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Black cohosh
Black cohosh — что европейская монография реально поддерживает, для чего это не предназначено, форма и срок применения, побочные эффекты и 2 взаимодействиеs с лекарствами, задокументированное для него.
Это справочная страница, не диагноз и не рецепт. Травяные продукты — настоящая фармакология: у них есть эффекты, побочные действия и взаимодействия с лекарствами. Расскажите врачу и фармацевту обо всём, что принимаете, включая чаи и добавки, и никогда не отменяйте и не меняйте назначенное лекарство из-за прочитанного здесь.
Что это
Actaea racemosa L. (syn. Cimicifuga racemosa) — rhizome and root (Cimicifugae racemosae rhizoma)
Сгруппировано здесь под Joints, urinary tract and hormones. Регуляторная позиция:EU herbal monograph — traditional use, with a mandatory liver warning.
Что поддерживают доказательства
Зарегистрированное показание: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.
Для чего это не предназначено
Osteoporosis prevention, vaginal dryness, or vaginal bleeding of unknown cause — which always needs investigating first.
Форма, сила и как долго
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.
Срок.Monograph texts limit continuous use without medical advice; anyone using it for months should be doing so with a doctor who knows.
На этой странице намеренно нет граммов. Часть растения, растворитель экстракции и соотношение сырьё–экстракт вместе определяют препарат, и число от одного не описывает другой. Обоснование изложено на узле; количество, которое относится к вам, напечатано на пачке в руках, и фармацевт прочитает его с вами.
Побочные эффекты
Stomach upset, rash, headache and weight gain are reported. The important one is liver injury, rare but the reason for the label warning.
Кому следует избегать
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.
Взаимодействия с лекарствами
| Лекарство или вещество | Что описано |
|---|---|
| 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. |
Обратный вид — начать с лекарства, а не с растения — в справочнике взаимодействий лекарств, пищи и алкоголя, и сведено для каждого растения на этом сайте.
Источники:European Medicines Agency — Committee on Herbal Medicinal Products (HMPC), European Union herbal monographs · NIH National Center for Complementary and Integrative Health — herb fact sheets· проверено2026-09-06
Частые вопросы
Для чего применяют 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.
Работает ли black cohosh?
Оценено здесь 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.
Сколько black cohosh принимать?
Этот справочник не печатает граммы, потому что они не переносятся между препаратами разной силы экстракта. Честно можно сказать форму и срок: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.
Какие побочные эффекты у 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.
Взаимодействует ли black cohosh с лекарствами?
Да — задокументировано дляLiver load, Cancer treatment. Каждое описано на этой странице, со ссылкой на лекарственный справочник, где он есть.
Другие вjoints, 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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