Black Cohosh (Cimicifuga racemosa)
Women's health & hormonal balanceFunction & benefits
The root of a North American plant used to support comfort during the menopause; a meta-analysis suggests it reduces hot flushes and night sweats by about 26%, the Spanish Menopause Society confirms the efficacy and safety of standardised extracts, and it helps calm the mood swings and poor sleep that come with this stage.
Dosage & how to use
| Recommended dose | 40–80 mg of standardised extract daily |
| Best time to take | With breakfast or dinner |
| Frequency | 1–2 times daily |
Best forms to choose
Standardised isopropanolic or ethanolic black cohosh root extract (such as Remifemin®).
Important warnings
Liver warning (EMA): avoid it with liver disease; stop at once and see a doctor if your skin or eyes turn yellow, your urine darkens or you get upper abdominal pain
Not for women with a history of oestrogen-sensitive tumours (such as breast cancer) unless under medical supervision
Do not use it for more than 6 months without consulting a doctor; not for use during pregnancy or breastfeeding
Drug interactions
Use with care alongside medicines that strain the liver (such as high-dose paracetamol and statins), and do not combine it with hormone replacement therapy or tamoxifen unless under medical supervision.
Related supplements
- Dong Quai (Angelica sinensis)Women's health & hormonal balance
- Vitex (Chasteberry, Agnus Castus)Women's health & hormonal balance
- Wild Yam (Dioscorea villosa)Women's health & hormonal balance
- Daily MultivitaminsGeneral health & immunity
Scientific references
- Shams T et al. Altern Ther Health Med 2010 (meta-analysis) — PMID: 20085176
- Castelo-Branco C et al. Gynecol Endocrinol 2022 — PMID: 35403534
Content last updated: 17 October 2026 · Based on published sources and research (EFSA / NIH / PubMed)
⚖️ Medical disclaimer: The information and data provided here are for health education and nutritional guidance only. They are not a medical diagnosis and never replace a direct consultation with your doctor or pharmacist. Always consult your doctor before starting any supplement, especially during pregnancy or breastfeeding or when taking long-term medication.