Black Cohos

For the temporary relief of occasional headache, minor backache, swelling or aches in legs, or fatigue that is common during pregnancy.

Black Cohosh is also indicated for premenstrual discomfort, dysmenorrhea, and menopausal complaints such as hot flashes, heart palpitations, nervousness, irritability, sleep disturbances, tinnitus, vertigo, perspiration, and depression.

Adults and children 12 years and over

Take 10 drops up to 3 times per day. Place drops under the tongue 30 minutes before or after meals.

Children under 12 years

Consult a physician before use.

Not intended for use in infants.

Place the drops under the tongue 30 minutes before or after meals.

The precise mechanism of action of Black Cohosh is not fully established. Its active constituents — primarily triterpene glycosides — are believed to modulate responses to estrogen, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Black Cohosh appears to contain tissue-selective compounds that may exert estrogen-like effects in some tissues (such as bone) while acting as estrogen antagonists in others (such as breast and endometrium). Some research also suggests an interaction with serotonin receptors, which may contribute to its effects on vasomotor symptoms and mood.

Common: Nausea, upset stomach, cramping, headache, dizziness, rash, sweating, and weight gain.

Serious (seek medical attention promptly):

• Liver damage (hepatotoxicity): signs include yellowing of the skin or eyes, dark urine, severe fatigue, or upper abdominal pain.
• Severe allergic reactions: difficulty breathing, swelling of the throat, or hives.
• CNS disturbances: visual disturbances, severe dizziness, and in overdose situations, seizures or slow heartbeat.

Black Cohosh is contraindicated or should be used with caution in the following situations:

• Known allergy or hypersensitivity to Cimicifuga racemosa (Actaea racemosa) or any ingredient in the product.
• Hormone-sensitive conditions, including breast cancer, ovarian cancer, endometrial cancer, endometriosis, and uterine fibroids.
• Pre-existing liver problems or hepatic impairment.
• Pregnancy: not recommended due to an increased risk of spontaneous abortion.
• Breastfeeding: safety has not been established.

In case of overdose, get medical help or contact a poison control center right away.

Keep out of the reach of children.

If pregnant or breastfeeding, ask a healthcare professional before use.

Black Cohosh should not be used for more than 6 months continuously.

This product is not approved to treat or cure any disease.

Use with caution if you have liver disease or are taking any medicines that affect the liver. Discontinue use and consult a physician immediately if you experience signs of liver problems such as jaundice, dark urine, or severe fatigue.

Some Black Cohosh products may be contaminated with related plants such as Caulophyllum thalictroides; potency may vary between brands.

Children under 12 years: Consult a physician before use. This product is not intended for use in infants.

Elderly: No specific dosage adjustment has been established; consult a physician if in doubt.

Patients with liver disease: Use with caution; Black Cohosh has been associated with hepatotoxicity. Medical supervision is advised.

Patients with hormone-sensitive conditions: Use is not recommended in individuals with hormone-sensitive cancers (breast, ovarian, endometrial) or conditions such as endometriosis or uterine fibroids.

Pregnancy: Black Cohosh is not recommended during pregnancy. Use has been associated with an increased risk of spontaneous abortion. If pregnant, consult a healthcare professional before use.

Breastfeeding: Safety during breastfeeding has not been established. It is not known whether the active constituents pass into breast milk. Consult a healthcare professional before use.

Symptoms of overdose may include slow heartbeat, vision problems, severe dizziness, increased sweating, nausea, vomiting, and seizures.

In case of suspected overdose, seek emergency medical attention or contact a poison control center immediately.

Black Cohosh may interact with the following

• Hepatotoxic drugs: Medicines that can stress the liver — including acetaminophen, methotrexate, and statins — may carry an increased risk of liver damage when combined with Black Cohosh.
• Hormonal therapies: Use with hormone replacement therapy or hormonal birth control warrants caution.
• Serotonergic drugs: Combination with medicines that raise serotonin levels (such as SSRI and SNRI antidepressants) may increase the risk of serotonin-related effects.
• Cancer treatments: Caution is advised when used alongside tamoxifen or certain chemotherapy agents.
• CYP enzyme substrates: Black Cohosh may inhibit CYP2D6 and may increase the bioavailability of CYP3A4 substrates.
• Herbal supplements with liver toxicity risk: Avoid concurrent use with androstenedione, chaparral, comfrey, DHEA, germander, kava, niacin (vitamin B3), pennyroyal oil, or red yeast.
• Alcohol: Concurrent use with alcohol is not recommended.

Store in a cool, dry place, away from direct sunlight and moisture. Keep out of the reach of children and pets. Store as directed on the package label.

What is the price of Black Cohos 40 mg in Bangladesh (BD)?

Black Cohos 40 mg price in Bangladesh is ৳6.5 per capsule. Prices may vary by pharmacy and are updated regularly on this page.

What is Black Cohos used for?

For the temporary relief of occasional headache, minor backache, swelling or aches in legs, or fatigue that is common during pregnancy. Black Cohosh is also indicated for premenstrual discomfort, dysmenorrhea, and…

Is Black Cohos an antibiotic?

No, Black Cohos is not an antibiotic.