Original Article

Black Cohosh Hepatic Safety: Follow-Up of 107 Patients Consuming a Special Cimicifuga racemosa rhizome Herbal Extract and Review of Literature

Table 1

Baseline characteristics of study participants.

CharacteristicsN = 107 (%)

Age48 (SD 4.24)
Menopause
 Spontaneous premature7 (6.5)
 Perimenopause29 (27.1)
 Menopause from >3 years55 (51.4)
 Menopause from >6 years10 (9.3)
 Surgical menopause6 (5.6%)
Treatment
Cimicifuga racemosa herbal extract titrated in 2.5% of actein
 500 mg daily49 (45.8)
 500 mg + other plants33 (30.9)
 1000 mg daily11 (10.3)
 1000 mg + other plants14 (13)
Clinical history
 Depression or anxiety89 (83.1)
 Moderate alcohol consumption86 (80.3)
 Chronic headaches27 (25.2)
 Dyspepsia16 (15)
 Hypertension12 (11.2)
 Thyroid disease8 (7.4)
 Hepatobiliary disease5 (4.6)
 Allergies5 (4.6)
 Previous cancer non genital organ3 (2.8)
 Major heart disease2 (1.8)
 Autoimmunity disease1 (0.93)
 Major psychiatric diseases0
 Alcohol abuse0
 Previous idiosyncratic reactions to drugs0
Concomitant medication
 Antacids26 (24.3)
 NSAID25 (23.3)
 HRT17 (15.9)
 Hypotensive12 (11.2)
 Hormone thyroid therapy8 (7.5)
 Botanicals5 (4.6)
 Administration of blood product0
 Antiestrogen drugs0
 Vitamins0