Black cohosh

Am Fam Physician. 2003 Jul 1;68(1):114-6.


The herb black cohosh, or Actaea racemosa (formerly named Cimicifuga racemosa), is native to North America. The roots and rhizomes of this herb are widely used in the treatment of menopausal symptoms and menstrual dysfunction. Studies have demonstrated that this botanic medicine, when standardized properly to the terpene glycoside fraction, appears to be effective in alleviating menopausal symptoms. Adverse effects are extremely uncommon, and there are no known significant adverse drug interactions.

Publication types

  • Review

MeSH terms

  • Cimicifuga
  • Female
  • Hot Flashes / prevention & control*
  • Humans
  • Menopause / drug effects*
  • Plant Extracts / pharmacology
  • Plant Extracts / therapeutic use*
  • Practice Guidelines as Topic


  • Plant Extracts
  • Remifemin