Black cohosh is not recommended for pregnant women because its potential effects on the uterus may induce early labour. There are other contraindications which can be viewed on our black cohosh herbal remedy information page.
Premenstrual
syndrome
Several studies
in humans suggest that black cohosh may be safe and effective for improving
symptoms of menopause, such as hot flashes, migraine headache and sleep disturbances.
However, only short-term use of black cohosh for menopausal symptoms has been
evaluated. As with so much research on complementary medicines some of the
studies have been small and do not meet the full requirements of western
medicine for double blind trials
Breast cancer
A 2007 study by Dr T R Rebbeck of the University of Pennsylvania indicated that women taking black cohosh were 60% less likely to develop breast cancer. More research was recommended before Black cohosh became a recommened treatment. For more details click here
Arthritis
Black cohosh has been used as an agent for pain and
inflammation in Korean folk medicine. Although some research suggests that
herbal preparations containing black cohosh may improve symptoms of rheumatoid
arthritis or osteoarthritis, many other herbs have been present in these
preparations. There is currently not enough evidence from studies in humans to
support the use of black cohosh as a stand alone treatment for arthritis
- Source: Aetna Intelihealth: Black cohosh
Research
involving Black Cohosh and the Menopause or PMS
Authoritative body
- National Institute of
Health. Black Cohosh (Cimicifuga racemosa [L.] Nutt.).
Monographs
- ESCOP monographs, second
edition, 2003, page 79-91, Cimicifuga Rhizoma Black Cohosh.
- WHO monograph on selected
medicinal plants, vol. 2, page 55-65, Rhizoma Cimicifugae Racemosae
Reviews
-
North American Menopause Society. Treatment of menopause-associated vasomotor
symptoms: position statement of The North American Menopause Society. Menopause.
2004;11(1):11-33.
- Amato P, Marcus
DM. Review of alternative therapies for treatment of menopausal symptoms.
Climacteric 2003;Dec, 6(4):278-284. Review.
-
Borrelli F, Ernst E. Cimicifuga racemosa: asystematic review of its clinical
efficacy. Eur J Clin Pharmacol. 2002;58(4):235-41
-
CKF. Master file Cimicifugae Racemosae Rhizoma, May 2006
-
Dog TL, Powell KL, Weisman SM. Critical evaluation of the safety of Cimicifuga
racemosa in menopause symptom relief. Menopause. 2003;10(4):299-313.
- Huntley A, Ernst E. A systematic
review of the safety of black cohosh. Menopause. 2003;10(1):58-64.
- Huntley AL, Ernst E. A systematic review
of herbal medicinal products for the treatment of menopausal symptoms.
Menopause 2003;Sep-Oct, 10(5):465-476.
- Kronenberg F, Fugh-Berman
A. Complementary and alternative medicine for menopausal symptoms: a review of randomized,
controlled trials. Ann Intern Med. 2002;19;137(10):805-13.
- Viereck V, Emons G, Wuttke
W. Black cohosh: just another phytoestrogen? Trends Endocrinol Metab.
2005;16(5):214-21.
Individual studies
- Bodinet C, Freudenstein J.
Influence of Cimicifuga racemosa on the proliferation of estrogen
receptor-positive human breast cancer cells. Breast Cancer Res. Treat. 2002;76:1-10.
- Bodinet C, Freudenstein J.
Influence of marketed herbal menopause preparations on MCF-7 cell
proliferation. Menopause 2004;11:281-9.
-Burke BE, Olson RD, et al. Randomized, controlled trial of
phytoestrogen in the prophylactic treatment of menstrual migraine. Biomed
Pharmacother 2002;Aug, 56(6):283-288
- Einbond LS, Shimizu M, Xiao
D, Nuntanakorn P, Lim JTE, Suzui M, Seter C,
Pertel T, Kennelly EJ,
Kronenberg F, Weinstein IB. Growth inhibitory activity of extracts and purified
components of black cohosh on human breast cancer cells. Breast Cancer Res.
Treat. 2004;83:221-31
- Fugate SE, Church CO. Nonestrogen
treatment modalities for vasomotor symptoms associated with menopause. Ann
Pharmacother 2004;Sep, 38(9):1482-1499. Epub 2004;Aug, 03.
- Hardy ML. Herbs of special interest to
women. J Am Pharm Assoc (Wash) 2000;40(2):234-242
- Hernandez Munoz G, Pluchino
S. Cimicifuga racemosa for the treatment of hot Maturitas;44(suppl. 1):S59-65.
- Hostanska K, Nisslein T,
Freudenstein J, Reichling J, Saller R. Cimicifuga racemosa extract inhibits
proliferation of estrogen receptor-positive and negative human breast carcinoma
cell lines by induction of apoptosis. Breast Cancer Res. Treat. 2004;84:151-60.
- Huntley A. The safety of black cohosh
(Actaea racemosa, Cimicifuga racemosa). Expert Opin Drug Saf 2004;Nov,
3(6):615-623
-Jacobson JS, Troxel AB, Evans J, et al.
Randomized trial of black cohosh for the treatment of hot flashes among women
with a history of breast cancer. J Clin Oncol 2001;19(10):2739-2745
- Lieberman S. A review of the
effectiveness of Cimicifuga racemosa (black cohosh) for the symptoms of
menopause. J Women's Health 1998;7(5):525-529.
- Liske E, Hanggi
W, Henneicke-von Zepelin HH, et al. Physiological investigation of a unique
extract of black cohosh (Cimicifugae racemosae rhizoma): a 6-month clinical
study demonstrates no systemic estrogenic effect. J Womens Health Gend Based
Med 2002;11(2):163-174
- Liske E.
Therapeutic efficacy and safety of Cimicifuga racemosa for gynecologic
disorders. Adv Ther 1998;15(1):45-53
- Lupu R, Mehmi
I, et al. Black cohosh, a menopausal remedy, does not have estrogenic activity
and does not promote breast cancer cell growth. Int J Oncol 2003;Nov,
23(5):1407-1412
- Mahady GB,
Parrot J, et al. Botanical dietary supplement use in peri- and postmenopausal
women. Menopause 2003;Jan-Feb, 10(1):65-72
- Mahady GB,
Fabricant D, et al. Black cohosh: an alternative therapy for menopause? Nutr
Clin Care 2002;Nov-Dec, 5(6):283-289.
-Moyad MA.
Complementary/alternative therapies for reducing hot flashes in prostate cancer
patients: reevaluating the existing indirect data from studies of breast cancer
and postmenopausal women. Urology 2002;59(4 Suppl 1):20-33.
-Neff MJ. NAMS releases position statement on the
treatment of vasomotor symptoms associated with menopause. Am Fam Physician
2004;Jul 15, 70(2):393-394, 396, 399.
-
Osmers R, Friede M, Liske E, Schnitker J, Freudenstein J, Henneicke-von Zepelin
EE. Efficacy and safety of isopropanolic Black Cohosh extract for climacteric
symptoms. Obstet. Gynecol. 2005;105:1074-1083.
- Pockaj BA,
Loprinzi CL, Sloan JA, et al. Pilot evaluation of black cohosh for the
treatment of hot flashes in women. Cancer Invest 2004;22(4):515-521.
- Rockwell S, Liu Y, Higgins
SA. Alteration of the effects of cancer therapy agents on breast cancer cells
by the herbal medicine black cohosh. Breast Cancer Res. Treat. 2005;90:233-9.
- Sun J. Morning/evening menopausal
formula relieves menopausal symptoms: a pilot study. J Altern Complement Med
2003;9(3):403-409
- Warnecke G. Using phyto-treatment to
influence menopause symptoms. Med Welt 1985;36:871-874
- Wuttke W, Seidlova-Wuttke
D, Gorkow C. The Cimicifuga preparation BNO 1055 vs. conjugated estrogens in a
double-blind placebo-controlled study: effects on menopause symptoms and bone
markers. Maturitas 2003;44(suppl. 1):S67-77.
Further research involving
Black cohosh
.-Cohen SM, O'Connor AM, et al. Autoimmune hepatitis
associated with the use of black cohosh: a case study. Menopause 2004;Sep-Oct,
11(5):575-577.
-Fugh-Berman A. "Bust enhancing"
herbal products. Obstet Gynecol 2003;Jun, 101(6):1345-1349.
-Kligler B. Black cohosh. Am Fam Physician
2003;Jul 1, 68(1):114-116.
-Liske E, Wüstenberg P, Boblitz N.
Human-pharmacological investigations during treatment of climacteric complaints
with Cimicifuga racemosa (Remifemin): no estrogen-like effects. ESCOP
2001;1:1.
-Lontos S, Jones RM, et al. Acute liver
failure associated with the use of herbal preparations containing black cohosh.
Med J Aust 2003;Oct 6, 179(7):390-391.
-McKenna DJ, Jones K, Humphrey S, et al.
Black cohosh: efficacy, safety, and use in clinical and preclinical
applications. Altern Ther Health Med 2001;7(3):93-100.
- Pepping J. Black cohosh: Cimicifuga
racemosa. Am J Health Syst Pharm 1999;56(14):1400-1402.
- Rock E,
Demichele A. Nutritional approaches to late toxicities of adjuvant chemotherapy
in breast cancer survivors. J Nutr 2003;133(11 Suppl 1):3785S-3793S..
- Thomsen M,
Vitetta L, et al. Acute liver failure associated with the use of herbal
preparations containing black cohosh. Med J Aust 2003;Oct 6,
179(7):390-391.
- Vitetta L,
Thomsen M, et al. Black cohosh and other herbal remedies associated with acute
hepatitis. Med J Aust 2002;Oct 21, 177(8):440-443.
Using Black Cohosh as a herbal remedy