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black cohosh (cont.)

What should I discuss with my health care provider before taking black cohosh (Menopause Support)?

Before taking black cohosh, talk to your doctor, pharmacist, or health care professional if you have allergies (especially to plants), have any medical condition, or if you take other medicines or other herbal/health supplements. Black cohosh may not be recommended in some situations.

Do not take black cohosh without first talking to your doctor if you have ever been diagnosed with breast cancer. It is unknown whether black cohosh can stimulate breast cancer cell growth.

Do not take black cohosh without first talking to your doctor or health care provider if you are pregnant or could become pregnant. It is not known whether black cohosh will harm an unborn baby. Black cohosh has been reported to cause uterine stimulation, and may induce miscarriage or premature birth in large doses.

Do not take black cohosh without first talking to your doctor or health care provider if you are breast-feeding a baby. It is also not known whether black cohosh will harm a nursing infant.

Do not give any herbal/health supplement to a child without the advice of a doctor.

How should I take black cohosh (Menopause Support)?

When considering the use of herbal supplements, seek the advice of your doctor. You may also consider consulting a practitioner who is trained in the use of herbal/health supplements.

If you choose to use black cohosh, use it as directed on the package or as directed by your doctor, pharmacist, or other healthcare provider. Do not use more of this product than is recommended on the label.

Standardized extracts, tinctures, and solid formulations of herbal/health supplements may provide a more reliable dose of the product.

Take the pill forms of black cohosh with a full glass of water.

To ensure the correct dose, measure the liquid forms of black cohosh with a dropper or a dose-measuring spoon or cup.

Some forms of black cohosh can be brewed to form a tea for drinking.

Do not use different formulations (e.g., tablets, liquids, teas, and others) of black cohosh at the same time, unless specifically directed to do so by a health care professional. Using different formulations together increases the risk of an overdose of black cohosh.

Do not confuse black cohosh with blue cohosh, a very different herbal supplement with potentially damaging effects on the heart.

Store black cohosh as directed on the package. In general, black cohosh should be protected from light and moisture.

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