Generic
Black Cohosh Capsule
10 brands available in the market
At a glance
Black Cohosh Capsule is a herbal supplement used in the treatment of premenstrual discomfort, dysmenorrhea, and menopausal complaints such as hot flashes, heart palpitations, nervousness, irritability, sleep disturbances, tinnitus, vertigo, perspiration, and depression.
Description
Black Cohosh (Cimicifuga racemosa) is a herbal supplement popular as an alternative to hormonal therapy in the treatment of menopausal (climacteric) symptoms such as hot flashes, mood disturbances, diaphoresis, palpitations, and vaginal dryness.
Black Cohosh helps relieve premenstrual syndrome (PMS), dysmenorrhea (menstrual pain), and various menopausal discomforts. It calms the nervous system and helps maintain hormonal balance.
Indications
- Premenstrual discomfort (PMS)
- Dysmenorrhea (menstrual pain)
- Menopausal hot flashes
- Heart palpitations
- Nervousness and irritability
- Sleep disturbances
- Tinnitus
- Vertigo
- Excessive perspiration
- Depression
Therapeutic class
Herbal and Nutraceuticals
Pharmacological class
Phytoestrogenic Herbal Supplement
Pharmacology
Black Cohosh (Cimicifuga racemosa) is a herbal supplement used as an alternative to hormonal therapy in the treatment of menopausal symptoms. It contains triterpene glycosides (such as actein and cimicifugoside) as active components. It affects the hypothalamus and pituitary gland, regulating luteinizing hormone (LH) secretion and acts through serotonergic pathways to improve mood and sleep.
Mechanism of action
Black Cohosh affects the hypothalamic-pituitary axis to control menopausal symptoms. It reduces LH secretion and interacts with serotonin receptors to improve mood and sleep. The triterpene glycosides present provide anti-inflammatory and analgesic actions that help relieve pain in dysmenorrhea and PMS.
Dosage
Take 1-2 capsules daily or as directed by the physician. Duration of treatment should be maximum six months at a time.
Administration
Take as advised by your physician, with or without food. Swallow the capsule whole. Consult your physician before long-term use.
Missed dose
If you miss a dose, take it as soon as you remember. Skip the missed dose if it is almost time for your next dose. Do not double the dose.
Side effects
- Stomach upset
- Cramping
- Headache
- Rash
- Feeling of heaviness
- Weight gain
- Occasional gastrointestinal discomfort
Safe for most people; side effects are generally mild.
Precautions & warnings
- Use cautiously in patients with liver disease, kidney disease, and seizure disorders.
- Not recommended during pregnancy and lactation.
- Maximum duration of use: 6 months.
- Monitor liver function (with long-term use).
Contraindications
No significant contraindications observed.
Drug interactions
- Birth control pills: May interact.
- Hormone replacement therapy (HRT): May interact.
- Sedatives: May interact.
- Antihypertensives: May interact.
Food interactions
No specific food restrictions.
Use in pregnancy
Not recommended during pregnancy due to an increased risk of spontaneous abortion.
Use in lactation
Not recommended during lactation.
Pediatric use
Adequate information on pediatric use is not available; consult your physician.
Geriatric use
No specific dose adjustment required for elderly, but consult your physician.
Renal / hepatic impairment
Use with caution in patients with liver disease, kidney disease, and seizure disorders.
Overdose effects
Overdose may cause stomach upset, headache, nausea. Consult your doctor if overdose is suspected.
Storage conditions
Store below 30°C, away from light and moisture. Keep out of reach of children.
Chemical structure
Cimicifuga racemosa (Black Cohosh) - Triterpene Glycosides, Actein, Cimicifugoside