Respiratory: Sore throat, cough

Genitourinary: PMS, dysmenorrhea, vaginal dryness, menopausal symptoms/hot flashes - Approved by the German Commission E for these problems. Polycystic ovarian syndrome may decrease the size of fibroids during menopause. 

Musculoskeletal: Rheumatism. Reportedly increases bone density. Helps decrease JOINT pain in osteoarthritis and osteoporosis.

Skin: Acne

Mental Health: Anxiety

Other: Fever

Side Effects: Rash, joint pain, slow heart rate (bradycardia), dizziness, breast tenderness, stomach problems, swelling of extremities, headaches, irritability, manic behavior, psychosis, liver problems, vaginal bleeding

Contraindications: Cancer (hormone-influenced cancers), liver disease, kidney transplant, protein S deficiency, Atorvastatin, Cisplatin, Cytochrome P450 2D6 (certain medications metabolized by the liver), heart disease, risk of blood clots, aspirin sensitivity, endometriosis, fibroids (uterine)

                                                    *   *   *

FORMS: Capsules and tablets, dried root, extracts, and teas.  

Soy isoflavones may be more effective than black cohosh for female/menopausal symptoms.

Recommended Brands

Nature’s Bounty® Black Cohosh — available in many retail pharmacies 

Oöna™ For Menopause — available in many retail stores and pharmacies

Remifemin® Menopause Relief — available in many retail stores and pharmacies

Herb Pharm® Ashwagandha (alcohol‑free extract) — available through my Fullscript link

I only recommend herbal and supplement brands that meet high standards for safety, effectiveness, and transparency. I research each product before sharing. Some links—Fullscript and Life Extensions—are affiliate links, meaning I may earn a small commission if you purchase through them, at no extra cost to you. This helps support the free educational content on this site.

Dosage

As directed on the product label.

Some clinical and consumer sources describe a wide range of herbal amounts, and many are not supported by strong evidence. Always follow the manufacturer’s instructions.

According to NIH publications, amounts used in studies vary widely depending on the formulation and purpose. These study amounts are not clinical recommendations and may not apply to consumer products.

For detailed drug dosing and interaction information, refer to Epocrates.

Traditional Use (General Information Only)

Black cohosh has been used traditionally in various forms, including capsules, tablets, and liquid extracts. Traditional uses often relate to menopausal comfort, menstrual support, and general wellness.

These reflect traditional and consumer uses, not evidence‑based medical treatments. Product formulations vary, so it is important to follow the manufacturer’s directions.

*Disclaimer: The material above is for informational purposes only. This information is not intended to diagnose, treat, or cure a condition. The uses listed above are tentative; some have or are undergoing research trials, but many are not FDA-approved. It is essential that you investigate these supplements further before deciding to use them. Check interactions and contraindications on sites like Drugs.com or WebMD. Do not attempt to treat a serious condition like liver, kidney problems, high blood pressure, heart, cancer, diabetes, or thyroid issues without discussing it with a healthcare provider first. If you are pregnant, do not use supplements without discussing it with your healthcare provider.