Black Cohosh 101 part 3

Can black cohosh be used to treat arthritis?

There are only anecdotal reports, which claim that black cohosh is useful in arthritis. At the moment there is no clinical evidence that black cohosh is useful for any type of arthritic disorder. There are many isolated reports which claim that black cohosh does not provide relief from arthritic pain.

Is black cohosh useful for Menopausal symptoms?

Even though black cohosh is a widely popular supplement among postmenopausal women who want treatment for their symptoms, the clinical evidence is not easy to interpret. Most women use black cohosh to treat menopausal symptoms such as migraine headaches, sleep disturbances, hot flashes, mood problems, sweats, heart palpitations, and vaginal dryness. There are some studies in humans that do suggest improvement in symptoms with black cohosh, however, not all women experience the same relief of symptoms, and the symptom relief is not sustained. Some reports indicate that black cohosh does work well for about 3-6 months. Currently, some health care providers only recommend black cohosh for short-term use. Because of the variability in quality of product, many women will have to try out a few products to determine which is the most effective. In the end, all women should understand that black cohosh only works in less than 50% of individuals.

Does black cohosh relieve menstrual migraine?

Nearly 30% of women develop menstrual migraines. Many women do report relief of headaches after ingesting back cohosh but this relief is not seen in all postmenopausal women. Further, after a few weeks or months, black cohosh fails to work. Of all the postmenopausal symptoms, menstrual migraines may be the one symptom that is amenable to treatment with black cohosh.

What is dose of black cohosh?

No one really knows what dose of black cohosh to take. Every herbal store sells a different product with different formulations and a different dose. The British herbal commission recommends a dose of 40-200 milligrams of dried rhizome daily in divided doses. However, there are women who take nearly 300-400 mg three times a day.
The liquid formula does is also variable and ranges from 0.4 to 2 milliliters of a (1:10) formula dissolved in 60% ethanol. This tincture does taste bitter and acrid. Most reports indicate that a dose of 40 mg for 12 weeks if effective