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Black Cohosh for menopause symptom relief

image descriptionMenoHerb Black Cohosh Menopause Relief Tablets

Black Cohosh root extract 6.5mg

30 tablets

Traditionally used for:

  • Symptoms of the Menopause
  • Hot Flushes
  • Night Sweats
  • Temporary mood changes
4.57 out of 5 based on 14 customer ratings
Rated 4.57 stars See reviews
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A traditional herbal medicinal product used for the relief of symptoms of the menopause exclusively based upon long-standing use as a traditional remedy. Always read the label.

  • Vegetarian
  • Vegan
  • Lactose free
  • Gluten free
  • Wheat free
  • Soya free
  • Corn free
  • Sugar free
  • GM free
Herbal active
Black Cohosh (Cimicifuga racemosa ( L.) Nutt.
6.5mg of dried rhizome and root extract (equivalent to 29.25-55.25mg of Black Cohosh)
One tablet daily

A licensed herbal medicine means a safe, high quality product

MenoHerb Black Cohosh Menopause Relief Tablets have been registered under the Traditional Herbal Registration Scheme (THRS), a regulatory approval process for herbal treatments in the EU. Registration under this scheme primarily means that:

  • MenoHerb is a regulated herbal product and meets specific standards of safety and quality
  • MenoHerb is of pharmaceutical quality and has been manufactured to European Good Manufacturing Practice (GMP) Guidelines

The quality of many herbal products on the UK market at present is unknown and there are no independent quality and safety checks available to offer you reassurance about these products. MenoHerb’s registration under the THRS scheme provides you with the reassurance that it has been assessed by the MHRA and meets the required standard of safety and quality, as well as providing reliable patient information. The THR number on product packaging provides the proof of evidence that MenoHerb has met the MHRA’s agreed level of safety and quality, and that the on-pack consumer information has been approved by the MHRA.

Each pharmaceutical grade coated tablet is foiled blister packed to retain its freshness and maintain its potency.

We are committed to improving people’s health and wellbeing and do so using only the finest plant based, natural healthcare products. Please click Trust Schwabe to see why we’re the leaders in traditional herbal medicine, worldwide.

MenoHerb contains Black Cohosh, a perennial plant native to North America. Also known as Squaw root or Black snakeroot, the herb has been used for centuries by native Americans for a wide range of female conditions.

Also available from…

Boots, Holland & Barrett, Ocado and other leading independent pharmacies and health food stores nationwide.

About Black Cohosh

Black Cohosh is a perennial plant native to North America and has been used for centuries by native Americans.


About Menopause

The menopause is the name given to the end of menstruation (periods) and is commonly referred to as “the change of life”.

Menoherb Guide

Download ‘Managing your menopause naturally’ as a PDF.

Take a health check

Check your menopause status using this simple questionnaire and get some useful tips on what might help.

What this product is and what it is used for

This product is a traditional herbal medicinal product containing Black Cohosh root. Each film-coated tablet of this product contains 6.5mg of extract (as dry extract) from Black Cohosh rhizome and root (Cimicifuga racemosa(L.) Nutt.) (4.5-8.5:1) (equivalent to 29.25-55.25mg of Black Cohosh). Extraction solvent: Ethanol 60% v/v.

MenoHerb Black Cohosh Menopause Relief is a traditional herbal medicinal product used for the relief of symptoms of the menopause, such as hot flushes,night sweats, and temporary changes in mood (such as nervous irritability and restlessness). This usage is based on traditional use only.

As there is evidence that Black Cohosh may have hormone-like actions, it should only be used by women of child-bearing potential if contraception is used.

Before you take this product

DO NOT TAKE this product if you:

  • have ever had or are suffering from liver or kidney disease (e.g. hepatitis, jaundice or cirrhosis)
  • have ever had or are suffering from an oestrogen dependent tumour
  • are of childbearing potential and do not use contraception
  • are lactose-intolerant (react badly to lactose or milk)
  • are pregnant or breastfeeding
  • are allergic to any of the ingredients (see section 6)
  • are under 18 years of age

Tell your doctor before taking this product if you:

  • have a persistent history of menstrual disorders
  • are currently taking a medicine containing oestrogen

How to take this product


For women experiencing menopausal symptoms, take 1 tablet daily

Tablets should be taken at the same time of day if possible (morning or evening).
Swallow the tablet whole with some water or other liquid.
Do not chew the tablets.

Do not exceed the stated dose.

If you take too much of this product (overdose)

If you take more than the recommended dose, speak to a doctor, pharmacist or healthcare practitioner and take this leaflet with you.

If you forget to take this product

Continue to take your usual dose at the usual time, it does not matter if you have missed a dose.

If you have any questions, or are unsure about anything, please ask your doctor, pharmacist or healthcare practitioner.

You must speak to a healthcare practitioner if your symptoms worsen, if they do no improve after 12 weeks, or if you notice any re-appearance or changes in menstrual bleeding.

Possible Side-effects

Like all medicines, this product can have side-effects. These are listed below.

  • digestive upsets such as indigestion or diarrhoea
  • facial swelling
  • allergic skin reactions such as nettle rash, itching of the skin

If these persist for more than a few days, or become troublesome, stop taking this product. These uncommon side-effects are often only temporary.

Stop taking this product immediately if you experience any allergic skin reaction.

Other side-effects

Black Cohosh may rarely cause liver problems. If you become unwell (yellowingeyes/skin, nausea, vomiting, dark urine, abdominal pain, unusual tiredness) stoptaking immediately and seek medical advice.

If you notice any other side-effect not mentioned above, or if any side-effectbecomes serious, tell your doctor or pharmacist.

You can help to make medicines safer by reporting any side-effects to the Yellow Card Scheme at Alternatively you can get a paper Yellow Card form from your GP’s surgery or pharmacy, or call Freephone0808 100 3352 (available 10am–2pm Monday –Friday).

How to store this product

Do not use your tablets after the expiry date.

Return any out-of-date tablets to your pharmacist who will dispose of them for you.

The expiry date is printed on the box and the blister pack.

Store the tablets in a cool dry place.

Do not store the tablets in a place where the temperature goes above 30°C.

Keep the tablets out of the reach and sight of children.

Keep your tablets in the blister pack until it is time to take them.

Product description

Each film-coated tablet contains 6.5mg of extract (as dry extract) from Black Cohosh rhizome and root (Cimicifuga racemosa (L.) Nutt.) (4.5-8.5:1) (equivalent to 29.25-55.25mg of Black Cohosh). Extraction solvent: Ethanol 60% v/v.

This product also contains the following ingredients:

Tablet core: Cellulose powdered, lactose monohydrate, silica colloidal anhydrous, magnesium stearate, maize starch, cellulose microcrystalline, sodium starch glycolate (type A).

Film-coating: hypromellose, macrogol 4000, titanium dioxide (E171).

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this product.

Each film-coated tablet contains 142mg of lactose.

Each pack contains 30, 60 or 90 film-coated tablets.

Registration holder for this product

Schwabe Pharma (UK) Ltd
Alexander House, Mere Park,
Dedmere Road, Marlow, Bucks SL7 1PD

Manufacturer of this product

Wiewelhove GmbH, Gildestrasse 39, 49477 Ibbenbüren, Germany

Traditional herbal registration number: THR 23056/0003

If you would like further information about this product, please contact:

Schwabe Pharma (UK) Ltd,
Alexander house, Mere Park, Dedmere Road, Marlow, Bucks, SL7 1PD

Telephone: 01628 401980. Email:

This leaflet was prepared in March 2012

For a large print, Braille r audio version of this leaflet, call 01628 401980

1 Name of the medicinal product

  • Menoherb® Black Cohosh Menopause Relief Tablets
  • Menolieve Film-coated Tablets
  • Higher Nature Black Cohosh Menopause Relief Film-coated Tablets
  • Healthspan Black Cohosh Menopause Relief Tablets
  • Tesco Menopause Relief Black Cohosh Tablets

2 Qualitative and quantitative composition

Each film-coated tablet contains:

6.5 mg of extract (as dry extract) from Black Cohosh rhizome and root (Cimicifuga racemosa (L.) Nutt.) (4.5-8.5:1) (equivalent to 29.25-55.25 mg of Black Cohosh).

Extraction solvent: Ethanol 60% v/v.

One film-coated tablet contains 142 mg lactose monohydrate.

For full list of excipients, see section 6.1

3 Pharmaceutical form

Film-coated tablet. White, round, convex curved and with a score mark on one side.

4 Clinical particulars

4.1 Therapeutic indications

A traditional herbal medicinal product used for the relief of symptoms of the menopause, such as hot flushes, night sweats, and temporary changes in mood (such as nervous irritability and restlessness) based on traditional use only.

As there is evidence that Black cohosh may have hormone-like actions, it should only be used by women of childbearing potential if contraception is used.

4.2 Posology and method of administration

For oral use only.

For women experiencing menopausal symptoms, take 1 tablet daily. Tablets should be taken at the same time of day if possible (morning or evening) and swallowed whole with plenty of liquid. Do not chew the tablets.

Children and adolescents less than 18 years old. This product is not indicated in patients less than 18 years.

Hepatic and renal impairment. The safety of cimicifuga rhizome extract has not been studied in patients with hepatic and/or renal impairment. This product should not be taken by patients who have hepatic impairment or renal impairment.

4.3 Contraindications

Menoherb should not be used:

  • In patients under 18 years old.
  • Women who are pregnant or breast feeding or in women who could become pregnant (unless contraception is used).
  • In patients who have active liver disease or a history of liver damage.
  • In patients currently receiving treatment for or has had a history of an estrogen dependent tumour.

4.4 Special warnings and precautions for use

There have been rare cases of hepatic reactions associated with the use of black cohosh. Patients taking Menoherb should be informed to immediately stop the use of the product and consult their doctor if they develop signs and symptoms suggestive of liver dysfunction. (Fatigue, anorexia, yellowing of the skin and eyes or severe upper stomach pain with nausea and vomiting or dark urine).

Advice should be sought from a physician if the patient has a family history of an estrogen dependent tumour.

Oestrogens may only be taken simultaneously with Menoherb® under medical supervision, as their effect may be intensified by Black cohosh.

If menstrual disorders occur or menstruation re-appears and if the symptoms are persistent, of unknown origin, or have recently occurred, a doctor should be consulted as this may indicate the presence of other conditions which need to be medically diagnosed.

Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.

4.5 Interaction with other medicinal products and other forms of interaction

No studies have been conducted to determine if drug interactions occur with Menoherb.

4.6 Use during pregnancy and lactation

The safety of the product during pregnancy and lactation has not been established. Therefore it should be avoided during pregnancy or lactation. Additionally, because of the potential for the product to have hormone-like actions the product should also be avoided by women who could become pregnant unless contraception is used.

4.7 Effects on ability to drive and use machines

None known.

4.8 Undesirable effects

Very rarely (less than 1 in 1000, but more than 1 in 10000 treated patients), there may be gastrointestinal symptoms (dyspeptic symptoms, diarrhoea), allergic skin reactions (nettle rash, itching of the skin, skin rash), facial oedema and peripheral oedema, and weight gain.

In rare cases, Black cohosh may cause liver reactions (including hepatitis, jaundice and disturbances in liver function tests).

4.9 Overdose

In the event of an overdose, patients are advised to contact a doctor, pharmacist or qualified healthcare professional. A small overdose (up to 4 tablets) is unlikely to cause any symptoms. In the event of a larger overdose (more than 4 tablets), advice should be sought from a doctor. Management of a large overdose should be symptomatic and supportive in nature.

Older herbal texts state that doses of over 5 g unprocessed drug daily may produce symptoms of nausea, vomiting, dizziness, visual and nervous disturbances, reduced pulse rate and increased perspiration.

5 Pharmacological properties

5.1 Pharmacodynamic properties

ATC Code:G02CP03
ATC Group: G02CP

It is not possible to make conclusive statements about the oestrogen-like stimulating or inhibiting effect of Black cohosh, because the literature data are contradictory.

5.2 Pharmacokinetic properties

No data available

5.3 Preclinical safety data

The preclinical toxicology data available are limited. Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.

6 Pharmaceutical particulars

6.1 List of excipients

Excipients of the herbal preparation:

  • Lactose monohydrate
  • Cellulose powdered
  • Silica, colloidal anhydrous

Excipients of the tablet:

  • Silica, colloidal anhydrous
  • Magnesium stearate
  • Maize starch
  • Cellulose, microcrystalline
  • Sodium starch glycolate (type A)

Excipients of the film-coating:

  • Hypromellose
  • Macrogol 4000
  • Titanium dioxide E 171

6.2 Incompatibilities

Not applicable

6.3 Shelf life

The shelf life is 4 years

6.4 Special precautions for storage

Do not store above 30°C.

6.5 Nature and contents of container

Original packages containing 30, 60 or 90 film-coated tablets

Menoherb® film-coated tablets are packed in PVC/ PVDC aluminium blisters and inserted into a carton.

6.6 Special precautions for disposal

No special requirements

7 Marketing authorisation holder

Schwabe Pharma (UK) Ltd
Alexander House
Mere Park
Dedmere Road

8 Marketing authorisation number(s)

THR 23056/0003

9 Date of first registration

36th June 2007

10 Date of revision of the text

18th April 2012

14 reviews for MenoHerb Black Cohosh Menopause Relief Tablets

  1. 5 out of 5


    I have been on hurt patches for 30years due to full hysterectomy.never a problem,last 2 weeks sudden onset of excessive hot flushes and sweating no sleep and fatigue heard about menoherb,is it safe to take with patches till I wean myself off,or is it one or the other?

    • :

      Hi Mrs Taylor

      Thank you for your enquiry relating to MenoHerb Black Cohosh Menopause Relief Tablets.

      You can read the in-pack leaflet of MenoHerb on product page by visiting and then clicking on the tab ‘Using MenoHerb’.

      Whilst we do not explicitly say that this product cannot be used in conjunction with HRT, we do recommend that you talk to your doctor before taking both together as the effect of Oestrogen contained in HRT may be intensified by Black cohosh.

      If your main symptoms are hot flushes and excessive sweating, we do have another product that may help you which can be taken alongside HRT.

      MenoSage is a herbal supplement that provides comfort during the menopause. You can view this product by visiting

      Please do let us know if you have any further queries and thank you once again for your interest in our products.

      Best regards

      Schwabe Pharma UK Ltd

  2. 5 out of 5

    (verified owner):

    i don’t normally do reviews but a felt i had to inform any woman going through the menopause to give these tablets a try before going on HRT.i have been period free for almost 2 years,i am 52,i was desperate to get some relief from the night sweats and hot flushes,my sleep pattern was awful waking at least 6-8 times during the night,my daughter researched herbal treatments and came across these tablets,they have been a life saver,no hot flushes,no night sweats and i am finally sleeping much much better,they are really amazing and natural so to date no nasty side effects

    • :

      Hi Melanie. Thank you so much for your review of MenoHerb. We are pleased that you are experiencing benefits from taking this product.

  3. 5 out of 5


    Stopped my hot flushes in about a week or less. Sleeping well now as not having hot flushes at night. Wish I had got them before! Thank you for great product.

  4. 4 out of 5


    I have been taking these for about 4 months now. Initially it stopped the hot flushes and night sweats totally and I felt much cooler all the time. After about 3 months, my hot flushes and night sweats started coming back but to a much lesser degree than before I was taking MenoHerb. So I will continue to take it because it has made a difference in my life. I no longer have to take a fan in to my meetings and feel embarasssed about it.

  5. 5 out of 5


    Taking for three weeks and amazed at the difference these make! Night sweats were every hour and have disappeared. Hot flushes down to maybe one a day..I have my energy back and my aches and pains in my legs and shoulders gone.

  6. 5 out of 5


    I was recommended to use Black Cohosh for hot flashes. I was a bit wary of whether or not it works, but after 10 days, no hot flushes, not a single one. My body temp has overall lowered slightly, and when others were complaining aboutt he heat a few weeks ago, I was cool and comfortable.

    I would definitely recommend everyone give this a go before HRT.

  7. 5 out of 5


    I have been taking these for a few weeks having previously tried various other brands but I can honestly say that these are the best I have tried.The difference it makes to your life cannot be described, the sweats haven’t stopped completely but they are so much better.

  8. 5 out of 5


    I started taking these last week, I had a total hysterectomy in 2011. I was on the oestrogen patches however stopped these due to the long term risks. Im hoping these help.

  9. 5 out of 5


    Hi I have just brought some MenoHerb as I have been having hot flushes and sweating day and night. It’s been a nightmare for over 4 years. I have seen about 4 doctors each saying they cannot give me HRT because I have high blood pressure. I have no life and I cannot cuddle any one as the sweats will start. I stay at home all the time. I really cannot stand it anymore I am beginning to think I may as well not be living anymore! I have seen your articles on Black Cohosh I hope to God it works. I am so depressed I will give it a month and let you know if it has worked.

  10. 5 out of 5


    I was having a terrible time with hot flushes and nights sweats as well as not being able to get a good night’s sleep. I found MenoHerb in Morrissons in Gibraltar. It took about 3 weeks for them to kick in and I can now say I havn’t had a hot flush since and my sleeping is back to normal.

  11. 5 out of 5


    These tablets are fantastic..After months of hot flushes, sweats and no sleep I thought I would give them a try..After only 2 weeks it all disappeared and I am sleeping like a log..Amazing!!!

  12. 5 out of 5


    I am having a hellish menopause. I have been free from my periods for about two years. I am 51. The hot flushes and night sweats are my worst symptoms, however I do get very tearful.

  13. 1 out of 5


    these better be good!

  14. 4 out of 5


    I’m amazed! I’ve been taking MenoHerb for about a month now and can’t believe the difference it has made. Hot flushes and night sweats are a thing of the past and my mood swings and irritability have calmed down too. I feel like a different person!

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