Caution & Contraindications

• Caution in those with liver problems: In very rare cases Black Cohosh may cause harm to the liver in some individuals. If the patient is experiencing yellowing of the skin or whites of the eyes, dark urine, nausea, vomiting, unusual tiredness, weakness, stomach or abdominal pain, and/or loss of appetite, the patient should stop using this product and see their doctor
• Due to Licorice: caution is advised in those with elevated liver enzymes taking immunosuppressives; contraindicated in hypertension and oedema and in those taking thiazide or loop diuretics
• Contraindicated during pregnancy and lactation
• Caution is advised in patients taking statin drugs
• Discontinue 7 days prior to general anaesthesia
• If patient symptoms persist, seek additional professional advice