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Precautions and warning:
• Breast-feeding: Black cohosh is POSSIBLY UNSAFE when used
during breast-feeding. Since black cohosh acts somewhat like a
female hormone.
• Hormone-sensitive conditions, including endometriosis, fibroids,
ovarian cancer, uterine cancer, and others: Black cohosh acts
somewhat like the female hormone, estrogen, in the body. There is
some concern that it could worsen conditions that are sensitive to
female hormones. These conditions include ovarian cancer, uterine
cancer, endometriosis, fibroids, and other conditions.
• Liver disease: Some reports suggest that black cohosh might cause
liver damage.

Drug-Interactions:
1- Drug Interactions: Black Cohosh can potentiate the effect of
antihypertensive medications. The concomitant use of these
drugs may result in hypotension.
2- Atorvastatin (Lipitor) interacts with BLACK COHOSH.
There is concern that black cohosh might harm the liver. Taking
black cohosh with atorvastatin (Lipitor) might increase the
chance of liver damage.

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