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Black Cohosh: Herbal Remedies

Preparations and Warnings for Black Cohosh

Like all herbs, there are some precautions you should take before using black cohosh medicinally.

for Black Cohosh

Black cohosh is commonly tinctured, powdered, and encapsulated.


Capsules: Take 2 to 4 300-mg capsules per day.

Tincture: Take 1/4 to 1/2 teaspoon, two to four times daily.

Part of Black Cohosh Used


of Black Cohosh

Some people who react to salicylate-based medicines, such as aspirin, may experience ringing in the ears or asthmatic wheezing when they take black cohosh.

The herb may promote blood flow to the head, resulting in a sensation of fullness and, occasionally, headache. Dizziness, nausea, and slow pulse rate are reported rarely. Avoid black cohosh if you are pregnant, unless it is specifically indicated and prescribed by a qualified health-care practitioner.

Precautions and Warnings for Black Cohosh

Do not take black cohosh for head pain that is full or pounding, because black cohosh mildly increases blood flow to the head. An overdose of black cohosh may cause dizziness, diarrhea, abdominal pain, vomiting, visual dimness, headache, tremors, and a depressed heart rate. Don't use it if you have a heart condition. Because the black cohosh seems to affect hormones, do not use it if you're pregnant.

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Jennifer Brett, N.D. is director of the Acupuncture Institute for the University of Bridgeport, where she also serves on the faculty for the College of Naturopathic Medicine. A recognized leader in her field with an extensive background in treating a wide variety of disorders utilizing nutritional and botanical remedies, Dr. Brett has appeared on WABC TV (NYC) and on Good Morning America to discuss utilizing herbs for health.This information is solely for informational purposes. IT IS NOT INTENDED TO PROVIDE MEDICAL ADVICE. Neither the Editors of Consumer Guide (R), Publications International, Ltd., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this information. The publication of this information does not constitute the practice of medicine, and this information does not replace the advice of your physician or other health care provider. Before undertaking any course of treatment, the reader must seek the advice of their physician or other health care provider.Before engaging in any complementary medical technique, including the use of natural or herbal remedies, you should be aware that many of these techniques have not been evaluated in scientific studies.   Use of these remedies in connection with over the counter or prescription medications can cause severe adverse reactions. Often, only limited information is available about their safety and effectiveness. Each state and each discipline has its own rules about whether practitioners are required to be professionally licensed. If you plan to visit a practitioner, it is recommended that you choose one who is licensed by a recognized national organization and who abides by the organization's standards. It is always best to speak with your primary health care provider before starting any new therapeutic technique.