
Precautions
More studies are needed about the safety of black cohosh. Because the research isn’t clear, black cohosh shouldn’t be used during pregnancy or breastfeeding. In studies, people have taken black cohosh for as long as 12 months without any side effects. But this does not apply to pregnant women and it should not be ingested during pregnancy.
Is black cohosh safe during pregnancy?
There are also reports of severe fetal complications, including seizures, kidney damage and breathing problems in infants after their mothers took black and blue cohosh to induce labor; these side effects may be due to a compound found in blue cohosh, according to a March 2002 article in the "British Journal of Obstetrics and Gynecology."
What are the side effects of black and blue cohosh?
It’s possible that black cohosh can induce labor. There isn’t much research on how black cohosh affects pregnancy and breastfeeding. Some studies say that black cohosh can make the uterus contract, which could induce labor. Other studies aren’t clear if it affects the uterus.
Can black cohosh induce labor or breastfeeding?
Black cohosh is an herbal product that midwives sometimes use to induce labor, typically in combination with another herb called blue cohosh. It can also be used to treat other gynecological problems in women.
What is black cohosh?

Will black cohosh hurt my baby?
Because the research isn't clear, black cohosh shouldn't be used during pregnancy or breastfeeding. In studies, people have taken black cohosh for as long as 12 months without any side effects. But this does not apply to pregnant women and it should not be ingested during pregnancy.
Can black cohosh put you in labor?
Black cohosh, a homeopathic remedy traditionally used by Native Americans for a variety of gynecologic ailments, including menopausal symptoms and dysmenorrhea, is recommended by some midwives as an alternative to prostaglandins and oxytocin for inducing and augmenting labor.
What does black cohosh do to your uterus?
One 3-month study in 244 postmenopausal women found that supplementing daily with 40 mg of black cohosh may decrease the size of uterine fibroids by up to 30% ( 10 ). Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD).
How much black cohosh should I take for labor?
Blue and Black Cohosh Tinctures, 5 - 10 drops each under tongue or in glass of water or tea, every hour for up to 6 - 8 hours if labor stalls or contractions become weaker.
What causes miscarriage?
Most miscarriages occur because the fetus isn't developing as expected. About 50 percent of miscarriages are associated with extra or missing chromosomes. Most often, chromosome problems result from errors that occur by chance as the embryo divides and grows — not problems inherited from the parents.
How can I soften my cervix naturally?
Are there natural ways to ripen the cervix?Acupuncture.Breast stimulation.Castor oil.Enemas (injection of water or liquid into the rectum to clear the colon).Herbal supplements.Hot baths.Sexual intercourse.Transcutaneous electrical nerve stimulation (TENS).
Can you take black cohosh while pregnant?
Conclusions: Black cohosh should be used with caution during pregnancy, particularly during the first trimester where its purported labour-inducing effects could be of concern, and during lactation. Black cohosh should undergo rigorous high quality human studies to determine its safety in pregnancy and lactation.
Who should not take black cohosh?
The U.S. Pharmacopeia advises that individuals with liver disorders should also avoid black cohosh [30]. It adds that users who develop symptoms of liver trouble, such as abdominal pain, dark urine, or jaundice, while taking the supplement should discontinue use and contact their doctor.
What are the dangers of black cohosh?
It can cause some mild side effects such as stomach upset, headache, rash, and a feeling of heaviness. There is also some concern that black cohosh might cause liver damage in some people. People who take black cohosh should watch for symptoms of liver damage such as dark urine and fatigue.
Is 540 mg of black cohosh too much?
"For menopausal symptoms, the dose of black cohosh used in studies has been 20-40 milligram tablets of a standardized extract taken twice a day. More than 900 milligrams a day of black cohosh is considered an overdose.
What herbs make you go into labor?
Herbs such as chamomile and blue and black cohosh are known uterine-stimulating drugs and have an oxytocic effect (18). According to this study, it seems that this herb can induce labor in post-term pregnancy.
What is the quickest way to go into labor?
What is the Quickest Way to Go Into Labor?Sex.Nipple stimulation.Exercise.Acupressure.Spicy foods.Red raspberry leaf tea.
What is the quickest way to go into labor?
What is the Quickest Way to Go Into Labor?Sex.Nipple stimulation.Exercise.Acupressure.Spicy foods.Red raspberry leaf tea.
What herbs make you go into labor?
Herbs such as chamomile and blue and black cohosh are known uterine-stimulating drugs and have an oxytocic effect (18). According to this study, it seems that this herb can induce labor in post-term pregnancy.
Can you take black cohosh while pregnant?
Conclusions: Black cohosh should be used with caution during pregnancy, particularly during the first trimester where its purported labour-inducing effects could be of concern, and during lactation. Black cohosh should undergo rigorous high quality human studies to determine its safety in pregnancy and lactation.
How can I go into labor overnight?
Medical ways to go into labor overnightRipening the cervix, which involves softening the cervix so that it dilates easily when you go into labor.Stripping the membranes, which involves your doctor sweeping the membranes that connect the amniotic sac to the wall of your uterus. ... Rupturing the amniotic sac.More items...
What Is The Most Important Information I Should Know About Black Cohosh?
Follow all directions on the product label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and al...
What Should I Discuss With My Health Care Provider Before Taking Black Cohosh?
Before using black cohosh, talk to your healthcare provider. You may not be able to use black cohosh if you have certain medical conditions, especi...
How Should I Take Black Cohosh?
When considering the use of herbal supplements, seek the advice of your doctor. You may also consider consulting a practitioner who is trained in t...
What Happens If I Miss A Dose?
Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra black cohosh to make up the missed dose.
What Should I Avoid While Taking Black Cohosh?
Avoid using black cohosh together with other herbal/health supplements that can harm your liver. This includes androstenedione, chaparral, comfrey,...
Black Cohosh Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue,...
What Other Drugs Will Affect Black Cohosh?
Do not take black cohosh without medical advice if you are using any of the following medications: 1. acetaminophen (Tylenol); 2. cisplatin; 3. don...
How Is Black Cohosh used?
The roots of black cohosh are dried and made into teas, liquid extracts, and put into capsule form. Sometimes, black cohosh is used as one ingredie...
What Are The Benefits of Black Cohosh?
The most widely studied treatment use of black cohosh has been for hot flashes and other menopause symptoms. But research is still mixed as to whet...
What Does Research Say About The Effectiveness of Black Cohosh?
Studies funded by the National Center for Complementary and Integrative Health reported conflicting findings regarding the effectiveness of black c...
What Are The Side Effects of Black Cohosh?
Black cohosh is associated with generally mild side effects, though some are more serious than others. One of the major side effects is liver damag...
Other Considerations When Using Black Cohosh
Herbs, vitamins, minerals, and other plant extracts are considered dietary supplements. These aren’t required to be regulated by the Food and Drug...
What is black cohosh used for?
Uses of Black Cohosh. One of the main modern uses for black cohosh is to relieve symptoms of menopause. It can also be used to treat pain during menstruation. These conditions, however, are extremely unlikely during pregnancy. Black cohosh, either when taken alone or when combined with blue cohosh, can also be used to try to terminate a pregnancy.
Can black cohosh cause nausea?
Aside from pre gnancy complications, the most commonly reported side effect from taking black cohosh is gastrointestinal discomfort, though it can also cause: nausea. giddiness. headaches. dizziness. Black cohosh may also be able to mimic the effects of estrogen in the body.
Can pregnant women take black cohosh?
Because it can potentially induce labor, black cohosh should not be taken by pregnant women in their first or second trimesters. There are also reports of severe fetal complications, including seizures, kidney damage and breathing problems in infants after their mothers took black ...
Is black cohosh safe for pregnancy?
You should talk to your doctor before taking any sort of herbal supplement and be sure not to use any labor-inducing herbs without the supervision of a trained medical professional.
Does blue cohosh cause seizures?
There are also reports of severe fetal complications, including seizures, kidney damage and breathing problems in infants after their mothers took black and blue cohosh to induce labor; these side effects may be due to a compound found in blue cohosh, according to a March 2002 article in the "British Journal of Obstetrics and Gynecology.".
How long is black cohosh safe?
Although not all side effects are known, black cohosh is thought to be possibly safe when taken for a short period of time (up to 1 year).
What is black cohosh used for?
Black cohosh has been used in alternative medicine in a specific preparation called Remifemin as a possibly effective aid in REDUCING the frequency of hot flashes caused by menopause. Other uses not proven with research have included premenstrual syndrome (PMS), infertility, breast cancer, heart disease, osteoporosis, arthritis, rheumatism, ...
Can you use black cohosh on a baby?
You may not be able to use black cohosh if you have certain medical conditions, especially. past or present cancer of the breast, ovary, or uterus; a history of endometriosis or uterine fibroids; if you have ever had a kidney transplant. It is not known whether black cohosh will harm an unborn baby.
Is black cohosh a regulated product?
Black cohosh is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs.
Is black cohosh safe for medical use?
It is not certain whether black cohosh is effective in treating any medical condition. 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.
Can you take black cohosh with other supplements?
Avoid using black cohosh together with other herbal/health supplements that can harm your liver. This includes androstenedione, chaparral, comfrey, DHEA, germander, kava, niacin (vitamin B3), pennyroyal oil, or red yeast.
Can black cohosh be used in breast milk?
It is not known whether black cohosh passe s into breast milk or if it could harm a nursing baby. Do not use this product without medical advice if you are breast-feeding a baby. Do not give any herbal/health supplement to a child without medical advice.
What are the effects of black cohosh?
Black cohosh has the potential to interact with other medications and therapies. Here are its known interactions: 1 Hormone replacement therapy (HRT). Black cohosh may have some effects on your hormone levels — particularly your estrogen levels — which can have unexpected effects when paired with HRT ( 23 ). 2 Birth control pills. Most birth control pills are made of estrogen and/or progesterone, so black cohosh — which may affect your hormone levels — may interfere with hormonal birth control ( 6, 7, 8 ).
Why do women use black cohosh?
Here are a few more reasons women may use black cohosh to support hormonal balance: Polycystic ovarian syndrome (PCOS). Supplementing with black cohosh may increase a woman with PCOS’s chances of getting pregnant on Clomid. Supplementing with black cohosh may also help regulate your cycles if you have PCOS ( 8.
How long does black cohosh last?
Black cohosh should be kept sealed and stored at room temperature. Typically, herbal supplements don’t expire until 2 years after they’re manufactured. For your safety, it’s best to use or discard the supplement by its expiration date.
Is black cohosh safe for pregnant women?
Use in specific populations. Generally, black cohosh is safe for most people who are not pregnant or nursing. However, there’s no need for the supplement to be given to children. Because it may affect hormone levels, it should only be given to adolescents at the direction of a qualified healthcare provider.
Does black cohosh harm the liver?
Additionally, because one of the most severe side effects of black cohosh is liver damage, you should be cautious of taking black cohosh in combination with any other supplements or medications that may damage your liver. Consult your healthcare provider for guidance.
Does black cohosh interact with other medications?
Black cohosh has the potential to interact with other medications and therapies. Here are its known interactions: Hormone replacement therapy (HRT). Black cohosh may have some effects on your hormone levels — particularly your estrogen levels — which can have unexpected effects when paired with HRT ( 23.
Can you take black cohosh if you have liver disease?
For this reason, you shouldn’t take black cohosh if you have liver disease or are taking any other supplements or medications that may harm your liver ( 17. Trusted Source. ). Moreover, a recent animal study observed that black cohosh in high doses was linked to red blood cell damage, leading to anemia.
What is cohosh used for?
It has several uses such as a herbal remedy for menstrual cramps, rheumatoid arthritis, menopause problems , indigestion, and depression. There are two varieties of Cohosh, Black Cohosh, and Blue Cohosh. These two grow on different plants.
What is the purpose of cohosh?
These two grow on different plants. Black Cohosh is used to relax the uterus and initiate its contraction. It belongs to the buttercup family and has a botanical name , Actaea racemose. It is known with other names such as.
Is black cohosh safe to take?
Black Cohosh is a medicinal herb that should be used under the proper supervision of a doctor. It is safe until the overdose is taken. Therefore , it is better to consult a doctor before using it for the induction of labor.
What are the substances in black cohosh?
Substances in black cohosh that may account for its activity include triterpene glycosides such as actein, 23-epi-26-deoxyactein, and cimicifugoside; resins, such as cimicifugin; and aromatic acid derivatives such as caffeic, isoferulic, and fukinolic acids [ 8, 9 ].
What is black cohosh made of?
Preparations of black cohosh are made from its roots and rhizomes (underground stems). They are sold as dietary supplements in such forms as powdered whole herb, liquid extracts, and dried extracts in pill form [ 7 ].
Does black cohosh affect menopause?
Studies using various designs since the 1950s have attempted to determine whether black cohosh affects menopausal symptoms [ 12 ]. Complicating efforts to understand the efficacy of black cohosh for treating menopaus al symptoms is the wide variation in the chemical compositions of formulations. Black cohosh’s active ingredients and potential mechanism (s) of action are unknown. Studies have found varying results for the plant’s effects on human physiology as to whether, for example, it raises the body’s levels of estrogen which is present in lower levels in menopausal women than in premenopausal women, or whether it affect levels of luteinizing hormone or follicle-stimulating hormone [ 13, 14 ]. It is not clear whether black cohosh affects the structure and activity of vaginal and uterine tissues [ 5, 15 ]. Some researchers believe that black cohosh might exert its effects through a brain-related action, such as moduation of serotonergic pathways, or through its potential ability to act as an antioxidant, anti-inflammatory, or selective estrogen receptor modulator [ 5, 15-17 ].
Does black cohosh harm the liver?
In 2007, the Australian Department of Health began requiring that products containing black cohosh carry the following label statement: “Warning: Black cohosh may harm the liver in some individuals. Use under the supervision of a healthcare professional” [ 29 ].
Can you take black cohosh with liver problems?
The U.S. Pharmacopeia advises that individuals with liver disorders should also avoid black cohosh [ 30 ]. It adds that users who develop symptoms of liver trouble, such as abdominal pain, dark urine, or jaundice, while taking the supplement should discontinue use and contact their doctor.
Does black cohosh help with hot flashes?
There were no significant associations between supplementation with black cohosh and reduction in the number of vasomotor symptoms, such as hot flashes. Furthermore, there were no beneficial associations between black cohosh use and relief of menopausal symptoms using self-reported rating scales.
What is black cohosh?
Black cohosh (scientifically known as actaea racemosa or cimicifuga racemosa) is a flowering perennial plant with fragrant white blooms on a stem, forming a spike-like structure of up to 5 feet tall. A member of the buttercup family, it grows in the woodlands of the eastern United States and Canada.
The benefits of black cohosh
Studies show that black cohosh binds to the body’s opioid receptors, giving it a painkilling effect. Today, it’s sometimes used to reduce the muscle aches and body pains associated with menopause, perimenopause and postmenopause.
How to take black cohosh
The standard black cohosh dosage is 40 mg to 128 mg of extract daily for up to 12 months. “The most common preparations are tinctures and capsules, but motivated individuals can make their own,” Dr. Lin says. To brew it at home:
What is the effect of black cohosh on women?
1. Menopause. Black cohosh menopause effects are primarily responsible for the herb’s popularity in the last century. Research has found the estrogen-like response in black cohosh increases the low levels of estrogen most menopausal women experience.
What is black cohosh?
Black cohosh is a herb of the buttercup family native to North America. It is the root of this tall, yellow and white flower plant that is the star of the show. It has been used for centuries for medicinal purposes. Native Americans first used it to treat menstrual problems, pain, cough, fever, and pneumonia.
How long does black cohosh last?
With all of the discussion between experts on the use of black cohosh, the common agreement on a beneficial time length is six months to one year. Black cohosh dosage amount clearly depends on the specific use of the herb, the product manufacturer, the additional ingredients as well as the form taken.
Is black cohosh a sedative?
Let’s look at the health benefits linked to black cohosh due to its anti-inflammatory, sedative, and analgesic properties. The components of the herb mirror the effects of naturally produced estrogen and serotonin. It is also found to have tannins, isoflavones, triterpenes, and essential fatty acids.
Does black cohosh help with depression?
This may aid in the release and management of hormones for a stable mood, preventing mood swings. As such, it is thought to help with cases of depression and tension from stress.
Can black cohosh be used for headaches?
Inflammation of body tissue may be treated and possibly prevented with regular use of black cohosh. It contains salicylic acid that some say can replace the use of aspirin for headaches and body pains. Arthritis patients may find less joint pain and inflammation with the use of the natural alternative.
Does black cohosh cause weight gain?
The possible black cohosh weight loss effects vary depending on the study. As the body increases fat cell production for estrogen access when estrogen levels drop during menopause, it is thought some women gain weight during this time. Those taking it have shown weight loss during this time.
Why do midwives use black cohosh?
Some midwives in the United States use black cohosh as a way to relax the uterus and stimulate contractions. According to the National Institutes of Health, black cohosh is a member of the buttercup family. The formal name of black cohosh is Actaea racemosa. It’s also known as: black snakeroot. bugbane.
Can you take herbal medicine while pregnant?
Natural and herbal medications can still have powerful side effects. In some cases, they can even be dangerous. When it comes to inducing labor, you have to remember that any medications you take affect not just you, but your baby-to-be, too.
Can you use herbs on your own to induce labor?
The short answer here is no. There are no herbs that are safe for a woman to use on her own at home to induce labor. Remember, there’s a big difference between an herb that may be effective in inducing labor and an herb that’s safe to induce labor.
Is black cohosh safe for pregnant women?
Pregnant women should use black cohosh with caution during pregnancy, according to a review of studies published in the Canadian Journal of Clinical Pharmacology. Trusted Source. . More studies are needed to determine if it’s safe for use.
What are the side effects of black cohosh?
The side effects of black cohosh include gastrointestinal upset, skin rash, breast pain, brain enlargement, infection, vaginal bleeding/spotting and joint or muscle pain.
What is black cohosh used for?
It has been most commonly used for menopause and found to be beneficial. Other problems include menstrual cramps and menstrual irregularities. Much of the research on black cohosh has been on ...
How long can you take black cohosh?
Safety data on the long-term use of black cohosh are lacking. Hence, physicians often recommend taking the black cohosh for no more than six months. Black cohosh is not safe for everyone. There are several reports of patients with some bad effects on the liver such as. Hepatitis (infection of the liver)
Can you use black cohosh on your liver?
Physicians recommend avoiding black cohosh if you have any problem with your liver. Always use it under medical supervision. Discontinue its use and consult your doctor if you develop symptoms of liver trouble, such as abdominal pain, dark urine or jaundice.
Is black cohosh effective?
The review concluded that there is not enough evidence to state whether black cohosh is effective or ineffective to help treat the symptoms of menopause.
Does black cohosh help with hot flashes?
Hot flashes (most effective for this symptom as reported by women) Night sweats. Vaginal dryness. In a study, black cohosh has worked as effectively as hormonal replacement therapy in the management of postmenopausal symptoms. But some other studies have found its effect to be similar to a placebo.
Does black cohosh interact with other drugs?
Due to its possible estrogen-like activity, black cohosh may interact with hormone replacement therapy or oral contraceptive pills. Black cohosh may also interact with other drugs such as. Cholesterol - lowering drugs. Drugs that can cause hepatotoxicity (harmful for liver), such as. Acetaminophen.

Uses of Black Cohosh
Black cohosh has been used for symptoms of menopause (such as hot flashes).
Drug Class: Alternative Therapy - Unclassified
Availability: Prescription sometimes needed
Pregnancy: Consult your doctor. This medication may be harmful to an unborn child.
Lactation: Consult a doctor before using
Driving: May cause drowsiness or dizziness. Use caution
Black Cohosh and Pregnancy Complications
Other Risks from Black Cohosh
Recommendations and The Need For More Information