I have only been on Premarin 0.9 since april/02. It has helped for the hot flushes,but am I ever a cranky person still. I was thinking of changing to Black Cohosh,but I don't know how to go about switching over.( I don't want the hot flushes to come racing back) Anyone have some ideas???

It sounds like too much estrogen. My menopause reference book (as I like to cal it) says estrogen dominance causes nasty, "snappy" behavior. Have you thought about trying a natural, bio-identical estrogen?

If you want to stop estrogen completely, you'll have to wean yourself of slowly.