Black Cohosh Root Extract Oral

Black Cohosh Root Extract Oral Interactions

Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

This product should not be used with the following medication because very serious interactions may occur:

• cisplatin

Before using this product, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

• drugs that can harm the liver (e.g., acetaminophen, amiodarone, carbamazepine, isoniazid, methotrexate, methyldopa)
• hormones (e.g., estrogen, birth control pills/patch/ring)
• warfarin
• drugs removed from your body by certain liver enzymes (e.g., codeine, flecainide, haloperidol, metoprolol, ondansetron, risperidone, tramadol, antidepressants such as amitriptyline, desipramine, imipramine, paroxetine, venlafaxine)

Check the labels on all your pain relievers/fever reducers because they may contain aspirin (which is like the salicylate in this product) or acetaminophen (which can harm the liver). Ask your pharmacist about using those products safely while also using black cohosh.

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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Precautions and Side Effects