Actaea racemosa rhizome, containing triterpene glycosides (actein, 27-deoxyactein) and phenolic acids. Black cohosh acts on central serotonin 5-HT1A/5-HT7 receptors and hypothalamic thermoregulation centers, significantly reducing the frequency and severity of menopausal hot flashes and sleep disturbances.
Educational information only — never stop or change a prescribed medication without talking to your prescriber first.
Rare reports of liver stress; discontinue use if signs of liver dysfunction (jaundice, dark urine) develop. Avoid in women with active liver disease or during pregnancy/lactation.
Evidence level: Strong
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