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User Reviews for Black cohosh

Black cohosh has an average rating of 4.1 out of 10 from a total of 48 ratings on Drugs.com. 29% of reviewers reported a positive experience, while 59% reported a negative experience.

Condition Avg. Rating Reviews Compare
Postmenopausal Symptoms  
4.1
38 reviews 157 medications
Herbal Supplementation  
4.2
10 reviews 26 medications
Summary of Black cohosh reviews 4.1 48 reviews

Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published.

Reviews for Black cohosh

Bette · Taken for 1 to 6 months · May 8, 2020

For Postmenopausal Symptoms: “I began taking black cohosh about 2 months ago for hot flashes. I just stopped taking it today. I have figured out that it must be the black cohosh making me sick. At one point I thought I had covid19!! I was tested and was negative. I have been suffering from cramps , diarrhea, headache, constipation, rash, nausea, Extreme feeling of heaviness, dizziness, and weight gain! I had no idea black cohosh had horrible side effects for many. I’ll take the hot flashes any day over these side effects. I am probably going to go back on an estrogen patch or cream. I came off of the patch about 4 years ago for safety and health reasons.”

1 / 10
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Oldbag · October 28, 2020

For Postmenopausal Symptoms: “I'm looking at these comments as have a bloated heavy abdomen since starting b.c. I regret taking it this as I think maybe its that thats making me feel so ugly. I have not eaten more but I have put on weight. So I am definitely getting off it and off to see my gyno for HRT. Sod the natural spenny route. The sites I found this cure for hot flushes certainly did not mention the bloated, heavy, fart making effects that black cohosh has. If I wasn't feeling depressed before taking this I certainly am now!!! All the best to you from a 55 year old bag.”

1 / 10
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Emily · Taken for less than 1 month · November 5, 2020

For Postmenopausal Symptoms: “I had horrible side effect symptoms from black cohosh ! Bloating, farting , feeling like I needed to poop all the time, I even accidentally sharted my pants! My breasts were sore and a little bit of blood came out of my vagina.”

3 / 10
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Nicky · Taken for 1 to 6 months · December 11, 2019

For Postmenopausal Symptoms: “I have been taking black Cohosh for 6 months now it’s the best thing ever for me no more hot flushes no more mood swings and definitely no side effects for me it has taking me back before I started the menopause I highly recommend this herbal remedy it has made me feel normal again I told my doctor I was taking this and he said it was good and I’m lucky as it only works for 30% of women and I’m definitely one of them ”

10 / 10
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Notsosweatynow · Taken for 1 to 6 months · November 8, 2018

For Postmenopausal Symptoms: “I had heard about black cohosh as an alternative medication for hot flashes and night sweats, which I had begun having in September of this year. It is now early November, and I have not had one hot flash or one sweaty night. I have had no adverse side effects from this either and HIGHLY recommend it!”

10 / 10
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Sassy · Taken for less than 1 month · September 30, 2021

For Herbal Supplementation: “I had been taking it for about a week when I realized I was having a reaction ..I had the worse migraine that I could not shake. I was emotional and full of anxiety. I also, believe it affected my blood pressure. I really felt bad all over for several days. Took my last one 3 days ago and still feel some issues. I will not be taking this again.”

1 / 10
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Cee · Taken for less than 1 month · July 11, 2019

For Postmenopausal Symptoms: “I took one pill and within an hour, I felt a heaviness, upset stomach and racing heart. I had to lay down for an hour to get the racing heart to pass. It has been a few hours since I took it and I am still running to the bathroom and I have a horrible taste in my mouth. I won't take another pill. I'd rather suffer from hot flashes!”

1 / 10
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Mami · Taken for 1 to 2 years · June 18, 2019

For Postmenopausal Symptoms: “Doctor recommended black cohosh use for menopause. Did not say it would interact with bp meds metropolol. Found interactions myself after 2 yrs usage! Lots of pain on right upper quadrant, stomach, under ribs in front and back. Doctors said it was pulled muscle. Stopped taking black cohosh and started natural liver cleanse. ALL DOCTORS should know this natural supplement causes liver problems!”

1 / 10
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Noo · September 26, 2020

For Postmenopausal Symptoms: “Right I’ve just gone full blown menopause Because no one would listen for last two years Why can't it be made easier What to take or not to take. I am taking HRT, Vit d, Vit c, b12, iron, magnesium, happy pills now, so should I add black colash, evening primrose, vit k, How much and what is correct”

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Anonymous · October 3, 2011

For Postmenopausal Symptoms: “I started taking Black Cohosh for Postmenopausal Symptoms, due to Breast Cancer scare from taking prescription hormone replacement therapy and it has worked great for me. Hot flashes are rare now and my mood has changed for the better. I think it wonderful and it's Natural!”

8 / 10
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Ksgal · May 7, 2021

For Postmenopausal Symptoms: “I tried Black Cohosh after four different hormonal therapy therapies caused severe heart palpitations and other negative side effects. I don't recall how long I've been taking it but estimate it to be 12+ months. Recent lab work indicated severe inflammation of my liver. Per discussion with a new physician and research I now believe this herbal supplement to be the cause as well as why I've been experiencing headaches, weight gain, severe tiredness and brain fog. I stopped taking it a week ago and already feel much better. I so wish I could have figured out the cause earlier as I haven't felt well for the past year. Black Cohash did eliminate the hot flashes for me but not worth the other side effects. My doctor did lecture me on taking supplements that are not FDA approved - lesson learned.”

1 / 10
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Missy · Taken for less than 1 month · December 20, 2021

For Postmenopausal Symptoms: “I started taking black cohosh to help ease hot flashes. I'm almost a week in, and although the hot flashes eased off a tiny bit, the side effects are horrendous. I've been waking up with excruciating headaches that taper off really slowly throughout the day. I'm constantly rushing to the bathroom due to diarrhea. Stomach is crampy and gassy, and experiencing bouts of dizziness. I tossed them in the trash this morning. I'll take the hot flashes over the debilitating side effects any day.”

1 / 10
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ItsMeInRM · Taken for 1 to 6 months · March 25, 2017

For Postmenopausal Symptoms: “I've just gone though a very painful week in the hospital, due to pancreatitis caused by Black Cohosh. It had been recommended to me by my GP as a herbal product that would help with premenopausal symptoms. I bought a bottle and I took it daily for over two months before started experiencing mild abdominal pain similar to cramping from your period. Last week I woke up in excruciating pain and was sent to the ER. After ruling out gall stones, ruptured cyst, or appendicitis, they did surgery and finally concluded pancreatitis. I had a very painful week-long hospital stay followed by another week out of work for recovery. I would not recommend anyone takes this herbal supplement, EVER. Even under your doctors care.”

1 / 10
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tst · Taken for 1 to 6 months · September 2, 2012

For Postmenopausal Symptoms: “I get the dried organic root from Mountain Rose Herbs. I put about two heaping tablespoons in a tea strainer, pour boiling, hot water over it in a cup, cover the cup and steep for 15 minutes. The tea is very bitter but my hot flashes are all but gone. They went away almost instantly and my mood has dramatically improved. Would highly recommend this to anyone. No headaches, no side effects, drink 2 cups per day.”

10 / 10
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Anonymous · November 3, 2009

For Postmenopausal Symptoms: “I started taking Black Cohosh to relieve hot flashes and night sweats. Within about 12 hours after taking my first dose I felt dizzy and nauseas. It has taken me about 5 days to link it to Black Cohosh.”

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P · Taken for less than 1 month · August 15, 2019

For Postmenopausal Symptoms: “I’m taking black cohosh in the Estroven form for about 5 days for Peri menopause irritability and starting of night sweats . Yesterday I began to have extreme cramping bloating and gas. I couldn’t understand why because since juicing celery everyday 4 months in all of my gastric problems went away completely. Today is the second day of this unexplained gas cramping bloating and pain, although it’s better than yesterday, I am thinking it is very likely this medicine. Plus I also feel it’s messing with my psyche I’m much more sensitive and subdued and that’s not me. I’m going to stop this right away and see if I get better. Will let you know.”

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JJ · Taken for less than 1 month · January 24, 2020

For Postmenopausal Symptoms: “I am 48 years old and hitting menopause. I started taking 40 mg of black cohosh daily about 3 weeks or so ago and while I have not noticed a considerable improvement in my hot flashes, I have noticed an improved mindset. I was depressed and stressed before taking this and I'd say within a week I felt better. The only ill effects I notice are a dry mouth and some constipation but I feel much better overall.”

8 / 10
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pattym · October 3, 2011

For Postmenopausal Symptoms: “I have only taken the supplement for 1 day and I was wondering about the headache and lightheadeness. But my sweats have been reduced tremendously. I went from 1 every other hour to 4 in one day with just taking morning and night pill. I am so happy to finally find something to help with this menopause. I'll take an Advil and get rid of the headache. I'm satisfied.”

7 / 10
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Leah · Taken for less than 1 month · November 21, 2020

For Postmenopausal Symptoms: “I started taking black cohosh for hot flashes and night sweats as recommended by my doctor. I’m about 1 month in and the side effects are headaches, cramps, palpitations, increase blood pressure and dizziness. I have stopped taking it and will suffer with the hot flashes.... I do not recommend it at all.”

1 / 10
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Florida gal Palm trees · October 9, 2014

For Postmenopausal Symptoms: “I take black cohosh as Remifemin but I don't take it twice a day as suggested. I wear the low dosage of Estrivill. Estogen. Patch. That wasn't enough so instead of increasing it I take black cohosh one 20 milligram every other day, I don't take it every day. It seems like my body only requires a pick me up, which every 2 days I take it. Works that way for me. Hot flashes gone.”

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Anonymous · May 24, 2022

For Postmenopausal Symptoms: “I took 150mg a day for about a week when I woke up one morning with debilitating dizziness. I could barely move all day. The next day was a tiny bit better but this continued for several days. I thought I had vertigo! I was a little nauseous, so dizzy, headaches, felt heavy, was retaining water, my stomach was bad and I was so bloated (the way I used to feel before my period). I finally realized that it must be the black cohosh and sure enough read about all the possible side effects that I didn’t know about. I stopped taking it about 5 days ago and I’m very slowly starting to feel better. If you are someone who is sensitive to medication, DO NOT TAKE THIS!! It literally made me sick.”

1 / 10
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Huckleberries · October 26, 2020

For Herbal Supplementation: “I have been taking 40mg of black cohosh for two months. It has worked very well for night sweats and slight moodiness. The only side effect could be weight gain. I am up a couple of pounds with no changes other than taking black cohosh. However the weight gain could just be menopause. I did try a stronger dose at first, 940mg because that is all I could find. Within a month I had severe dizziness so I went down to my current dosage. Seems to be working just fine. To me this is a life saver.”

8 / 10
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Coach · Taken for less than 1 month · October 19, 2020

For Herbal Supplementation: “I started black cohosh 1 week ago for perimenopause and just realized, after thinking I was experiencing a kidney infection, or maybe even about to pass a stone, that it is from this supplement! I've never had any issues with either my entire life, but something has been very wrong. Very nauseous, daily throbbing headaches, and extremely bloated! I am so thankful something told me to look this up! In the trash they shall go!!!!”

3 / 10
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Mina · Taken for 1 to 2 years · May 14, 2019

For Postmenopausal Symptoms: “I have used back cohosh for more than a year after stopping hormone therapy for my hot flashes. It has been very helpful and without any side effects. Anytime I have not taken it my hot flashes starts within a couple of days. I take 2 pills 40 mg each per day. I would recommend black cohosh and have used two different brands so far as I couldn't find the first one anymore!”

8 / 10
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ltlebit77 · Taken for less than 1 month · December 28, 2018

For Herbal Supplementation: “My dr prescribed black cohosh due to low libido (I'm 59 yrs young). I'm 1 of the rare women who's not had menopausal issues such as moodiness, hot flashes, night sweats etc. I've been taking it almost 2 weeks now & overall I feel good with no side effects. Currently, I would recommend it but being sure to take it as prescribed. It'll be few more days til I can see my bf, I'll really know then how it works for libido!”

8 / 10
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