Hot flashes. I don't understand. I was doing so well on the Premarin. Now it seems the night sweats have returned full force and I'm back to waking up three and four times. Maybe I missed a dose of the Premarin and don't remember. Hopefully it's nothing. I never realized how well I was sleeping until this started up again. I was actually hoping that maybe my doctor could lower the dosage over the next few months. Guess not. Damn.