I'm on femera and have only occasional hot flushes but not too much more than I did post menopause anyway. I have found that when I take panadol osteo it is much more noticeable and I presume it is the antipyretic effect of paracetamol that does this. I didn't realise this until I didn't need it very often once I'd recovered from chemo.
I initially had joint stiffness in ankles and wrists in tbe morning and after extended rest but it quickly went away with movement. I found just rotating my feet and hands pre getting up in the morning helped. Now 5 months on I get very few symptoms. I've lost quite a bit if weight so this may have assisted this also.
I am have ostepenia anyway so it's something that will be closely watched but I believe will be managed if necessary rather than not taking the medication.
Goodluck. Kath x