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Black Cohosh - Non-Timber Forest Products

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Liske, E.; Boblitz, N.; Henneicke-von Zepelin, H.H. 2000. Therapy of<br />

climacteric complaints with Cimicifuga racemosa; data on effect and<br />

efficacy from a randomized controlled double-blind study. In: Rietbrock,<br />

N.; Donath, M.F.; Loew, D. [and others], (eds.). Phytopharmaka VI.<br />

Darmstadt: Steinkopff:. p. 247-257. In German.<br />

Describes a study on the effectiveness of black cohosh for treating<br />

climacteric complaints.<br />

Keywords: Clinical studies, medicinal uses.<br />

Liske, E.; Wüstenberg, P. 1998. Therapy of climacteric complaints with<br />

Cimicifuga racemosa: herbal medicine with clinically proven evidence.<br />

Menopause. 5(4): 250.<br />

Compares the effects of two different dosages of Remifemin ® (40 mg vs.<br />

127 mg isopropanolic black cohosh extract) in a double-blind randomized<br />

6-month clinical study of 152 female patients with climacteric complaints.<br />

The two dosages showed similar efficacy and safety. Levels of luteinizing<br />

hormone, follicle stimulating hormone, sex hormone binding globulin,<br />

prolactin and estradiol, and vaginal cytology were unaffected. The authors<br />

concluded that the product did not have an estrogen-like (hormone) effect.<br />

Keywords: Clinical studies, dosage, Remifemin ® .<br />

Liske, E.; Wüstenberg, P.; Boblitz, N. 1998. Human-pharmacological<br />

investigations during treatment of climacteric complaints with Cimicifuga<br />

racemosa (Remifemin ® ): no estrogen-like effects. ESCOP, The European<br />

Phytojournal. http://www.ex.ac.uk/phytonet/phytojournal/poster71.pdf.<br />

[Date accessed: September 13, 2004].<br />

Previous research has suggested estrogen-like effects for black cohosh,<br />

though recent findings have questioned this claim. This study, involving 152<br />

patients, showed that the commercial preparation Remifemin ® had no effect<br />

on concentrations of luteinizing hormone, follicle stimulating hormone,<br />

sex hormone-binding globulin, prolactin, or estradiol. The proliferation<br />

of vaginal mucosa did not change in an estrogenic manner; however, the<br />

Kupperman Menopausal Index indicated a significant improvement in<br />

climacteric symptoms. The authors found black cohosh a safe and effective<br />

alternative to hormone replacement therapy.<br />

Keywords: Assessment scales, clinical studies, physiological actions,<br />

Remifemin ® .<br />

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