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Black cohosh
Black cohosh — was die europäische Monographie tatsächlich stützt, wofür es nicht ist, Form und vorgesehene Dauer, Nebenwirkungen und die 2 Arzneimittelwechselwirkungs, die dafür dokumentiert sind.
Das ist eine Referenzseite, keine Diagnose und kein Rezept. Pflanzliche Produkte sind echte Pharmakologie: sie haben Wirkungen, Nebenwirkungen und Wechselwirkungen mit Arzneimitteln. Sagen Sie Arzt und Apotheker alles, was Sie einnehmen, einschließlich Tees und Nahrungsergänzung, und setzen Sie nie ein verordnetes Mittel wegen etwas ab, das Sie hier lesen.
Was es ist
Actaea racemosa L. (syn. Cimicifuga racemosa) — rhizome and root (Cimicifugae racemosae rhizoma)
Hier gruppiert unter Joints, urinary tract and hormones. Regulatorische Lage:EU herbal monograph — traditional use, with a mandatory liver warning.
Was die Evidenz stützt
Die registrierte Indikation:Relief of menopausal complaints such as hot flushes and profuse sweating.
Black cohosh is the most widely used non-hormonal herbal option for hot flushes, and the one carrying a regulator-mandated liver warning on the pack. The herbal committee at the European Medicines Agency reviewed reports of liver injury associated with black cohosh products and required them to warn users to stop and see a doctor if signs of liver damage appear — unusual tiredness, yellowing of the skin or eyes, dark urine, upper abdominal pain, loss of appetite. Cases are rare and causality in many of the reports is uncertain, but the warning stands and it is the single most important thing to know before starting. On efficacy, the trials for hot flushes are mixed; a traditional-use registration does not imply proven benefit, and it is not a hormone, not a treatment for osteoporosis, and not a substitute for a conversation about menopause options.
C — Traditional use only Plausible from thirty or more years of use, which is what a traditional-use registration means. No clinical evidence was required and none has settled it.
Wofür es nicht ist
Osteoporosis prevention, vaginal dryness, or vaginal bleeding of unknown cause — which always needs investigating first.
Form, Stärke und wie lange
Standardised dry extracts of the rhizome in tablets and drops. Species substitution with Asian Actaea species has been documented in commercial products, which is one argument for buying registered medicines rather than unregulated supplements.
Dauer.Monograph texts limit continuous use without medical advice; anyone using it for months should be doing so with a doctor who knows.
Auf dieser Seite erscheint absichtlich keine Grammzahl. Pflanzenteil, Extraktionsmittel und Droge-zu-Extrakt-Verhältnis definieren zusammen eine Zubereitung, und eine Zahl aus einer beschreibt eine andere nicht. Die Begründung steht auf dem Hub; die Menge, die für Sie gilt, steht auf der Packung in der Hand, und ein Apotheker liest sie mit Ihnen.
Nebenwirkungen
Stomach upset, rash, headache and weight gain are reported. The important one is liver injury, rare but the reason for the label warning.
Wer es meiden sollte
Adults only, and not in pregnancy or breastfeeding. Anyone with liver disease should avoid it. Anyone with a history of breast cancer or on hormone-sensitive cancer treatment should not start it without the oncology team.
Wechselwirkungen mit Arzneimitteln
| Arzneimittel oder Substanz | Was beschrieben wird |
|---|---|
| Anything else that stresses the liver | Combining it with anything else that stresses the liver — other implicated botanicals, heavy alcohol, medicines with a known hepatic signal — stacks a risk that is already the reason for the warning on the box. |
| Cancer and hormone-blocking treatment | Anyone on tamoxifen or another hormone-sensitive cancer treatment should not add it without their oncology team's agreement. The interaction question is unsettled; the stakes are not. |
Die umgekehrte Sicht — vom Arzneimittel statt von der Pflanze — steht in der Referenz zu Arzneimittel-, Nahrungs- und Alkoholwechselwirkungen, und für jedes Kraut auf dieser Seite zusammengefasst.
Quellen:European Medicines Agency — Committee on Herbal Medicinal Products (HMPC), European Union herbal monographs · NIH National Center for Complementary and Integrative Health — herb fact sheets· geprüft2026-09-06
Häufige Fragen
Wofür wird black cohosh verwendet?
Relief of menopausal complaints such as hot flushes and profuse sweating. Black cohosh is the most widely used non-hormonal herbal option for hot flushes, and the one carrying a regulator-mandated liver warning on the pack. The herbal committee at the European Medicines Agency reviewed reports of liver injury associated with black cohosh products and required them to warn users to stop and see a doctor if signs of liver damage appear — unusual tiredness, yellowing of the skin or eyes, dark urine, upper abdominal pain, loss of appetite. Cases are rare and causality in many of the reports is uncertain, but the warning stands and it is the single most important thing to know before starting. On efficacy, the trials for hot flushes are mixed; a traditional-use registration does not imply proven benefit, and it is not a hormone, not a treatment for osteoporosis, and not a substitute for a conversation about menopause options.
Wirkt black cohosh?
Hier bewertet C: Plausible from thirty or more years of use, which is what a traditional-use registration means. No clinical evidence was required and none has settled it. Osteoporosis prevention, vaginal dryness, or vaginal bleeding of unknown cause — which always needs investigating first.
Wie viel black cohosh soll ich nehmen?
Diese Referenz druckt keine Grammzahlen, weil sie nicht zwischen Zubereitungen unterschiedlicher Extraktstärke übertragbar sind. Ehrlich sagbar sind Form und Dauer:Standardised dry extracts of the rhizome in tablets and drops. Species substitution with Asian Actaea species has been documented in commercial products, which is one argument for buying registered medicines rather than unregulated supplements. Monograph texts limit continuous use without medical advice; anyone using it for months should be doing so with a doctor who knows.
Welche Nebenwirkungen hat black cohosh?
Stomach upset, rash, headache and weight gain are reported. The important one is liver injury, rare but the reason for the label warning.
Wechselwirkt black cohosh mit Arzneimitteln?
Ja — dokumentiert fürLiver load, Cancer treatment. Jede ist auf dieser Seite beschrieben, mit einem Link zur Arzneimittel-Referenz, wo eine existiert.
Andere injoints, urinary tract and hormones
Nettle
Leaf: to increase the amount of urine and so flush the urinary tract in minor complaints, and for minor joint pain. Root: lower urinary tract symptoms related to benign enlargement of the prostate.
Saw palmetto
Relief of lower urinary tract symptoms related to benign prostatic hyperplasia, after a doctor has excluded serious conditions.
Cranberry
Reducing the chance of repeat urinary tract infections in some groups — not treating an infection that is already present.
Devil's claw
Relief of minor joint pain, and of mild digestive complaints such as bloating and loss of appetite.
Feverfew
Prophylaxis of migraine headaches, after serious conditions have been excluded by a doctor.
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