Black Cohosh for Hot Flashes

Scientific research supports Black Cohosh as a supplement that will minimize menopausal symptoms. The recommended dosage is 40 to 128mg each day. Avoid if you have liver problems.

The supplement dispensary recommendation below is reputable and guarantees its supplements contain the ingredients listed. Supplements are not regulated in the US, so there is no way to know you are getting what you pay for with some brands. 

Black Cohosh

Vitanica

1 capsule; Once per day (With lunch)

This supplement will assist with symptoms of menopause, particularly hot flashes. It is processed through the liver. If you are taking other medications that are also processed through the liver, you will want to watch for signs of liver stress (i.e. yellowing of the skin, eyes, soreness of the abdomen). Should any of these symptoms begin, discontinue immediately. According to the research, this rarely occurs. There is medical research that shows significant improvement in symptoms. Dosing: 40-80 mg once or twice a day. 

Contraindicated in individuals with aspirin sensitivity. Avoid use in pregnancy and lactation. Premature birth may occur with large doses. Interactions - none well documented. 

Adverse Reactions - Black cohosh is associated with a low incidence of adverse reactions. There are concerns regarding rare, but serious, hepatotoxicity. Toxicology - Overdose of black cohosh may cause nausea, vomiting, dizziness, nervous system and visual disturbances, reduced pulse rate, and increased perspiration. 

Mehrpooya, M., Rabiee, S., Larki-Harchegani, A., Fallahian, A. M., Moradi, A., Ataei, S., & Javad, M. T. (2018). A comparative study on the effect of "black cohosh" and "evening primrose oil" on menopausal hot flashes. Journal of education and health promotion, 7, 36. 

https://doi.org/10.4103/jehp.jehp_81_17 

Castelo-Branco C, Navarro C, Beltrán E, Losa F, Camacho M; on the behalf of the Natural Products Study Group of the Spanish Menopause Society. Black cohosh efficacy and safety for menopausal symptoms. The Spanish Menopause Society statement. Gynecol Endocrinol. 2022 May;38(5):379-384. doi: 10.1080/09513590.2022.2056591. Epub 2022 Apr 11. PMID: 35403534. 

https://www.drugs.com/npp/black-cohosh.html