Blue Cohosh Extract (low-dose)
capsule
Conditions addressed
Suggested dosage
1–2 capsules daily with food, unless otherwise directed
Pregnancy, Breastfeeding & Children
Pregnancy
AvoidBlue cohosh is contraindicated except under direct midwife supervision very close to labor — it's a strong uterine stimulant with documented cases of serious cardiovascular effects in newborns when used to induce labor.
Breastfeeding
AvoidNot used during breastfeeding; limited safety data and known cardiovascular-active compounds.
Children
AvoidContraindicated in children due to cardiovascular-active alkaloid content.
Interactions & contraindications
May affect hormone levels
Watch for: Hormone therapies, oral contraceptives, and tamoxifen or similar medications
Some herbs have mild phytoestrogenic or hormone-modulating activity that can interact with hormonal medications.
May thin the blood
Watch for: Anticoagulants (warfarin), antiplatelets (aspirin, clopidogrel), and other blood-thinning herbs or supplements (ginkgo, garlic, fish oil, vitamin E)
Combining blood-thinning substances can increase bleeding risk, including before surgery or dental work.