Hot flashes are another common side effect of hormonal breast cancer medicine. 1. Talk to your doctor as soon as you start having hot flashes. - You may be able to stop your treatment for a week or two, restart it at a lower dose, and slowly increase it. - You also may be able to switch to a different medicine that doesn’t cause you as many hot flashes. 2. Avoid hot flash triggers such as stress, cigarettes, alcohol, caffeine, diet pills, spicy food, hot food or drink, hot tubs, saunas, hot showers, hot rooms, and hot weather. 3. Reduce the fat in your diet. Losing excess weight helps, but losing too much weight, or being too thin, can make hot flashes worse. 4. Dress in layers so you can peel off one layer after another as you get warmer. 5. Don’t wear heavy or thick fabrics such as wool, synthetics, or silk. Wear loose and airy fabrics such as cotton, linen, and rayon. 6. Keep ice water nearby so you can sip it to cool down. Pack a small cooler full of cold water to carry with you. 7. Lower the room temperature by turning down the thermostat, turning on the air conditioner, or turning on the ceiling fan. 8. Sleep in cotton pajamas or a nightgown. If you have hot flashes and perspire at night, the nightclothes are easier to change than the sheets. 9. Put cotton sheets on your bed. Cotton soaks up sweat and dries quickly. 10. Take a cool shower before going to bed. 11. Consider complementary and holistic therapies. Techniques that may help include meditation, massage, yoga, and acupuncture. 12. Ask your doctor about techniques to help you sleep through the night if your hot flashes are affecting your sleep. 13. Be patient. Your body is going through changes. Once the changes take place, you’ll feel more like yourself again.