🏞️Appalachian Folk Medicine

Black Cohosh Root Extract

capsule

Conditions addressed

Menopause Hormonal Imbalance Bone Health Anxiety

Suggested dosage

1–2 capsules daily with food, unless otherwise directed

Pregnancy, Breastfeeding & Children

Pregnancy

Avoid

Black cohosh is a well-documented uterine stimulant, historically used specifically to induce labor — contraindicated earlier in pregnancy and only used near term under direct midwife/practitioner supervision.

Breastfeeding

Use Caution

Limited formal safety data during breastfeeding; hormone-modulating activity means it's generally used cautiously.

Children

Avoid

As a hormone-modulating herb, black cohosh is not used in children.

Interactions & contraindications

Hormone therapies (HRT, tamoxifen)

May interact with oestrogen-related pathways.

Liver-metabolized medications

Rare reports of liver toxicity; avoid with existing liver disease.