worth spending the money on the required testing to get them approved, which caused most companies to just remove the contested products from the market.

Other than HRT, the other commonly used modern options are SSRI or SNRI antidepressants and the anticonvulsants, such as Gabapentin and Pregabalin.

Have your patients had any success with any of them?

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@Harry, they contain Belladonna 0.2 mg + Ergotamine 0.6 mg + Phenobarbital 40 mg - Hope this helps!

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