Hi there
i have been on Letrazole for 10 months and had a bit of an initial problem with hot flushes at first but they have settled down.I take mine at night before going to bed.
I am 63 and had them very mildly during menopause.
The drug you mention appears to be primarily a treatment for depression so I can understand caution about taking it.
I had acupuncture to help my post mastectomy pain and range of movement last year and it helped me a lot.
I did read at the time that a study had shown it could help some women with the hot flush side effect of AIs such as Letrazole ( although I wasn’t on the Letrazole when I had the acupuncture).
I only mention this as if you haven’t tried acupuncture it might be worth a try , although it doesn’t seem to help everyone ( just like we all seem to have different experiences with the drugs we are prescribed).
All the best.