Learn more about Black Cohosh uses, effectiveness, possible side effects, interactions, dosage, user ratings and products that contain Black Cohosh. Introduction. Black cohosh (Actaea racemosa or Cimicifuga racemosa), a member of the buttercup family, is a perennial plant native to North. Can black cohosh help with hot flashes and other menopausal symptoms? Is it safe? Find out here.
Maximum effect usually occurs in four to eight weeks. Recent information from the manufacturer suggests that a dosage of 20 mg twice daily may be as effective in the treatment of menopausal symptoms as 40 mg twice daily.
Although the clinical trials on black cohosh are of insufficient quality to support definitive statements, this herbal medicine does appear to be effective in the short-term treatment of menopausal symptoms.
The mechanism of action is unclear, and early reports of an estrogenic effect have not been proved in recent studies. Some patients will assume that, because black cohosh provides some of the same benefits as hormone therapy in terms of symptom control, the additional salutary effects of hormone therapy can be achieved with the use of black cohosh.
Physicians should be quite clear in explaining to their patients that although black cohosh may be useful in treating some menopausal symptoms, there is currently no evidence regarding any protective effect of black cohosh against the development of osteoporosis. No significant herb-drug interactions with black cohosh have been reported; possible interaction with tamoxifen Nolvadex.
In capsule-form, 40 mg twice daily of Remifemin standardized extract ; 20 mg twice daily may be as effective; in tincture form, 2 mL twice daily of a 1: Safe herbal medicine; appears to be effective in treating symptoms of menopause. An additional concern exists about the safety of this herb in long-term use, particularly the possibility that it can cause long-term unopposed estrogenic stimulation of the endometrium, thus raising the risk of development of endometrial cancer.
Although studies have not shown any effect on vaginal cytology, the effect of black cohosh extract on the endometrium has not been adequately studied. Some physicians recommend that women using black cohosh on a long-term basis be given a progesterone as well. Table 1 discusses the efficacy, safety, tolerability, and cost of black cohosh. Already a member or subscriber?
Kligler also serves as co-director of the fellowship program in integrative medicine at the Continuum Center for Health and Healing in New York. He received his medical and public health degrees from Boston University School of Medicine and completed a family practice residency at Montefiore Medical Center, Bronx, N. Address correspondence to Benjamin Kligler, M.
Reprints are not available from the author. The author indicates that he does not have any conflicts of interest. Altern Ther Health Med. An integrative approach to menopause.
Effects of extracts from Cimicifuga racemosa on gonadotropin release in menopausal women and ovariectomized rats. Liske E, Wustenberg P. Therapy of climacteric complaints with cimicifuga racemosa: Randomized trial of black cohosh for the treatment of hot flashes among women with a history of breast cancer.
Clinical Management Guidelines for Obstetrician-Gynecologists. Use of botanicals for management of menopausal symptoms. The Complete German Commission E monographs: American Botanical Council, CRC handbook of medicinal herbs. Herb contraindications and drug interactions: This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
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Complementary and Alternative Medicine. Jul 1, Issue. Read the full article. Get immediate access, anytime, anywhere. It is a dangerous condition because pieces of the clot can break off i.
If an embolus reaches a lung, it can cause a medical emergency, resulting in damaged lung tissue, heart failure, circulatory collapse, and, if the clot is large, death.
Usually, premenopausal women who undergo this operation take estrogen replacement therapy ERT to relieve symptoms until they reach the age of normal menopause. Black cohosh Cimicifuga racemosa can help relieve hot flashes and insomnia related to menopause.
We once thought the herb had an estrogenic effect, but this question is far from settled and recent evidence suggests that it may not. An article in the July 1, issue of the American Family Physician reviewed recent studies on black cohosh, noting that little or no estrogenic effect exists and that the herb may even block some of the effects of estrogen. If so, black cohosh must work in some other way to relieve menopausal symptoms but that mode of action is unknown.
The only known adverse effects of black cohosh seem to be infrequent gastrointestinal discomfort and, rarely, dizziness, headache, nausea and vomiting. Whether or not it really works remains a scientifically unsettled issue, although many women and some doctors are convinced it does. Of all the available remedies, it seems to be the best studied, but it does not work for all women.
Black cohosh is a herb. Find out more and read about research looking into black cohosh and cancer. Black cohosh, also known as black snakeroot or bugbane, is a medicinal root. It is used to treat women's hormone-related symptoms, including premenstrual. What is black cohosh? Learn all about the possible benefits of this herb, which is said to ease hot flashes and other menopausal symptoms.