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Active substance(s): BLACK COHOSH DRY EXTRACT

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Package Leaflet: Information for The User




Black Cohosh rhizome and root extract 2.5 mg

Please read this leaflet carefully before you start taking these tablets. It contains
some important information about Cimirelief® Tablets.
Keep this leaflet with the tablets. You may want to read it again or show it to your doctor, pharmacist
or qualified healthcare practitioner.


In this leaflet:
1. What Cimirelief® Tablets are and what they are used for
2. Before you take Cimirelief® Tablets
3. How to take Cimirelief® Tablets
4. Possible side effects
5. How to store Cimirelief® Tablets
6. Further information

1. What Cimirelief® Tablets are and what
they are used for
This product is a traditional herbal medicinal
product containing Black Cohosh rhizome and root
extract. Cimirelief® Tablets are used for the relief of
symptoms of the menopause such as hot flushes,
sweating, sleep disturbances, restlessness, nervous
irritability or temporary mood changes. This usage
is based on traditional use only.
As there is evidence that Black Cohosh may have
hormone-like actions, they should only be used by
women of childbearing potential if contraception is

2. Before you take Cimirelief® Tablets


Do not take Cimirelief® Tablets if you:
• are allergic (hypersensitive) to Black Cohosh or to
any of the other ingredients in this medicine (see
section 6: Product description)
• have, or have ever had liver or kidney disease (e.g.
hepatitis, jaundice or cirrhosis)
• are pregnant or breast-feeding
• are of childbearing potential and do not use
• are having or have ever had treatment for breast
cancer or any other hormone-dependent tumour.
Tell your doctor before taking this product if
• have a family history of oestrogen dependent
• are currently taking another medicine that
contains oestrogen
• cannot tolerate some sugars because each
­tablet of Cimirelief® Tablets contain 187 mg of
While you take this medicine see your doctor if:
• menstrual disorders occur or menstruation
re-appears and if the symptoms are persistent, of
unknown origin, or have recently occurred. This

may indicate the presence of other conditions
which need to be medically diagnosed.
• you get fatigue, loss of appetite, yellowing of the
skin or eyes or severe upper stomach pain with
nausea and vomiting or dark urine (symptoms
suggestive of liver dysfunction). You should
immediately stop the use of the product and seek
medical advice.

3. How to take Cimirelief® Tablets
For women experiencing menopausal symptoms,
take one tablet twice each day, morning and
Remember to always take this medicine with a glass
of water. The tablets should be swallowed whole.
Do not chew the tablets. You do not need to take
the tablets with meals.
Do not exceed the stated dose.
There is no relevant indication for use in children or
adolescents under 18 years of age.
If your symptoms persist or worsen
You must speak to a doctor or qualified healthcare
practitioner if your symptoms worsen, if they do not
improve after twelve weeks, if side effects not
mentioned in this leaflet occur or if you notice any
re-appearance or changes in menstrual bleeding.
If you take too much of this product
If you take too much and feel ill, talk to your doctor,
pharmacist or qualified healthcare practitioner and
take this leaflet with you.
If you forget to take Cimirelief® Tablets
Continue to take your usual dose at the usual time.
It does not matter if you have missed a dose.
If you have any questions about taking this medicine
or you are unsure about anything, please ask
your doctor, pharmacist or qualified healthcare

4. Possible side effects
Like all medicines, Cimirelief ® Tablets can cause
side effects, although not everybody gets them.
Possible side effects:
• gastrointestinal disorders (upper abdominal
disorders, diarrhoea)
• allergic skin reactions (nettle rash, itching, skin
• swelling of the face or extremities
• increase in liver enzymes (transaminases)
• weight gain
The frequency is not known.
In rare cases, Black Cohosh may cause liver reactions
(yellowing of eyes or skin, nausea, vomiting, dark
urine, abdominal pain, unusual tiredness).

What Cimirelief® Tablets look like and contents
of the pack
Cimirelief® Tablets are white to beige and round.
Cimirelief® Tablets come in blister packs of 60, 100
or 200 tablets.
Traditional Herbal Registration Holder and
Traditional Herbal Registration Holder:
Schaper & Brümmer GmbH & Co. KG,
Bahnhofstr. 35, 38259 Salzgitter, Germany
Schaper & Brümmer GmbH & Co. KG,
Bahnhofstr. 35, 38259 Salzgitter, Germany
Hamilton House
PO Box 8014
Reading RG6 9DB

If any of the side effects become serious, or you
notice any side effects not listed in this leaflet, tell
your doctor or pharmacist.

Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible side
­effects not listed in this leaflet. You can also report
side effects directly via the Yellow Card Scheme at: By reporting side
­effects you can help provide more information on
the safety of this medicine.

For a large print, Braille or audio version
of this leaflet, please contact:
Schaper & Brümmer GmbH & Co.KG,
Bahnhofstrasse 35, 38259 Salzgitter,


You must not take any more of these tablets if you
get any of these symptoms. You must see your
doctor immediately.

This leaflet was last revised in November 2014.

THR 26548/0003

5. How to store Cimirelief Tablets

certification mark
Keep the tablets out of the reach and the sight of


Registered Trade Mark

Do not use the tablets after the expiry date on the
carton and the blister strip. The expiry date is the
last day of that month. Return any out-of-date
tablets to your pharmacist who will dispose of them
for you.
Do not store above 30°C. Store in the original

6. Further Information


What Cimirelief® Tablets contain
The active ingredient in each tablet is:
2.5 mg of extract (as dry extract) from Black Cohosh
rhizome and root (Cimicifuga racemosa (L.) Nutt)
(6 – 11: 1).
Extraction solvent: isopropyl alcohol 40 % v/v.
The other ingredients are
Cellulose powder
Lactose monohydrate
Magnesium stearate
Potato starch.
Each tablet contains 197 mg lactose monohydrate,
corresponding to 187 mg lactose. If you have been
told by your doctor that you have an intolerance to
some sugars, contact your doctor before taking this


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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.