section name header

Pronunciation

blak COE-hosh

Classifications

Therapeutic Classification: menopausal agents

Indications

Complementary/Alternative Medicine: This monograph describes a natural or herbal product that is not subject to FDA guidelines for medicines. Patients and clinicians are advised to read package labels carefully to ensure safe and efficacious use.

REMS


Action

  • Therapeutic effects are produced by glycosides isolated from the fresh or dried rhizome with attached roots.
  • Mechanism of action is unclear.
Therapeutic effects:
  • May decrease symptoms of menopause, including hot flashes, sweating, sleep disturbance, and anxiety. Has no effect on vaginal epithelium.

Pharmacokinetics

Absorption: Unknown.

Distribution: Unknown.

Metabolism/Excretion: Unknown.

Half-Life: Unknown.

Time/Action Profile

ROUTEONSETPEAKDURATION
POunknownunknownunknown

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Neuro: dizziness, headache, SEIZURES (IN COMBINATION WITH EVENING PRIMROSE AND CHASTEBERRY)

GI: GI upset, hepatotoxicity

Derm: rash

Misc: breast tenderness, cramping, vaginal spotting/bleeding, weight gain

Interactions

Natural-Drug Products:

Natural-Natural Products:

Route/Dosage

Availability

Assessment

Implementation

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Remifemin, baneberry, black snakeroot, bugbane, phytoestrogen, rattle root, rattleweed, rattle top, squaw root

Code

NDC Code