Alternative Health

Latin name: Cimicifuga racemosa
Other names: Black Snake Root, Bugbane, Bugwort, Rattle Root, Richweed, Squaw Root

A Remedy For

Menopausal disorders
Premenstrual syndrome (PMS)
Black Cohosh has also been used for sore throat, bronchitis, joint pain, fever, insomnia, and snakebite, but its effectiveness for these problems has never been verified.

What It Is; Why It Works
Advocates of Black Cohosh say it has an effect similar to estrogen, the female hormone that governs the menstrual cycle. Declining estrogen levels are responsible for the hot flashes and other symptoms that often accompany menopause. Estrogen replacement therapy relieves these symptoms, but poses an increased risk of breast cancer in susceptible women. Black Cohosh is said to offer a nonhormonal alternative.

Although the preponderance of evidence supports the herb’s ability to relieve menopausal symptoms, controversy about its action persists. Some studies have found an estrogen-like effect on the body’s hormonal balance, while others have failed to detect any difference. To date, no studies have reported any protective effect against heart disease or osteoporosis, the two major ailments that traditional estrogen replacement therapy combats.

Avoid If…
Do not take Black Cohosh during pregnancy. It can increase the chance of a miscarriage.

Special Cautions
It’s considered best to take this herb for no more than 6 months unless your doctor approves. At customary dosage levels, Black Cohosh poses no risks. Occasionally, it causes stomach discomfort.

Possible Drug Interactions
Black Cohosh is said to amplify the effects of blood pressure medications. Combining it with these drugs could cause excessively low blood pressure.

Special Information If You Are Pregnant or Breastfeeding
Black Cohosh should be strictly avoided during pregnancy, and it is not recommended while breastfeeding.

How To Prepare
Black Cohosh can be taken in the form of the fresh or dried root, or as a liquid extract. It is also available commercially in capsule and tablet form.

Typical Dosage
Black Cohosh is taken orally. The usual daily dosage is 40 milligrams, but because the strength of commercial preparations may vary, be sure to follow the manufacturer’s instructions whenever available.

Overdosage
Very high dosages (5 grams or about 1 teaspoonful of the root; 12 grams or about 2 teaspoonfuls of liquid extract) can cause vomiting, headache, dizziness, limb pains, and low blood pressure. If you suspect an overdose, seek medical attention immediately.