← Back
3Medicinal

Black cohosh

Also sold as Cimicifuga racemosa

Menopausal hot flushes; rare liver injury has been reported.

TrustedSupp Tier System™ · Tier 3Take as a defined course
Check before you startThis one has documented interactions with medication classes where the consequences are serious. If you take any prescription medicine, run it past a pharmacist before starting.

Evidence strength

48/100Limited
WEAKLIMITEDMODERATESTRONGVERY STRONG

What the evidence supports: menopausal hot flushes; results vary by preparation.

This scores how well-supported the claim above is — not how much benefit you personally would get. A high score on a narrow claim does not extend to everything the product is marketed for.

How long to take it

Up to six months, then reassess. Not indefinite.

Who it's actually for

Women with menopausal symptoms, after discussing options with a doctor.

Safe upper limit

Unverified
No formal limit; 40 mg daily in trials, for up to six months
Documented cases of liver injury. Regulatory agencies in several countries require a liver warning.
No source or citation attached yet.

Interactions to know about

Run your full list through the interaction check.

Practical notes

  • Stop for jaundice, dark urine, or unusual fatigue.
  • Avoid with liver disease or a history of hormone-sensitive cancer without specialist advice.