Black Cohosh
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The cheapest product is usually low quality, but more expensive doesn’t always mean better.
The cheapest product is usually low quality, but more expensive doesn’t always mean better.
What is it? / Overview
Black cohosh is a studied herbal option for menopausal hot flashes and night sweats, though evidence is inconsistent across preparations and reviews, and its exact mechanism isn't fully understood.
How is it used? / Administration
Form: Standardized root extract (standardized to triterpene glycosides)
Typical dose studied: 20–40 mg twice daily
Timing: With food, morning and evening
Evidence is inconsistent across different product preparations. Rare case reports of liver toxicity exist without firmly established causality — still worth monitoring, especially with any pre-existing liver condition.
How well does it work? / Evidence
? Emerging / limited evidence
Who should avoid it?
Avoid with: End-stage liver disease / Cirrhosis; Chronic Hepatitis C — active / untreated; Chronic Hepatitis B — active / on antiviral therapy; Cancer — active or within past 12 months
Already taking it? Discontinue and consult a doctor if symptoms of liver problems develop — rare case reports of liver injury exist, though causality remains debated.
Research & references
Leach MJ et al. Cochrane review of black cohosh for menopause. Franco OH et al. BMJ review of non-hormonal menopause treatments.
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