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HORMONAL SUPPORT

Black Cohosh (Remifemin)

Menopause · hot flashes · night sweats

STRONG EVIDENCEVEGANREAD THE RESEARCH
Written to our editorial standards · reviewed against published research· Updated 2 Jun 2026
Last reviewed: May 30, 2026
QUICK ANSWER

Black Cohosh: Menopause · hot flashes · night sweats. The best-evidenced herb for vasomotor menopausal symptoms (hot flashes, night sweats). Not estrogenic. Standard dose 40 mg, taken in the morning, about $22/month. Evidence rating: strong evidence.

What is Black Cohosh?

Black cohosh (Actaea racemosa) is a North American plant traditionally used by Native Americans for women's health complaints. The standardized Remifemin extract (developed in Germany in 1956) is the form used in most clinical trials. Multiple meta-analyses confirm meaningful reductions in hot flashes, night sweats, mood disturbance, and sleep difficulty in perimenopausal and postmenopausal women. Unlike phytoestrogens, black cohosh does not bind estrogen receptors, its effects are mediated through serotonin and opioid pathways. Standard dose is 40 mg of standardized extract per day, on continuous use for at least 8 weeks.

WHY IT MATTERS

The best-evidenced herb for vasomotor menopausal symptoms (hot flashes, night sweats). Not estrogenic.

Where to buy

Enzymatic Therapy Remifemin Black Cohosh
RECOMMENDED
Enzymatic Therapy, Black Cohosh
40 mg · Morning · ~$22/month

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Stacks that include Black Cohosh

♀
The Menopause Support Stack
Steadier hormones through the transition.

Interactions

Other hormonal support

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Free testosterone · libido (male)

Common questions

What is Black Cohosh?
Black cohosh (Actaea racemosa) is a North American plant traditionally used by Native Americans for women's health complaints. The standardized Remifemin extract (developed in Germany in 1956) is the form used in most clinical trials. Multiple meta-analyses confirm meaningful reductions in hot flashes, night sweats, mood disturbance, and sleep difficulty in perimenopausal and postmenopausal women. Unlike phytoestrogens, black cohosh does not bind estrogen receptors, its effects are mediated through serotonin and opioid pathways. Standard dose is 40 mg of standardized extract per day, on continuous use for at least 8 weeks.
What is Black Cohosh used for?
Menopause · hot flashes · night sweats. The best-evidenced herb for vasomotor menopausal symptoms (hot flashes, night sweats). Not estrogenic.
What is the standard dose of Black Cohosh?
40 mg, typically taken in the morning. Approximate cost is $22 per month.
Who should avoid Black Cohosh?
Use extra caution, and speak to a clinician first, if you are pregnant or nursing.
How strong is the evidence for Black Cohosh?
Strong evidence for its primary uses. See the full study list on the research page.

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