Does Black Cohosh Interact With Any Medications?

by | Last updated on January 24, 2024

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The risk of interactions between black cohosh and medicines appears to be small. A 2017 review found that black cohosh has

an overall low risk of drug interactions

but may reduce the effectiveness of statins.

What medications should not be taken with black cohosh?


Atorvastatin

(Lipitor) interacts with BLACK COHOSH

There is concern that black cohosh might harm the liver. Taking black cohosh with atorvastatin (Lipitor) might increase the chance of liver damage.

Who should not take black cohosh?

Do not take black cohosh if you: Have a hormone-sensitive condition, such as

breast cancer

, prostate cancer, endometriosis, or uterine fibroids. Have a history of blood clots, stroke, seizures, or liver disease. Take medications for high blood pressure.

Is it safe to take black cohosh?

In clinical trials,

people have taken black cohosh for as long as 12 months with no serious harmful effects

. Black cohosh can cause some mild side effects, such as stomach upset, cramping, headache, rash, a feeling of heaviness, vaginal spotting or bleeding, and weight gain.

Does black cohosh raise blood pressure?

The full list of currently known side effects of black cohosh use includes: abnormal or increased vaginal discharge. vaginal bleeding or stimulation of menstrual flow. abnormal heartbeat or

altered blood pressure

, typically lowered.

Can you drink alcohol while taking black cohosh?

Alcohol (Ethanol) black cohosh

Products containing black cohosh have been reported to cause liver damage in rare cases, and taking it with other medications that can also affect the liver such as ethanol may increase that risk.

You should avoid or limit the use of alcohol while being treated with these medications

.

Does black cohosh help you sleep?

Conclusions: In early postmenopausal women with a major sleep complaint,

black cohosh effectively improved sleep

and might be a safe measure in managing menopausal sleep disturbance.

Can black cohosh help with menopause symptoms?

It is used to treat women’s hormone-related symptoms, including premenstrual syndrome (PMS), menstrual cramps, and menopausal symptoms. Studies on black cohosh have had mixed results. Some studies have shown that black cohosh can

relieve menopause symptoms such as hot flashes

.

What are the benefits of black cohosh supplements?

  • Headaches.
  • Hot flashes.
  • Mood changes.
  • Sleep problems.
  • Heart palpitations.
  • Night sweats.
  • Vaginal dryness.

Does black cohosh contain estrogen?

Black cohosh seems to help decrease menopausal symptoms because it contains

phytoestrogens

, substances that act a lot like estrogen. When you go through menopause, your estrogen levels drop significantly.

How much black cohosh should you take a day?

The recommended dose of black cohosh ranges from

20 to 80 mg per day

. The tablets should be standardized to contain 1 mg of 27-deoxyactein. For black cohosh tincture, that equals 2 to 4 ml, 1 to 3 times per day in water or tea. Two capsules or tablets typically provide the recommended daily dose.

What are the signs of coming to the end of menopause?

  • Hot flashes. …
  • Night sweats. …
  • Cold flashes. …
  • Vaginal changes. …
  • Emotional changes. …
  • Trouble sleeping.

What happens if you overdose on black cohosh?

Toxicology. Overdose of black cohosh may cause

nausea, vomiting, dizziness, nervous system and visual disturbances, reduced pulse rate, and increased perspiration

. Case reports primarily document hepatic toxicity; however, cardiovascular and circulatory disorders and 1 case of convulsions have been documented.

Is black cohosh good for anxiety?


Black cohosh significantly reduced depression and anxiety

in all studies reviewed. Conclusions: St. John’s wort and black cohosh appear to be the most useful in alleviating mood and anxiety changes during menopause.

Is black cohosh bad for liver?

However, products labeled as black cohosh have been linked to more than fifty instances of clinically apparent liver injury that have ranged in severity from symptomatic elevations in serum enzymes without jaundice, to acute self-limited hepatitis, prolonged hepatitis with cholestasis, autoimmune hepatitis, and

acute

Is black cohosh FDA approved?

Medicinal use of

this product has not been approved by the FDA

. Black cohosh should not be used in place of medication prescribed for you by your doctor. Black cohosh is often sold as an herbal supplement.

Jasmine Sibley
Author
Jasmine Sibley
Jasmine is a DIY enthusiast with a passion for crafting and design. She has written several blog posts on crafting and has been featured in various DIY websites. Jasmine's expertise in sewing, knitting, and woodworking will help you create beautiful and unique projects.