Caution: The daily dose of this liquid extract is low, the dosage range is narrow and/or adverse effects may occur if prescribed above the maximum daily dose. Accurate measurement of dose is vital to minimise the chance of adverse effects and/or toxicity.
In very rare cases, black cohosh has been associated with liver failure – monitor for signs and symptoms. Advise patients: If you are experiencing yellowing of the skin or whites of the eyes, dark urine, nausea, vomiting, unusual tiredness, weakness, stomach or abdominal pain, and/or loss of appetite, you should stop using this product and see your doctor.
Contraindicated during lactation, and in patients with pre-existing liver disease.
Traditionally contraindicated during pregnancy except to assist birth.
Caution in patients with oestrogen-sensitive malignant tumours, especially when using doses at the higher end of the range.
Discontinue 7 days prior to general anaesthesia.
Refer to the MediHerb Herb-Drug Interaction chart for potential interactions.
