Key takeaways:
The recommended Veozah (fezolinetant) dosage for hot flashes is 1 tablet (45 mg) by mouth once daily. You can take it with or without food, but try to take it at the same time each day.
Veozah isn’t recommended for people with severe kidney problems or liver cirrhosis.
There are ways to save on Veozah. If you’re eligible, a manufacturer savings card can help you get your first Veozah prescription for as little as $0 per month. A patient assistance program is also available.
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Menopause brings about many changes, including symptoms such as hot flashes. While menopausal hormone therapy (previously called hormone replacement therapy) is an effective option for managing menopause symptoms, it’s not right for everyone. Veozah (fezolinetant) is a hormone-free alternative that can help relieve moderate to severe hot flashes due to menopause.
If you’re just starting Veozah, your prescriber has likely gone over the basics with you about it. But it never hurts to review this information. One of the most essential things to know about your medication is how to safely take it. Here, we’ll review Veozah dosage information, including what to do if you miss a dose.
What’s the typical Veozah dosage?
Veozah comes as a 45 mg oral tablet. The typical Veozah dosage for hot flashes is 1 tablet (45 mg) by mouth once daily with or without food.
How to take Veozah
You can take Veozah at any time of day. But it’s best to be consistent with when you take it each day. You should also take Veozah with plenty of fluids and swallow it whole. Don’t cut, chew, or crush the pills. Veozah doesn’t come as a liquid medication. So if you have trouble swallowing pills, you and your prescriber may need to explore other treatment options.
Are there any dosage adjustments for health conditions?
There are no health conditions where it’s recommended to take a different Veozah dosage. But there are certain people for whom this medication might not be safe.
People with liver cirrhosis
Since one of Veozah’s side effects is liver damage, people living with liver cirrhosis shouldn’t take it. It’s a rare side effect, but living with liver cirrhosis or other existing liver problems puts you at a higher risk for further liver damage.
Existing liver damage or cirrhosis also puts you at a greater risk for other Veozah side effects. Your liver helps break down Veozah in your body. If your liver isn’t working as expected, the medication can build up in your system. And this can lead to more side effects overall.
Make sure your prescriber knows if you have a history of liver problems before starting Veozah. And be sure to go for any recommended blood tests while taking it.
People with severe kidney disease
You also shouldn’t take Veozah if you have severe or end-stage kidney disease. The kidneys help clear this medication from the body. So if they’re not working as well as they should be, Veozah could build up in your bloodstream. This can raise your risk of side effects.
What happens if you miss a dose of Veozah?
We all miss taking medications from time to time. If you miss a dose of Veozah, don’t fret. Just take your missed pill as soon as you realize it. But if there’s less than 12 hours to go until your next dose, skip the missed one. Just take your next pill at its regularly scheduled time. Never take two pills at once to make up for skipped doses.
Remembering medications can be a challenge. But there are several tips and tricks to help you stay on track. Taking Veozah at the same time as another routine daily activity, such as eating breakfast, can help you remember your dose. You can also try setting an alarm on your phone or downloading a free medication reminder app, such as GoodRx’s Medicine Cabinet.
What should you do if you take too much Veozah?
If you take an extra dose of Veozah by accident, it’s unlikely to cause serious harm. But you may experience more side effects than usual. Stomach pain and diarrhea are two common Veozah side effects.
Key Veozah facts: Pharmacists explain how Veozah (fezolinetant) works, when you can expect effects, and more.
Advice for hot flashes: Read a first-hand account of one woman’s experience with hot flashes, including her tips for managing them.
Compare options: Veozah is one of several menopause treatments available. Learn about the different options and how to save on them.
There’s no guidance from the manufacturer on what to do if a person takes an excessive amount of Veozah. In this situation, it’s best to contact your prescriber. You can also reach out to Poison Control online or at 1-800-222-1222 for help.
How to save on Veozah
There are ways to save on Veozah, which is available as a brand-name medication. GoodRx can help you navigate between copay savings cards and patient assistance programs to save money on your prescription.
Save with a copay savings card. If you have commercial insurance, you may be eligible to pay as little as $0 for your first month of Veozah and $30 monthly thereafter using a savings card from the manufacturer.
Save with patient assistance programs. If you’re uninsured or underinsured, you may be eligible for Veozah’s patient assistance program, which offers the medication free of cost.
Frequently asked questions
Veozah may cause insomnia for some people. Taking it in the morning may help reduce the chance of this side effect. But otherwise, there isn’t a time of day that’s best for taking Veozah. You should just try to be consistent with whatever time you choose.
Veozah usually starts working within the first 4 weeks (about 1 month) of taking it. And you’ll likely continue to experience more symptom relief over time. In studies, people felt the full effects of Veozah about 3 months after starting it.
No, Veozah isn’t known to cause weight gain. But it’s common to experience weight changes during menopause. If you’ve noticed weight gain that you’re uncomfortable with, contact your healthcare team. They can help you develop a plan to achieve and maintain a body weight that’s comfortable for you.
If needed, you can abruptly stop taking Veozah. This isn’t dangerous. But your menopause symptoms may return after you stop taking it. It’s a good idea to talk with your prescriber about whether you should stop taking Veozah or switch to an alternative.
Veozah may cause insomnia for some people. Taking it in the morning may help reduce the chance of this side effect. But otherwise, there isn’t a time of day that’s best for taking Veozah. You should just try to be consistent with whatever time you choose.
Veozah usually starts working within the first 4 weeks (about 1 month) of taking it. And you’ll likely continue to experience more symptom relief over time. In studies, people felt the full effects of Veozah about 3 months after starting it.
No, Veozah isn’t known to cause weight gain. But it’s common to experience weight changes during menopause. If you’ve noticed weight gain that you’re uncomfortable with, contact your healthcare team. They can help you develop a plan to achieve and maintain a body weight that’s comfortable for you.
If needed, you can abruptly stop taking Veozah. This isn’t dangerous. But your menopause symptoms may return after you stop taking it. It’s a good idea to talk with your prescriber about whether you should stop taking Veozah or switch to an alternative.
The bottom line
The typical Veozah (fezolinetant) dosage for hot flashes is 1 tablet (45 mg) by mouth once a day. You can take it with or without food, but try to take it at the same time each day. There are no specific Veozah dosage adjustments needed for people with certain health conditions. But it’s recommended to avoid the medication if you have severe or end-stage kidney disease or liver cirrhosis.
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References
Astellas Pharma U.S. (2024). Veozah- fezolinetant tablet, film coated [package insert]. DailyMed.
MedlinePlus. (2025). Fezolinetant.
