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Black cohosh
Black cohosh — ką Europos monografija iš tikrųjų pagrindžia, kam jis nėra skirtas, forma ir kiek laiko jį numatyta naudoti, šalutinis poveikis ir 2 vaisto sąveikas, dokumentuota jam.
Tai informacinis tinklalapis, o ne diagnozė ir ne receptas. Augaliniai produktai yra tikra farmakologija: jie turi veikimą, šalutinį poveikį ir sąveikas su vaistais. Pasakykite savo gydytojui ir vaistininkui apie viską, ką vartojate, įskaitant arbatas ir papildus, ir niekada nenutraukite bei nekeiskite paskirto vaisto dėl to, ką čia perskaitėte.
Kas tai yra
Actaea racemosa L. (syn. Cimicifuga racemosa) — rhizome and root (Cimicifugae racemosae rhizoma)
Čia sugrupuota skiltyje Joints, urinary tract and hormones. Reguliavimo pozicija:EU herbal monograph — traditional use, with a mandatory liver warning.
Ką įrodymai patvirtina
Registruota indikacija: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.
Kam tai nėra skirta
Osteoporosis prevention, vaginal dryness, or vaginal bleeding of unknown cause — which always needs investigating first.
Forma, stiprumas ir kiek ilgai
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.
Trukmė.Monograph texts limit continuous use without medical advice; anyone using it for months should be doing so with a doctor who knows.
Šiame puslapyje tyčia nėra jokio skaičiaus gramais. Augalo dalis, ekstrakcijos tirpiklis ir žaliavos bei ekstrakto santykis kartu apibrėžia preparatą, o iš vieno paimtas skaičius neaprašo kito. Pagrindimas išdėstytas pagrindiniame puslapyje; jums taikomas kiekis yra tas, kuris atspausdintas ant pakuotės, kurią laikote rankose, o vaistininkas jį perskaitys su jumis.
Šalutinis poveikis
Stomach upset, rash, headache and weight gain are reported. The important one is liver injury, rare but the reason for the label warning.
Kam reikėtų to vengti
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.
Sąveika su vaistais
| Vaistas ar medžiaga | Kas aprašyta |
|---|---|
| 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. |
Atvirkštinis vaizdas — pradėti ne nuo augalo, o nuo vaisto — yra vaistų, maisto ir alkoholio sąveikų žinynas, o apibendrinta apie kiekvieną augalą šioje svetainėje.
Šaltiniai:European Medicines Agency — Committee on Herbal Medicinal Products (HMPC), European Union herbal monographs · NIH National Center for Complementary and Integrative Health — herb fact sheets· patikrinta2026-09-06
Dažnai užduodami klausimai
Kam naudojamas black cohosh?
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.
Ar black cohosh veikia?
Įvertinta C čia: 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.
Kiek black cohosh turėčiau vartoti?
Šiame žinyne gramų skaičiai nenurodomi, nes jie neperkeliami tarp skirtingo ekstrakto stiprumo preparatų. Sąžiningai galima nurodyti tik formą ir trukmę: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.
Kokie yra black cohosh šalutiniai poveikiai?
Stomach upset, rash, headache and weight gain are reported. The important one is liver injury, rare but the reason for the label warning.
Ar black cohosh sąveikauja su vaistais?
Taip — dokumentuotaLiver load, Cancer treatment. Kiekvienas iš jų aprašytas šiame puslapyje, su nuoroda į vaisto pusės žinyną, kur toks yra.
Kiti:joints, 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.
Spanguolė
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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