Black Cohosh A Solution for Menopausal Ailments?
Based on German Commission E monograph and American Botanical Council information material and summarized by Bernd Wollschlaeger, M.D., Diplomate American Board of Family Practice.
The statements presented have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Product:
Black Cohosh or is a herbal remedy derived from a plant Cimicifuga Racemosa cultivated in Canada, US and Europe.
The root section of the plant is being used to extract the active compounds.
Other names used: Black Snake Root, Rattleroot, Rattleweed, Squaw Root, Richweed.
Properties:
The active components are:
- Triterpene glycoside
- Phenylpropane derivatives
It contains a phytoestrogen (plant derived estrogen) formononetin. This is a different phytoestrogen than that found in soy products. flaxseeds or other food plants.Phytoestrogen Compounds of the rootstocks couple to estrogen receptors and cause an estrogen-like effect.
Clinical Data suggest indication for:
- Menopausal complaints (Hot flashes etc.)
- Premenstrual Syndrome
- Painful irregular menstrual bleeding
Contraindication:
Hypersensitivity to black cohosh preparations .
Side Effects:
- High dosages (>5gr.) can cause headache, dizziness, vomiting, and lowered blood pressure.
- Reported cases of gastric discomfort
Precautions:
- Do not recommend treatment during pregnancy.
- Estrogen-dependent tumors (i.e., breast cancer, etc.)
Interactions with other medications:
- Avoid use with other estrogen-like substances (Ginseng)
- Avoid use with hormone-replacement therapy
Daily Dosage and Administration:
- Standardized dried extract in a recommended daily dosage of 8-40mg.
- For dried root the dosage is 900-2000mg..
Duration of Application:
- Long-term safety in using this drug has not been established.
- Restrict usage to several days as indicated.
- Do not recommend use without contacting physician experienced in botanical medicine.
Overdose:
- Do not exceed 5 gram daily.
- Toxic signs include vomiting, headache and dizziness.
Special Warnings:
See under precautions, overdose and interactions.
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