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Black Cohosh - Non-Timber Forest Products

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metastasis of cancer to the lungs was higher in groups taking black cohosh<br />

(27.1 percent, n = 96 treatment group, versus 10.9 percent, n = 110, control<br />

group) after 14 weeks of treatment. The number of lung tumors increased<br />

with longer exposure to black cohosh. The results indicated that black<br />

cohosh did not increase the possibility of developing breast cancer in<br />

healthy individuals, but could accelerate metastasis of existing tumors.<br />

Keywords: Cancer, clinical studies.<br />

Dixon-Shanies, D.; Shaikh, N. 1999. Growth inhibition of human breast<br />

cancer cells by herbs and phytoestrogens. Oncology Reports. 6: 1383–<br />

1387.<br />

Evaluates the abilities of various agents to protect against breast cancer.<br />

<strong>Black</strong> cohosh extract was found to inhibit growth of T–47D cancer cells.<br />

Keywords: Cancer, clinical studies, phytoestrogens, research.<br />

Dog, T.L.; Powell, K.L.; Weisman, S.M. 2003. Critical evaluation of<br />

the safety of Cimicifuga racemosa in menopause symptom relief.<br />

Menopause. 10(40): 299-313.<br />

Reviews clinical research on the safety of black cohosh for treating<br />

menopausal symptoms. Reports from both the U.S. Food and Drug<br />

Administration, Special Nutritional Adverse Events Monitoring System and<br />

the World Health Organization Collaborating Center for International Drug<br />

Monitoring are presented. Adverse effects reported included headache, high<br />

blood pressure, heart attack, diarrhea, chest pain, anxiety, and weakness.<br />

In most cases, the patients used a combination product that contained<br />

black cohosh and other herbs. The products named in the report were not<br />

investigated, and the cause of the reaction only speculated. A postmarketing<br />

survey conducted by the manufacturers of Remifemin ® found that 7 percent<br />

of patients experienced temporary, mild gastrointestinal upset. No serious<br />

side effects were reported. Numerous clinical studies on the effect of black<br />

cohosh in vivo and in vitro are reviewed. These studies suggested that<br />

black cohosh is safe when used in the recommended dosage for a period<br />

of 6 months and possibly longer. Studies on black cohosh and estrogen<br />

receptor-positive breast cancer showed that black cohosh did not stimulate<br />

cell proliferation, and may have actually inhibited the development of<br />

tumors. The authors concluded that the long history of medicinal usage, low<br />

incidence of adverse effects, and numerous clinical studies demonstrating<br />

improvement in menopausal symptoms with a lack of serious side effects<br />

35

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