Black Cohosh

Herbaceous plant native to eastern North America. Rhizomes and roots are used. It contains triterpene heterosides saponosides (acteine, deoxyacteine and others) and hydroxycinnamic acid derivatives. It is traditionally attributed estrogenic properties that have been scientifically denied ^{(Ruhlen 2007, Liske 2002, WHO 2002)}. Indications Commission E of the German Ministry of Health: dysmenorrhea, premenstrual, menopause ^{(Blumenthal 1998)}. It is also used without proven data in endometritis and to increase breast milk production. ^{(Amer 2015, Dugoua 2006, McKenna 2001)}

As of the last update we found no published data on its excretion in breast milk.

It may present moderate adverse effects (Posadzki 2013) and cases of severe acute hepatitis have been published. ^{(Chitturi 2008)}

It is a plant widely used as such and in dietary supplements. It has not been evaluated in quality clinical trials and there is little evidence to support the safety of its use, particularly during breastfeeding. ^{(Amer 2015, Sachs 2013, Dugoua 2006)}

Has components that, in vitro, can bind to the human estrogen receptor and behave as an endocrine disruptor ^{(Powers 2015)}; according to some authors it could theoretically decrease milk production, so they do not recommend it during breastfeeding. ^{(Amir 2011, WHO 2002)}